Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?

Jayvardhan Singh; Pradip B Barde; Arun Goel; Ashutosh N Joshi; Rajesh Kathrotia

doi:10.5455/njppp.2023.13.10512202304112023

2024, Vol: 14, Issue: 4

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Online Publishing Date:
16 / 11 / 2023

Natl J Physiol Pharm Pharmacol. 2024; 14(6):

doi: 10.5455/njppp.2023.13.10512202304112023

Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?

Jayvardhan Singh, Pradip B Barde, Arun Goel, Ashutosh N Joshi, Rajesh Kathrotia.

Abstract
Background: Logbooks have been introduced in the competency-based undergraduate medical curriculum by the National Medical Commission in India. Assessments of competencies marked in logbooks serve as a useful guide to students for skill acquired and progress. Each student should get accurate and objective feedback.

Aims and Objectives: This study was planned to evaluate the effect of examiner variability on the grades awarded to learners in the logbook.

Materials and Methods: This cross-sectional study involved phase 1 MBBS students. As part of their routine practical exercise, students made thin peripheral blood smears, which were graded by 3 different examiners as exceeding (“E”), meeting (“M”), or below (“B”) depending on whether a particular smear E, M, or B was the expectancy of a particular examiner. Students in Grade B were supposed to repeat the exercise. Data for grading were recorded in Excel and analyzed using statistical software R for agreement between examiners.

Results: 248 phase 1 MBBS students participated in the study. The level of agreement between the three examiners was poor, meaning all examiners graded the student differently. Examiners 1, 2, and 3 were biased and inclined toward grades M, E, and B, respectively. Cramer’s V statistics confirmed the strong association (0.23, P < 0.01) of the examiner with a particular grade. A high level of agreement (0.407, P < 0.01) and strong association (0.26, P < 0.01) was found between the examiner and the grading of revision required (B) or not (E or M).

Conclusion: Thus, the grading system involves examiner bias, which may be reduced by defining more objective, observable criteria for grading and reducing the number of grade categories to reduce borderline cases.

Key words: Competency-based Medical Education; Logbook; Grading; Agreement; Examiners

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Pubmed Style

Singh J, Barde PB, Goel A, Joshi AN, Kathrotia R. Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?. Natl J Physiol Pharm Pharmacol. Online First: 16 Nov, 2023. doi:10.5455/njppp.2023.13.10512202304112023

Web Style

Singh J, Barde PB, Goel A, Joshi AN, Kathrotia R. Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?. https://www.njppp.com/?mno=174857 [Access: March 14, 2024]. doi:10.5455/njppp.2023.13.10512202304112023

AMA (American Medical Association) Style

Singh J, Barde PB, Goel A, Joshi AN, Kathrotia R. Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?. Natl J Physiol Pharm Pharmacol. Online First: 16 Nov, 2023. doi:10.5455/njppp.2023.13.10512202304112023

Vancouver/ICMJE Style

Singh J, Barde PB, Goel A, Joshi AN, Kathrotia R. Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?. Natl J Physiol Pharm Pharmacol, [cited March 14, 2024]; Online First: 16 Nov, 2023. doi:10.5455/njppp.2023.13.10512202304112023

Harvard Style

Singh, J., Barde, . P. B., Goel, . A., Joshi, . A. N. & Kathrotia, . R. (2024) Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?. Natl J Physiol Pharm Pharmacol, Online First: 16 Nov, 2023. doi:10.5455/njppp.2023.13.10512202304112023

Turabian Style

Singh, Jayvardhan, Pradip B Barde, Arun Goel, Ashutosh N Joshi, and Rajesh Kathrotia. 2024. Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?. National Journal of Physiology, Pharmacy and Pharmacology, Online First: 16 Nov, 2023. doi:10.5455/njppp.2023.13.10512202304112023

Chicago Style

Singh, Jayvardhan, Pradip B Barde, Arun Goel, Ashutosh N Joshi, and Rajesh Kathrotia. "Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?." National Journal of Physiology, Pharmacy and Pharmacology Online First: 16 Nov, 2023. doi:10.5455/njppp.2023.13.10512202304112023

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Singh, J., Barde, . P. B., Goel, . A., Joshi, . A. N. & Kathrotia, . R. (2024) Assessment by logbooks in competency-based curriculum: Is it a reliable method of objective assessment?. National Journal of Physiology, Pharmacy and Pharmacology, Online First: 16 Nov, 2023. doi:10.5455/njppp.2023.13.10512202304112023

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