Lessons from the implementation of developmental progress assessment: A scoping review

• Published in: Medical education 2020-10, Vol.54 (10), p.878-887
• Main Authors: St‐Onge, Christina, Vachon Lachiver, Élise, Langevin, Serge, Boileau, Elisabeth, Bernier, Frédéric, Thomas, Aliki
• Format: Article
• Language: English
• Subjects: Clinical competence; Competency tests; Medical education
• ISSN: 0308-0110; 1365-2923
• DOI: 10.1111/medu.14136

Objectives Educators and researchers recently implemented developmental progress assessment (DPA) in the context of competency‐based education. To reap its anticipated benefits, much still remains to be understood about its implementation. In this study, we aimed to determine the nature and extent of the current evidence on DPA, in an effort to broaden our understanding of the major goals and intended outcomes of DPA as well as the lessons learned from how it has been executed in, or applied across, educational contexts. Methods We conducted a scoping study based on the methodology of Arksey and O’Malley. Our search strategy yielded 2494 articles. These articles were screened for inclusion and exclusion (90% agreement), and numerical and qualitative data were extracted from 56 articles based on a pre‐defined set of charting categories. The thematic analysis of the qualitative data was completed with iterative consultations and discussions until consensus was achieved for the interpretation of the results. Results Tools used to document DPA include scales, milestones and portfolios. Performances were observed in clinical or standardised contexts. We identified seven major themes in our qualitative thematic analysis: (a) underlying aims of DPA; (b) sources of information; (c) barriers; (d) contextual factors that can act as barriers or facilitators to the implementation of DPA; (e) facilitators; (f) observed outcomes, and (g) documented validity evidences. Conclusions Developmental progress assessment seems to fill a need in the training of future competent health professionals. However, moving forward with a widespread implementation of DPA, factors such as lack of access to user‐friendly technology and time to observe performance may render its operationalisation burdensome in the context of competency‐based medical education. Adding to the Cross‐cutting edge series, Johnston et al. introduce readers to the postmodern concept of the simulacrum, explore its relevance to the growing field of simulation education.