Testing - Examinations - Assessments
Everyone needs to fully understand just how ineffective some tests are, and that they can be dangerously
flawed. I don't want some child's life ruined because they did not pass
a particular test. And I certainly don't want a child to be mislead
either just because they did pass a test. Testing should only be a
testing should not be a form of
, or a
of worth, or be used to manipulate or mislead someone.
Will this be on the Test ?
Life is your test, if you don't learn, then you fail the test. So who failed?
Me or the teacher?
Now the test has begun...
People should never feel threatened by tests, as if their intelligence is some how being
judged. Testing should only be a tool for learning. Testing
should never be used as a weapon for judging, or controlling, or
used for discriminating people. Testing should only be a tool to
encourage development, and not be used to discourage
development. Testing should only be a tool to measure progress,
and not be used to impede progress.
Life is Not
, Life is a form of learning, adapting
is to live through hardship or
adversity. Support oneself. Stay in Existence. Live.
"Instead of failing because you got half the answers wrong, you should
instead be saying, I got half the answers correct, that means
I'm halfway there."
"Measurable Impacts on Learning"If people
only learn things just to pass a test, then they have already failed the
. You should learn things because they are valuable, knowledge
that you will use in your life. If learning is only to pass a test, then
most people will stop learning because they believe there is no benefit,
like a test grade. Being good just for the reward
There is way too much confusion about testing
and its true purpose.
If the Test itself is flawed, then what's the value in passing the test?
Passing a test usually means only one thing, that you passed a
So what does that mean?
What does the test really
What are the benefits from that test?
What did you
learn that was valuable from that test?
is something that offers
basic information or instruction. A structure or marking that serves to
direct the motion or positioning of something. A model or standard for
making comparisons. Someone who can find paths through unexplored
territory. Direct the course; determine the direction of travelling. Be a
guiding or motivating force or drive. Someone who shows the way by leading
is the classification of
someone or something with respect to its
, the process of documenting knowledge, skills,
attitudes, and beliefs.
, a plan of care that identifies the specific needs of
the client and how those needs will be addressed by the healthcare system.
is a process undertaken by libraries to learn about
the needs of users (and non-users).
, the gathering of information about a patient's
physiological, psychological, sociological, and spiritual status.
, assessment of officeholders for
, a process of gathering information about a
person within a psychiatric or mental health service with the purpose of
making a diagnosis.
, an examination into a person's mental health
by a mental health professional such as a psychologist.
, the determination of quantitative or qualitative value
of risk related to a concrete situation and a recognized threat.
Survey data collection
, marketing assessments.
, value calculated as the basis for determining the
amounts to be paid or assessed for tax or insurance purposes.
, the process of identifying, quantifying, and
prioritizing (or ranking) the vulnerabilities in a system, i.e., IT, water
, an area of study within
that looks at the practices, technologies, and
process of using writing to assess performance and potential.
is the act of
something closely (as for
mistakes). A set of questions or exercises evaluating skill or knowledge.
A detailed inspection of your conscience
act of giving students or candidates a test (as by
to determine what they
is trying something
to find out about it. Measuring
sensitivity or memory
Put to the
test, as for its quality, or give
is a test conducted to determine if the
of a specification or contract are met. It may involve
chemical tests, physical tests, or performance tests.
is an assessment intended to measure a
test-taker's knowledge, skill, aptitude, physical fitness, or
classification in many other topics (e.g., beliefs). A test may be
administered verbally, on paper, on a computer, or in a confined area that
requires a test taker to physically perform a set of skills. Tests vary in
style, rigor and requirements.
produces a test result. A test can be considered a technical operation or
procedure that consists of determination of one or more characteristics of
a given product, process or service according to a specified procedure.
Often a test is part of an experiment. The test result can be qualitative
(yes/no), categorical, or quantitative (a measured value). It can be a
personal observation or the output of a precision measuring instrument.
Usually the test result is the dependent variable, the measured response
based on the particular conditions of the test or the level of the
independent variable. Some tests, however, may involve changing the
independent variable to determine the level at which a certain response
occurs: in this case, the test result is the independent
guideline, sometimes referred to as the
professor test, is meant to reflect consensus about the notability of
academics as measured by their academic achievements. For the purposes of
this guideline, an academic is someone engaged in scholarly research or
higher education, and academic notability refers to being known for such
is the use of information technology in various
forms of assessment such as educational assessment, health assessment,
psychiatric assessment, and psychological assessment. This may utilize an
online computer connected to a network. This definition embraces a wide
range of student activity ranging from the use of a word processor to
on-screen testing. Specific types of e-assessment include multiple choice,
online/electronic submission, computerized adaptive testing and
computerized classification testing. Different types of online assessments
contain elements of one or more of the following components, depending on
the assessment's purpose: formative, diagnostic, or summative. Instant and
detailed feedback may (or may not) be enabled. In education assessment,
large-scale examining bodies find the journey from traditional paper-based
exam assessment to fully electronic assessment a long one. Practical
considerations such as having the necessary IT hardware to enable large
numbers of student to sit an electronic examination at the same time, as
well as the need to ensure a stringent level of security (for example,
see: Academic Dishonesty) are among the concerns that need to resolved to
accomplish this transition.
(health assessments and examinations)
is a systematic determination of a subject's
, worth and significance, using criteria
governed by a set of standards. It can assist an organization, program,
project or any other intervention or initiative to assess any aim,
realisable concept/proposal, or any alternative, to help in
decision-making; or to ascertain the degree of achievement or value in
regard to the aim and objectives and results of any such action that has
been completed. The primary purpose of evaluation, in addition to gaining
insight into prior or existing initiatives, is to enable reflection and
assist in the identification of future change.
Types of Tests
is an instrument designed to measure unobserved
constructs, also known as latent variables. Psychological tests are
typically, but not necessarily, a series of tasks or problems that the
respondent has to solve. Psychological tests can strongly resemble
questionnaires, which are also designed to measure unobserved constructs,
but differ in that psychological tests ask for a respondent's maximum
performance whereas a questionnaire asks for the respondent's typical
performance. A useful psychological test must be both valid (i.e., there
is evidence to support the specified interpretation of the test results)
and reliable (i.e., internally consistent or give consistent results over
time, across raters, etc.).Psychological Assessment
crazy people testing normal people, how ironic.
is a field of study concerned with the theory and
technique of psychological measurement.
are variables that are not directly observed but are
rather inferred (through a mathematical model) from other variables that
are observed (directly measured). Mathematical models that aim to explain
observed variables in terms of latent variables are called latent variable
models. Latent variable models are used in many disciplines, including
psychology, economics, engineering, medicine, physics, machine
learning/artificial intelligence, bioinformatics, natural language
processing, econometrics, management and the social sciences.
is a variable that can be observed and directly
Physical Fitness Test
is a test designed to measure
, agility, and
They are commonly employed in educational institutions as part of the
physical education curriculum, in medicine as part of diagnostic testing,
and as eligibility requirements in fields that focus on physical ability.
Physical Fitness Test
is a procedure designed to test a person's ability to drive a
. A driving test generally consists of one or two parts: the
practical test, called a road test, used to assess a person's driving
ability under normal operating conditions, and/or a written or oral test
(theory test) to confirm a person's knowledge of driving and relevant
rules and laws
the statistical process of determining comparable scores on different
forms of an exam. It can be accomplished using either classical test
theory or item response theory. In item response theory, equating is the
process of placing scores from two or more parallel test forms onto a
common score scale. The result is that scores from two different test
forms can be compared directly, or treated as though they came from the
same test form. When the tests are not parallel, the general process is
called linking. It is the process of equating the units and origins of two
scales on which the abilities of students have been estimated from results
on different tests. The process is analogous to equating degrees
Fahrenheit with degrees Celsius by converting measurements from one scale
to the other. The determination of comparable scores is a by-product of
equating that results from equating the scales obtained from test results.
is a scoring guide used to evaluate the quality of students'
constructed responses". Rubrics usually contain evaluative criteria,
quality definitions for those criteria at particular levels of
achievement, and a scoring strategy. They are often presented in table
format and can be used by teachers when marking, and by students when
planning their work.
is the use of
in various forms of assessment.
determining the needs or conditions to
meet for a new or altered product or project.
a qualitative or quantitative procedure that consists of determination of
one or more characteristics of a given product, process or service
according to a specified procedure. Often this is part of an experiment.
is a technique used in user-centered interaction
design to evaluate a product by testing it on users. This can be seen as
an irreplaceable usability practice, since it gives direct input on how
real users use the system. This is in contrast with usability inspection
methods where experts use different methods to evaluate a user interface
without involving users. Usability testing focuses on measuring a
human-made product's capacity to meet its intended purpose. Examples of
products that commonly benefit from usability testing are foods, consumer
products, web sites or web applications, computer interfaces, documents,
and devices. Usability testing measures the usability, or ease of use, of
a specific object or set of objects, whereas general human-computer
interaction studies attempt to formulate universal principles.
is a test conducted to determine if the
requirements of a specification or contract are met. It may involve
chemical tests, physical tests, or performance tests, which is an
assessment that requires an examinee to actually perform a task or
activity, rather than simply answering questions referring to specific
parts. The purpose is to ensure greater fidelity to what is being tested.
a test with important consequences for the test taker. Passing has
important benefits, such as a high school diploma, a scholarship, or a
license to practice a profession. Failing has important disadvantages,
such as being forced to take remedial classes until the test can be
passed, not being allowed to drive a car, or not being able to find
assessment that relies on the evaluation of student understanding with
respect to agreed-upon standards, also known as "outcomes". The standards
set the criteria for the successful demonstration of the understanding of
a concept or skill.
is the process of documenting,
usually in measurable terms, knowledge, skill, attitudes, and beliefs. It
is a tool or method of obtaining information from tests or other sources
about the achievement or abilities of individuals.
is a test given to students at the end of a course of study or
is a research paper
written by students over an academic term, accounting for a large part of
a grade. Term papers are generally intended to describe an event, a
concept, or argue a point. A term paper is a written original work
discussing a topic in detail, usually several typed pages in length and is
often due at the end of a semester.
Passing a driving test does not say that you will be a good
, it only says that you are allowed to drive a car.
Passing a math test does not say that you will count the things
that matter, it only says that you know how to count in a
Passing an English test doesn't mean that you will speak and
write valuable things, it only says that you can speak and write.
Passing a reading test does not say that you fully understand
all the text that you read, it only says that you understood
what was written on a particular test.
doesn't say that you will be a good lawyer,
or does it say that you will be an honest lawyer, it only says
that you can practice law.
Everyone needs to fully understand how ineffective some tests
are, and that some tests are even inaccurate and misleading.
Tests are dangerous because they could give a person a false
sense of accomplishment, they could also give a false sense of
security, and tests could also give some people a false sense of
importance and value. You are literally being coned and taken
for a fool. And the only way to stop this abuse, is to create
more accurate tests. Tests that are proven to work. So the test
itself must be certified, and certified in an open forum of
experts from around the world. We need a stamp of approval,
something that guarantees authenticity. Then we could start
accurately measuring intelligence and abilities, which is
Goal of BK101
Teaching to a Test
is the same thing as teaching
, it's the same thing as teaching someone's version
of reality, it's the same thing as teaching someone's personal
belief, that's not education, that's
, without any vision, without any
responsibility or accountability. It is simply wrong,
inaccurate, ineffective, inefficient, and f*cking criminal, and
you need to stop it.
Teaching to the Test
Stop forcing children to
produce answers for teachers and tests, because it disconnects children
from learning. Children should learn how to produce answers for
themselves, so that they understand that learning is their responsibility
and no one else's. You give them problems to solve, you give them the
tools and resources to locate needed information. Ask a question like how
long would the sound of your voice take to travel around the earth? And
see what they come up with and show them the answers they needed to know
in order to come up with answer. Don't force them to memorize, teach them
how to learn. Test them on how much they understand about themselves and
the world around them. Stop testing them for things that teachers force
students to memorize.
Mastering a subject has
become less about learning and more about performance. If you
ask most students what they think their role is in math
classrooms, they will tell you it is to get questions right.
Everyone should have the
answers to their questions, but everyone should also know how
the answers were calculated and figured out manually.
My child is an honor student is such a stupid saying
It would be better to say, "My child is Totally Awesome, and Smart" The
value of your child is not measured by schools, or grades. The value of a
child is measured by their abilities and the qualities they have learned
in their life. Life is the only true measurer of a person. It's what you
learned in life, and it's not just what you in
We need to use less
generalized words like "good job
", especially after five years
of age, when children get older you should speak in more
details, when they do something good you should say. "I like what
you did there and this is why I like it", instead of just saying
"good job." And also remind them that your opinion is only one
opinion, and not an expert opinion, unless of course you are an
expert, but even then, you should still encourage your child to
always get a second opinion, if they can.
Same thing for calling your kid smart,
tell them why you think
they are smart
, and that being smart doesn't mean they will stop
, it just means that the
of making mistakes
will be less, and that they will also have a better chance of
learning from from their mistakes, but only if they keep
It doesn't matter what school you come from
, what matters is
what you have learned so far? And what you plan to learn more
about now? And in the the future? And why? You must choose how
you want to benefit society, and don't let others make the
choice for you, because it may not be
what you want to do
The test has to have answers to real problems
, so that when
you get the answer right, you know how to solve a real problem,
and not just know how to solve a problem on paper, or on a
computer screen, which you will most likely forget about.
You need to be able to visualize something, you have to be
able to relate to something, if not, then you will most likely forget what
you have learned. This is one of the failures of testing, no one remembers
all the questions and answers on a test, or if the test was relevant to
their life or to their abilities.
Learning by Association
Counting the things That Matter
, if you're not ready, then you will do poorly.
But if the test was only a guide to see how much you know and
don't know, then the test would not be a do or die situation. A
student has the right to choose their own speed of learning, as
long as they are aware of top speeds, this way they can have
something to compare to, and not judged by, only compare.
What good is passing a test if
you just end up forgetting everything about the test later on?
You should remember a test. You should remember that day as
being a day that you learned something valuable, or at the
least, a day that you confirmed that you learned something
valuable, and you should always be able to remember what you
have learned...That is what testing should be. If it is not,
then you're mostly just wasting time, potential, energy and
resources. And the nerve that schools make people pay for that,
how f*cking dare you. So please step away from the child, you
have no right to teach.
Testing has sadly become a weapon of control
and manipulation and a
deceitful method of
. Testing is giving too many
people a false sense of accomplishment
, and worse, testing is
giving too many people a false sense of failure.
If we carefully examined the test
questions you will find that
most questions on tests do not measure understanding, or do they
measure intelligence, which proves that ignorant and corrupt
people should not create tests.
"If you're testing for the things that
don't matter then testing doesn't matter....in a way school
testing is almost criminal"
"Grades don't determine
intelligence, they mostly determine obedience."
School testing methods are more like a
then they are an actual
The test is more about confirming how ignorant you are. But not
to correct your ignorance, but to verify that the schools
ignorant teaching methods have succeeded in making students
mindless and unaware. Most of todays School
are filled with propaganda and should only be used
. They can also be used to show ignorant teaching
methods. So not a total waste of paper, but close.
Knowing the answer to a question on a test
only confirms one thing, and that is that you remembered the
right answer at the right moment. Knowing the answer to a
question on a test doesn't confirm that you understand what the
answer means or does it confirm that the question is even valid.
Admission Tests to Colleges
So what does a
really tell you? You can have low grades and still be
a great person, a great parent and even a great leader, and on
the other hand, you can have high grades and end up becoming a
criminal or a murderer. If you get a "B" then how does that
explain what part of the knowledge you didn't understand?
Grading on a Curve
Testing should not be for telling us how much
you know or how much you don’t know, but more importantly,
testing should be for telling us how much more knowledge you
need to learn. So a test should only be used as a guide and not
be used as a prerequisite or for a final conclusion. This is
because tests rarely confirm exactly how much knowledge a person
This is because the people who design tests are confused
about what the tests true intentions should be.
"Testing is a tool used in the learning process. That is why you need
answers in writing that explain how the information is being
understood. This way a teacher can learn from the students
answers, so they can continue to improve the teaching
methods and continue to improve the testing questions."
Testing should consist of real life scenarios,
scenarios that people would most likely encounter during their
life. This way they can practice problem solving, as well as
test their awareness and their focusing abilities. They can also
test their ability to predict outcomes, because predicting the
future is one of our greatest abilities. You can create some
tests in the same style as some
. Even though it's
not real, the knowledge and information a person will learn is
real. A Test should also have knowledge and information that can
be easily remembered, why else take a test if you're not going
to remember what you learned? Other testing would be a persons
understanding of symbols, languages, and their uses. People with
limited knowledge of symbols and language would have a modified
test, one that is still challenging but a little less complex.
Teachers need to be
tested a much as students, and the test for teachers needs to be
designed by the students.
So your first test will have to be for the people who design
tests. The results of this test must be made public so that all
the questions and answers that are given can be examined and
understood. This way a test can be created that has real purpose
Tests need to be more like a lesson
that says that this information and knowledge is important.
is not testing. Multiple Choice
is a form of an objective assessment in which respondents are asked to
select the only correct answer out of the choices from a list. The
multiple choice format is most frequently used in educational testing, in
market research, and in elections, when a person chooses between multiple
candidates, parties, or policies.
Process of Elimination
is a method to identify an entity of
interest among several ones by excluding all other entities. In
educational testing, the process of elimination is process of deleting
options whereby the possibility of option being correct is close to zero
or significantly lower compared to other options. The process does not
guarantee success, even if only 1 option remains.
is a software development
process that emerged from test-driven development (TDD). Behavior-driven
development combines the general techniques and principles of TDD with
ideas from domain-driven design and object-oriented analysis and design to
provide software development and management teams with shared tools and a
shared process to collaborate on software development.
Learning without memory is
impossible, but just remembering does not guarantee that you are
Connecticut Mastery Test
Standardized Tests in the United States
Problems with Testing
Reasons Why Standardized Tests Are Not Working
Education Assessment Fact Sheet
California High School Exit Exam
Tonight with John Oliver: Standardized Testing
The National Center for Fair & Open Testing (FairTest)
Educational Records Bureau
is the only not-for-profit
educational services organization offering assessments for both admission
and achievement for independent and selective public schools for Pre
International Student Assessment
Programme for International Student Assessment
is a worldwide study by the Organisation for Economic Co-operation and
Development (OECD) in member and non-member nations of 15-year-old school
pupils' scholastic performance on mathematics, science, and reading. It
was first performed in 2000 and then repeated every three years. Its aim
is to provide comparable data with a view to enabling countries to improve
their education policies and outcomes. It measures problem solving and
cognition in daily life.
National Achievement Test
is a set of examinations taken in the Philippines by students in Years 6,
10, and 12. Students are given national standardised test, designed to
determine their academic levels, strength and weaknesses. Their knowledge
learnt throughout the year are divided into 5 categories; English,
Filipino, Math, Science and Araling Panlipunan (Social Studies in English)
and are tested for what they know. NAT examinations aim to: 1. provide
empirical information on the achievement level of pupils/students in
Grades Six, Ten, and Twelve to serve as guide for policy makers,
administrators, curriculum planners, supervisors, principals and teachers
in their respective courses of action. 2. identify and analyze variations
on achievement levels across the years by region, division, school and
other variables. 3. determine the rate of improvement in basic education
with respect to individual schools within certain time frames.
National Achievement Tests
National Assessment Resource
Assessment-Based Accountability System
"Public schools waste away their students' lives
Teaching to Tests
, not because they believe that's the best
way for students to learn, but because their credentials depend
on test scores".
"The Commodification of Learning"
"Imagine teaching to a test that only confirms
10% of the useful knowledge that a human needs.
What ignorant moron would do that? An ignorant moron who was
taught that same way of course."
is the measurement of "intellectual
accomplishments that are worthwhile, significant, and meaningful,"as
contrasted to multiple choice standardized tests. Authentic assessment can
be devised by the teacher, or in collaboration with the student by
engaging student voice. When applying authentic assessment to student
learning and achievement, a teacher applies criteria related to
“construction of knowledge, disciplined inquiry, and the value of
achievement beyond the school.” Authentic assessment tends to focus on
contextualised tasks, enabling students to demonstrate their competency in
a more 'authentic' setting. Examples of authentic assessment categories
include: Performance of the skills, or demonstrating use of a particular
knowledge. Simulations and role plays, studio portfolios, strategically
is the systematic process of documenting and
using empirical data on the knowledge, skill, attitudes, and beliefs to
refine programs and improve student learning. Assessment data can be
obtained from directly examining student work to assess the achievement of
learning outcomes or can be based on data from which one can make
inferences about learning. Assessment is often used interchangeably with
test, but not limited to tests. Assessment can focus on the individual
learner, the learning community (class, workshop, or other organized group
of learners), a course, an academic program, the institution, or the
educational system as a whole (also known as granularity). As a continuous
process, assessment establishes measurable and clear student learning
outcomes for learning, provisioning a sufficient amount of learning
opportunities to achieve these outcomes, implementing a systematic way of
gathering, analyzing and interpreting evidence to determine how well
student learning matches expectations, and using the collected information
to inform improvement in student learning. The final purpose of assessment
practices in education depends on the theoretical framework of the
practitioners and researchers, their assumptions and beliefs about the
nature of human mind, the origin of knowledge, and the process of
is a criterion-referenced test designed to
help determine whether a student has an accurate working knowledge of a
specific set of concepts. Historically, concept inventories have been in
the form of multiple-choice tests in order to aid interpretability and
facilitate administration in large classes. Unlike a typical,
teacher-authored multiple-choice test, questions and response choices on
concept inventories are the subject of extensive research. The aims of the
research include ascertaining (a) the range of what individuals think a
particular question is asking and (b) the most common responses to the
questions. Concept inventories are evaluated to ensure test reliability
and validity. In its final form, each question includes one correct answer
and several distractors. Ideally, a score on a criterion-referenced test
reflects the amount of content knowledge a student has mastered.
Criterion-referenced tests differ from norm-referenced tests in that (in
theory) the former is not used to compare an individual's score to the
scores of the group. Ordinarily, the purpose of a criterion-referenced
test is to ascertain whether a student mastered a predetermined amount of
content knowledge; upon obtaining a test score that is at or above a
cutoff score, the student can move on to study a body of content knowledge
that follows next in a learning sequence. In general, item difficulty
values ranging between 30% and 70% are best able to provide information
about student understanding. The distractors are incorrect or irrelevant
answers that are usually (but not always) based on students' commonly held
misconceptions. Test developers often research student misconceptions by
examining students' responses to open-ended essay questions and conducting
"think-aloud" interviews with students. The distractors chosen by students
help researchers understand student thinking and give instructors insights
into students' prior knowledge (and, sometimes, firmly held beliefs). This
foundation in research underlies instrument construction and design, and
plays a role in helping educators obtain clues about students' ideas,
scientific misconceptions, and didaskalogenic ("teacher-induced" or
"teaching-induced") confusions and conceptual lacunae that interfere with
refers to the use of educational assessments and
the analysis of data such as scores obtained from educational assessments
to infer the abilities and proficiencies of students. The approaches
overlap with those in psychometrics. Educational measurement is the
assigning of numerals to traits such as achievement, interest, attitudes,
aptitudes, intelligence and performance.
Level of Measurement
is a classification that describes the nature of information within the
numbers assigned to variables. Psychologist Stanley Smith Stevens
developed the best known classification with four levels, or scales, of
measurement: nominal, ordinal, interval, and ratio. This framework of
distinguishing levels of measurement originated in psychology and is
widely criticized by scholars in other disciplines.
The National Council
on Measurement in Education
False Premise of National Education Standards
What is Assessed Curriculum
Testing Maturity Model
aim to be used in a similar way to
, that is to provide a framework for assessing the maturity of the
test processes in an organisation, and so providing targets on improving
Teaching Assessment -
Standards-Based Education Reform
since the 1980s has been
largely driven by the setting of academic standards for what students
should know and be able to do. These standards can then be used to guide
all other system components. The SBE (standards-based education) reform
movement calls for clear, measurable standards for all school students.
Rather than norm-referenced rankings, a standards-based system measures
each student against the concrete standard. Curriculum, assessments, and
professional development are aligned to the standards.
for International Student Assessment
Learning Teaching and Assessment
Inspection and Review
Learning and Teaching
"We learn more by
looking for the answer to a question and not finding it than we
do from learning the answer itself."
Self Directed Learning
should be like
Automated Essay Scoring
is the use of
to assign grades to essays written in an educational setting.
It is a method of educational assessment and an application of natural
language processing. Its objective is to classify a large set of textual
entities into a small number of discrete categories, corresponding to the
possible grades—for example, the numbers 1 to 6. Therefore, it can be
considered a problem of statistical classification.
A statement in Connecticut's
Mastery Test Mathematics Handbook
This shows how
little some people know. Education will not improve when
ignorance is making decisions.
Connecticut Mastery Test
The State Board of Education
that the recent debate pitting the acquisition of
basic skills against the development of conceptual understanding argues a
false dichotomy. Rather, basic skills and conceptual understanding are
intertwined, and both are necessary before students can successfully apply
mathematics to the solution of problems. A strong mathematics program will
enable students to do each with ease. Unfortunately, not enough students
in Connecticut or in the nation are sufficiently developing the facility,
understanding, level of confidence and interest in mathematics to meet our
present and future societal needs. Therefore, we must fully engage in the
quest to provide every student with a strong mathematics program,
beginning in the earliest grades.
Instead of beliefs show some proof, facts and examples next time.
That's what's called "teaching" by the way.
does a person need in
order to be
When, Why and How Much advanced math should a student learn?
Besides, it's not how much Math you teach, but
how you teach it
is something or
someone tested and proved useful or correct. Tested and proved to be
reliable, tried and true, well-tried.
Put to the test, as for its quality, or give experimental use to
Examine someone's knowledge of something. Determine the presence or
properties of (a substance).
Students are stressed out by tests mostly
because most tests are inadequate and irrelevant in measuring
useful intelligence or skills
. Students will only be
excited about test taking when we make tests relevant and accurate in
measuring their abilities and their awareness, things that are valuable to
them at this time in their life...An A or an F does not matter it the test
does not matter.
Performance can not be measured by test
. Real performance can only be accurately measured
by a persons actions in life that produce positive outcomes. A
test score can only be used as a guide, and not a determining
factor of worth. A college degree is only a piece of paper.
Positive actions in reality
are the only indicators of
Tests That Look Like Video Games
Objective Structured Clinical Examination
Objective Structured Clinical Examination
is a modern type of
examination designed to test
clinical skill performance
and competence in
skills such as communication,
, medical procedures /
prescription, exercise prescription, joint mobilisation / manipulation
techniques, radiographic positioning, radiographic image evaluation and
interpretation of results. It is a hands-on, real-world approach to
learning that keeps you engaged, allows you to understand the key factors
that drive the medical decision-making process
, and challenges the
professional to be innovative and reveals their errors in case-handling
and provides an open space for improved decision making based on evidence
based practice for real world responsibilities.
An OSCE usually
comprises a circuit of short (the usual is 5–10 minutes although some use
up to 15 minute) stations, in which each candidate is examined on a
one-to-one basis with one or two impartial examiner(s) and either real or
simulated (actors or electronic patient simulators) patients. Each station
has a different examiner, as opposed to the traditional method of clinical
examinations where a candidate would be assigned to an examiner for the
entire examination. Candidates rotate through the stations, completing all
the stations on their circuit. In this way, all candidates take the same
stations. It is considered to be an improvement over traditional
examination methods because the stations can be standardized enabling
fairer peer comparison and complex procedures can be assessed without
endangering patients health.
As the name suggests, an OSCE is
designed to be
- all candidates are assessed using exactly the same
stations (although if real patients are used, their signs may vary
slightly) with the same marking scheme. In an OSCE, candidates get marks
for each step on the mark scheme that they perform correctly, which
therefore makes the assessment of clinical skills more objective,
rather than subjective, structured - stations in OSCEs have a very
specific task. Where simulated patients are used, detailed scripts are
provided to ensure that the information that they give is the same to all
candidates, including the emotions that the patient should use during the
consultation. Instructions are carefully written to ensure that the
candidate is given a very specific task to complete. The OSCE is carefully
structured to include parts from all elements of the curriculum as well as
a wide range of skills. A clinical examination - the OSCE is designed to
apply clinical and theoretical knowledge. Where theoretical knowledge
is required, for example, answering questions from the examiner at the end
of the station, then the questions are standardized and the candidate is
only asked questions that are on the mark sheet and if the candidate is
asked any others then there will be no marks for them.
Objective Structured Clinical Examination:
The Assessment of Choice
The Objective Structured Clinical Examination is a versatile
multipurpose evaluative tool that can be utilized to assess health care
professionals in a clinical setting. It assesses
, based on
objective testing through direct observation. It is precise, objective,
and reproducible allowing uniform testing of students for a wide range of
clinical skills. Unlike the traditional clinical exam, the OSCE could
evaluate areas most critical to performance of health care professionals
such as communication skills and ability to handle unpredictable patient
The OSCE is a versatile multipurpose evaluative tool that
can be utilized to evaluate health care professionals in a clinical
setting. It assesses competency, based on objective testing through direct
observation. It is comprised of several "stations" in which examinees are
expected to perform a variety of clinical tasks within a specified time
period against criteria formulated to the clinical skill, thus
demonstrating competency of skills and/or attitudes. The OSCE has been
used to evaluate those areas most critical to performance of health care
professionals, such as the ability to obtain/interpret data,
problem-solve, teach, communicate, and handle unpredictable patient
behavior, which are otherwise impossible in the traditional clinical
examination. Any attempt to evaluate these critical areas in the
old-fashioned clinical case examination will seem to be assessing theory
rather than simulating practical performance.
Advantages and Disadvantages of OSCE
Written examinations (essays and multiple choices) test cognitive
knowledge, which is only one aspect of the competency. Traditional
clinical examination basically tests a narrow range of clinical skills
under the observation of normally two examiners in a given clinical case.
The scope of traditional clinical exam is basically patient histories,
demonstration of physical examinations, and assessment of a narrow range
of technical skills. It has been shown to be largely unreliable in testing
students’ performance and has a wide margin of variability between one
examiner and the other. Data gathered by the National Board of Medical
Examinations in the USA (1960–1963), involving over 10,000 medical
students showed that the correlation of independent evaluations by two
examiners was less than 0.25.8 It has also been demonstrated that the luck
of the draw in selection of examiner and patient played a significant role
in the outcome of postgraduate examinations in psychiatry using the
Published findings of researchers on OSCE from
its inception in 1975 to 2004 has reported it to be reliable, valid and
objective with cost as its only major drawback. The OSCE however, covers
broader range like problem solving, communication skills, decision-making
and patient management abilities.
The advantages of OSCE apart from
its versatility and ever broadening scope are its objectivity,
reproducibility, and easy recall. All students get examined on
predetermined criteria on same or similar clinical scenario or tasks with
marks written down against those criteria thus enabling recall, teaching
audit and determination of standards. In a study from Harvard medical
school, students in second year were found to perform better on
interpersonal and technical skills than on interpretative or integrative
skills. This allows for review of teaching technique and curricula.
Performance is judged not by two or three examiners but by a team of
many examiners in-charge of the various stations of the examination. This
is to the advantage of both the examinee and the teaching standard of the
institution as the outcome of the examination is not affected by prejudice
and standards get determined by a lot more teachers each looking at a
issue in the training. OSCE takes much shorter time to
execute examining more students in any given time over a broader range of
However no examination method is flawless and the OSCE
has been criticized for using unreal subjects even though actual patients
can be used according to need. OSCE is more difficult to organize and
requires more materials and human resources. Advantages & Disadvantages
of OSCE.How is OSCE done?
OSCE’s basic structure is a circuit of assessment stations, where
examiners, using previously determined criteria assess range of practical
clinical skills on an objective-marking scheme.
Such stations could
involve several methods of testing, including use of multiple choice or
short precise answers, history taking, demonstration of clinical signs,
interpretation of clinical data, practical skills and counselling sessions
among others. Most OSCEs use "standardized patients (SP)" for
accomplishing clinical history, examination and counselling sessions.
Standardized patients are individuals who have been trained to exhibit
certain signs and symptoms of specific conditions under certain testing
conditions.The basic steps in
modelling an OSCE exam include:
Determination of the OSCE team.
Skills to be assessed (CE Stations).
Objective marking schemes
Recruitment and training of the standardized patients.
LoLogistics of the
examination process.The OSCE Team
Examiners, marshals and timekeepers are required. Some stations could
be unmanned such as those for data or image interpretation but most
require an examiner to objectively assess candidate performance based on
the pre-set criteria. A reserve examiner who can step in at the last time
if required is a good practice. Examiners must be experienced and a
standard agreed upon at the outset. Examiners must be prepared to
dispense with personal preferences in the interests of objectivity and
reproducibility and must assess students according to the marking scheme.
Marshals and timekeepers are required for correct movement of candidates
and accurate time keeping. OSCE is expensive in terms of manpower requirement.
Skills Assessed in OSCEs
to be assessed should be of different types and of varying difficulties to
provide a mixed assessment circuit. The tasks in OSCE depend on the level
of students training. Early in undergraduate training correct technique of
history taking and demonstration of physical signs to arrive at a
conclusion may be all that is required.
At the end of the training
however, testing a broader range of skills, may be required. This could
include formulation of a working diagnosis, data and image interpretation,
requesting and interpreting investigations, as well as communication
skills. Postgraduate medicine may involve more advanced issues like
decision taking, handling of complex management issues, counselling,
breaking bad news and practical management of emergency situations. There
is no hard or fast rules to the skills tested but are rather determined by
the aim of assessment. Complex stations for postgraduate student could
test varying skills including management problems, administrative skills,
handling unpredictable patient behaviour and data interpretation. These
assessments and many others are impossible in traditional clinical
examination.Objective marking scheme
The marking scheme for the OSCE is decided
and objectively designed. It must be concise, well focused and unambiguous
aiming to reward actions that discriminate good performance from poor one.
The marking scheme must take cognizance of all possible performances and
provide scores according to the level of the student’s performance. It may
be necessary to read out clear instructions to the candidates on what
is required of them in that station. Alternatively, a written instruction
may be kept in the unmanned station.
It is good practice to perform
dummy run of the various stations, which enables exam designers to ensure
that the tasks can be completed in the time allocated and modify the tasks
if necessary. Candidates should be provided with answer booklets for the
answers to tasks on the unmanned stations, which should be handed over and
marked at the end of the examination.
Training of Standardized or Simulated Patientr
VuVu and Barrows defined
standardized patients as "real" or "simulated" patients who have been
coached to present a clinical problem. Standardized patients may be
professionally trained actors, volunteer simulators or even housewives who
have no acting experience. Their use encompasses undergraduate and
postgraduate learning, the monitoring of doctors’ performance and
standardization of clinical examinations. Simulation has been used for
instruction in industry and the military for much longer period, but the
first known effective use of simulated patients was by Barrows and
Abrahamson (1964), who used them to appraise students’ performance in
clinical neurology examinations.
SP candidates must be intelligent,
flexible, quick thinking, and reliable. Standardized patients’
understanding of the concept of the OSCE and the role given to them is
critical to the overall process.
An advantage of simulated patients
over real patients is that of allowing different candidates to be
presented with a similar challenge, thereby reducing an important source
of variability. They also have reliable availability and adaptability,
which enables the reproduction of a wide range of clinical phenomena
tailored to the student’s level of skill. In addition, they can simulate
scenarios that may be distressing for a real patient, such as bereavement
or terminal illness. Their use also removes the risk of injury or
litigation while using real patients for examination especially in
sensitive area of medicine like obstetrics and gynecology.
validity of the use of SP in clinical practice has been proved by both
direct and indirect means. In a double-blind study, simulated patients
were substituted for real patients in the individual patient assessment of
mock clinical examinations in psychiatry. Neither the examiners nor the
students could detect the presence of simulated patients among the real
patients. Indirect indicators of validity might include the fact that
simulators are rarely distinguished from real patients.
patients are however expensive in terms of the time it takes to train and
coach them in performing and understanding concepts, this could be very
difficult in some fields like pediatrics where problems in very young
children need to be simulated. The cost of paying professionals adds
to the expense. However, the time efficiency of OSCE and its versatility makes the cost worthwhile. Recruitment and training of the
SP is critical to the success of the OSCE. SP could be used not only for
history taking and counselling, but also for eliciting physical findings
that can be simulated, including aphasia, facial paralysis, hemiparetic
gait, and hyperactive deep tendon reflexes.
Logistics of the examination process
Enough space is required for circuit running and to accommodate the
various stations, equipment and materials for the exam. The manned
stations should accommodate an examiner, a student and possibly the
standardised patient and also allow for enough privacy of discussion so
that the students performing other tasks are not distracted or disturbed.
A large clinic room completely cleared could be ideal and may have further
advantage of having clinic staff that will volunteer towards the execution
of the examination thereby reducing cost.
The stations should be
clearly marked and the direction of flow should also be unambiguous. It is
good practice to have test run involving all candidates for that circuit
so that they acquaint themselves to the direction of movement and the
sound of the bell.Conclusion
The OSCE style of clinical assessment, given its obvious
advantages, especially in terms of objectivity, uniformity and versatility
of clinical scenarios that can be assessed, shows superiority over
traditional clinical assessment. It allows evaluation of clinical students
at varying levels of training within a relatively short period, over a
broad range of skills and issues. OSCE removes prejudice in examining
students and allows all to go through the same scope and criteria for
assessment. This has made it a worthwhile method in medical practice.
The Blank is your mind..