Self-Assessment
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Introduction
Competency-based education requires the active, ongoing engagement of learners. This, in turn, depends on an enabling environment provided by the educational program.
"We find it very difficult to stand outside ourselves and see how some of our most deeply held values and beliefs lead is into distorted and constrained ways of thinking" (Brookfield, 1998).
Supervisors should recognize that student and resident self-assessment is inevitably inaccurate. In their seminal paper “I’ll never play professional football” and other fallacies of self-assessment, Eva and Regehr (2008) suggest that programs should not attempt to improve the quality of self-assessment (which they regard as impossible) but rather focus instead on self-directed assessment seeking.
Resources and References
Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L: Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094-1102.
Brookfield S. 1998. Critically reflective practice. Journal of Continuing Education in the Health Professions. 18(4): 197-205.
Eva KW, Regehr G: “I’ll never play professional football” and other fallacies of self assessment. Journal of Continuing Education in the Health Professions. 2008;28(1):14-19.
Dunning-Kruger Effect (wikipedia)
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