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. 2023 Jan 20;28(4):1053–1077. doi: 10.1007/s10459-022-10197-5

Table 3.

Defining dimensions, the salient features that distinguish categories of description from one another, and characteristics associated with, but may not be an integral feature of, conceptions of assessment

Dimensions of conceptions of assessment
Purpose of assessment Includes (1) overall notions of assessment as either a concrete (practical) or a abstract (a tool to guide student learning) task; (2) how participants perceive its goal (administrative, psychometric and/or moral and social); (3) how it is used (summatively and/or formatively); (4) its resultant learning effects or outcomes (obtaining a grade, reproducing knowledge, developing competencies, impact on curriculum and health services); as well as (5) its horizon as local (a mark for a single student in a single course) or more global (a tool for student learning over a program and beyond)
Temporal perspective Related to the purpose of assessment; speaks to the practice and impact of assessment; ranging from short- (a single course or a “today” focus) to long-term (a program, lifetime or field; a “tomorrow” focus)
Role and responsibility Describe how participants saw themselves as assessors and clerkship assessment conveners (sense of ownership and involvement: a merely mechanistic operation or a thoughtful, intentional initiation): institutional administrator, disciplinary content-expert, educator (facilitator or learning guide, role model), leader
Accountability Who or what does assessment practice impact on and whose imperatives should be prioritised: the institution, profession and discipline, student (and program/curriculum) and/or the patient and society?
Reflexivity Metacognitive thinking around assessment. Passive or uncritical acceptance of practices; questioning or critical reflection of own assessment thinking and practices; basing their assessment thinking on assessment principles and theory/scholarship
Emotional valence The emotions associated with how participants expressed their views of assessment and its outcomes, ranging from negative to positive
Associated characteristics
Assessment literacy The level of technical assessment knowledge and understanding e.g., principles for quality assessment practice that participants implied or explicitly articulated; ranging from limited to developing to advancing to sophisticated
Professional identity Refers to how participants represented themselves professionally; such as solely a clinician, clinician-educator (tensions or conflicted vs. balanced or equal), educator or scholarly assessor
Self-efficacy The degree of confidence and competence participants believe they possess for practising assessment (designing, implementing, decision-making, etc.); ranging from low to high