Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way Forward

Assessment in medical education remains the key driving force for learning and ensures gradual progression by means of bridging the lacuna among medical students. Bedside teaching and assessing the same with the help of either long-case or short-case examinations is a well-known and frequently emplo...

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Main Authors: Saurabh R. Shrivastava, Prateek Saurabh Shrivastava
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2021-01-01
Series:Journal of Integrated Health Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jihs.jihs_35_20
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author Saurabh R. Shrivastava
Prateek Saurabh Shrivastava
author_facet Saurabh R. Shrivastava
Prateek Saurabh Shrivastava
author_sort Saurabh R. Shrivastava
collection DOAJ
description Assessment in medical education remains the key driving force for learning and ensures gradual progression by means of bridging the lacuna among medical students. Bedside teaching and assessing the same with the help of either long-case or short-case examinations is a well-known and frequently employed practice in clinical training. Although long-case examinations have been in use for multiple decades, we have to accept the drawbacks of these assessments that include allocation of marks on the basis of unstructured questions, the presence of inter-case variability, and non-adherence to the blueprint which, in turn, results in a haphazard selection of cases for examination. Further, the possibility of a strict or lenient examiner and the simultaneous presence of factors like patients (cooperative or non-cooperative patients or nature of illness in the patient) or students (liked or not liked by the teacher – the issue of being biased) complicates the entire process of assessment. Despite the presence of these constraints, long-case examinations generally have high face validity and give the opportunity for the student to evaluate the concerns of patients from all dimensions. In conclusion, long-case examinations remain an effective tool to assess the skills of medical students. However, we should aim to minimize its limitations and then use it for the benefit of medical students, and thus, direct observation and use of a standardized checklist have been advocated.
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spelling doaj-art-bb71f598cb1f487ab6cf4431d9ac34702025-08-20T03:08:31ZengWolters Kluwer – Medknow PublicationsJournal of Integrated Health Sciences2347-64862347-64942021-01-0191424310.4103/jihs.jihs_35_20Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way ForwardSaurabh R. ShrivastavaPrateek Saurabh ShrivastavaAssessment in medical education remains the key driving force for learning and ensures gradual progression by means of bridging the lacuna among medical students. Bedside teaching and assessing the same with the help of either long-case or short-case examinations is a well-known and frequently employed practice in clinical training. Although long-case examinations have been in use for multiple decades, we have to accept the drawbacks of these assessments that include allocation of marks on the basis of unstructured questions, the presence of inter-case variability, and non-adherence to the blueprint which, in turn, results in a haphazard selection of cases for examination. Further, the possibility of a strict or lenient examiner and the simultaneous presence of factors like patients (cooperative or non-cooperative patients or nature of illness in the patient) or students (liked or not liked by the teacher – the issue of being biased) complicates the entire process of assessment. Despite the presence of these constraints, long-case examinations generally have high face validity and give the opportunity for the student to evaluate the concerns of patients from all dimensions. In conclusion, long-case examinations remain an effective tool to assess the skills of medical students. However, we should aim to minimize its limitations and then use it for the benefit of medical students, and thus, direct observation and use of a standardized checklist have been advocated.https://journals.lww.com/10.4103/jihs.jihs_35_20assessmentlong-case examinationteachers
spellingShingle Saurabh R. Shrivastava
Prateek Saurabh Shrivastava
Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way Forward
Journal of Integrated Health Sciences
assessment
long-case examination
teachers
title Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way Forward
title_full Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way Forward
title_fullStr Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way Forward
title_full_unstemmed Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way Forward
title_short Scope of Long-Case Examination as an Assessment Tool among Medical Students and the Way Forward
title_sort scope of long case examination as an assessment tool among medical students and the way forward
topic assessment
long-case examination
teachers
url https://journals.lww.com/10.4103/jihs.jihs_35_20
work_keys_str_mv AT saurabhrshrivastava scopeoflongcaseexaminationasanassessmenttoolamongmedicalstudentsandthewayforward
AT prateeksaurabhshrivastava scopeoflongcaseexaminationasanassessmenttoolamongmedicalstudentsandthewayforward