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Student’s perception of competence to practice Dr J D Cortis Assessment and Learning in Practice Settings Centre for Excellence in Teaching and Learning Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk The work of ALPS • One of 74 CETLs funded by HEFCE, spans 16 health and social care professions and 5 universities • Aims to ensure that: “Students graduating from courses in health and social care are fully equipped to perform confidently and competently at the start of their professional careers” Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk The BORG (no, not that one!) Baseline and Outcomes Research Group • Wanted a “before” and “after” ALPS view of competence and confidence – with usual caveats • 2007 - Reviewed current work on measures of competence and competence • Did not find a measure that would work across all 16 ALPS professions – and did not find many actual ‘measures’ at all • Developed Competency in Practice Assessment (CIPA) tool Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Measuring Competence? Context (1) In spite of overwhelmingly positive outcomes and reports of recent QAA and NHS Major Reviews and generally positive reports from ongoing professional and regulatory body programme approval, monitoring and review processes, there remain sporadic outbursts of anecdotal evidence of employer dissatisfaction with the competency of new graduate health and social care professionals. Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Measuring Competence? Context (2) The ability to demonstrate that new graduate professionals are competent and confident at the point of qualification and initial professional registration therefore remains a significant challenge Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk The CIPA Tool Development • Usable by 16 different health and social care professions (in the first instance) – hopefully more as time progressed – ‘generic’ but meaningful language • Once written, consulted with an academic representative from each of the 16 ALPS professions – some negotiation over language, then final version agreed • Online to ensure widest coverage Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Pilot Phase 1 • Involved three pre-registration cohorts at Leeds Metropolitan University who were mid-way through their final year of study. • 33 students completed the pilot • This was done in order to calibrate the data collection tool (using Rasch analysis) as we needed to be able to identify students who did not feel ‘confident’ or ‘competent’ to practice as well as those who did. • In theory, students who were not qualified would not score highly across the tool. Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Approach Perceptions of Confidence and Competence • Rather than a ‘snapshot’ of perceptions of confidence and competence, a longitudinal view was preferred • Led to decision to use CIPA Tool: - At point of graduation - 6 months post graduation - 12 months post graduation Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Pilot Phase 2 • The second phase of the pilot involved attempting to implement the tool with all graduating cohorts across the institutions and courses involved. Whilst we were obviously keen to collect data in this pilot, we also wanted to explore what issues would arise when attempting to implement such a large scale, cross-institutional study. • 258 students from 4 universities completed the CIPA • This data was also used to feed in to the first Rasch analysis to look at the reliability of the data collection tool Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk e C ct iv ba l A Ve r us se om se m un ic e an at L d is io Id ob te ... en ni se tif ng rv y ba e Sk D no ea rr ill ie lw n s r v s ith er to ba B B c a ... om e em rr ie m rs pa un D ea to th ... lw co et ic ith m w M co he m.. ai . nf nt n lic ai de n ta al P i.. nd ro f es D ne ea s go io B l w t.. e na ith op . lb en C ou E ul to st ... tu ab fe ra ed lis lI ss h b C ac a ue om k go s fr m od o un m w ic ... o at rk e in ef g fe re ct ... iv el y w i.. U U respondents = 258 Phase 1 160 140 120 100 80 60 40 20 0 questions not at all prepared Adequately prepared Extremely well prepared somewhat prepared Well Prepared se V er b al C om us m U un e se A ic ct at an iv io e d n Id L o S en is bs ki t e e tif lls n r y ve i n ba g D no Sk rri ea n er ills lw v s er ith to ba B c B lf om e ... em arri m e un pa rs D ic t t h o ea at co l w etic io m n w ith m h M un en co ai i.. n nt de fli . ai ct al n in an P g ro d w fe ne i.. ss g ot io D B n ia e a e te a l op lw bo ... en un ith E da to C st u rie f ab ee ltu s lis ra db h l ac C Is a om su k go fro es m o d un m w ot ic or at he k e i rs n ef g fe re ct la iv t.. el . y w ith w r.. . U respondents = 37 Phase 2 25 20 15 10 5 0 questions not at all prepared Adequately prepared Extremely well prepared somewhat prepared Well Prepared se Ve rb al Co m U us m se un e an Ac ic at d t i io ve ob n Id se Li Sk en st rv ills en tif e y n i n D on ba g ea Sk r v r lw er ie ills rs ba ith Be lf Ba to c or em om m rri ... er pa m s u th D to ni et ea ca c i c om lw tio wh ith n m e u n co ni M de ca ai nf nt al lic ... in ai t g an n w Pr d ith of ne ... es go si tia on D Be te ea al d. op lw bo .. en un ith Es da to ta C bl u rie f ee ltu is s h ra db C a l om ac Is go su k m o fro un d es wo m ica ot rk te he in ef g rs fe re ct la iv tio el ... y wi th w rit ... U resondents= 34 Phase 3 25 20 15 10 5 0 not at all prepared Adequately prepared Extremely well prepared questions somewhat prepared Well Prepared Percent Deal with cultural issues 45 40 35 30 25 20 15 10 5 0 Phase 1 Phase 2 Phase 3 Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Be open to feedback from others 60 Percent 50 40 30 20 Phase 1 Phase 2 Phase 3 10 0 Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Establish a good relationship 60 Percent 50 40 30 20 Phase 1 Phase 2 Phase 3 10 0 Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Student comments; “Overall I thought the course was somewhat difficult at times, however I found that I have learnt more than I thought I actually did as now I am in the position where I am teaching other students” “I was thoroughly prepared for both the hard work and every single aspect of the (named course) profession…I now feel completely confident and competent in my abilities” “When I started my course one of the lecturers said that we would be different people after 3 years. She is absolutely correct, I am a different person. I am now doing my dream job as a nurse and I’m earning a great wage also” Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk Summary •The CIPA tool has highlighted “big” issues for the ALPS partners e.g. importance of practice •It has also highlighted the “small” issues which can inform future curriculum development e.g. dealing with cultural issues •It is an effective tool, allowing us to pool powerful data •We can see trends over time – more work required to collect data following qualification. Assessment and Learning in Practice Settings (ALPS) © http://www.alps-cetl.ac.uk