Workplace-Based Assessment in Orthopaedic Training
While competency-based programmatic assessment systems have become widespread worldwide, there are few comparisons of competence assessment in orthopaedic surgery between countries. In this paper, we provide a narrative overview of current systems in the United States, Canada, United Kingdom and Ireland, and Australia. We explore what types of workplace-based assessments are used, how many data points are gathered to inform entrustment and progression decisions and whether there is validity evidence using a modified Kane framework. Significant concordance and some variation were found between the programs, and the issues identified are discussed along with the challenges and potential solutions for enhancing competence assessment.
Authors
- Ann E. Van Heest (ORCID: https://orcid.org/0000-0002-8064-5508)
- Linda Snell (ORCID: https://orcid.org/0000-0002-1686-5207)
- James Tomlinson (ORCID: https://orcid.org/0000-0002-0990-0254)
- Jason R. Frank (ORCID: https://orcid.org/0000-0002-6076-0146)
- Bryan Ashman
- Markku Nousiainen (ORCID: https://orcid.org/0000-0002-6750-7768)
- Maura Kempin
- Ian Incoll
Institutions
- Australian National University (AU)
- University of Minnesota (US)
- University of Ottawa (CA)
- University of Toronto (CA)
- McGill University Health Centre (CA)
- Victorian Curriculum and Assessment Authority (AU)
- Australian Orthopaedic Association (AU)
- Sheffield Teaching Hospitals NHS Foundation Trust (GB)
- Canadian Network for Innovation in Education (CA)
- University of Newcastle Australia (AU)
Publication Details
- Journal
- JBJS Open Access
- Published
- 2026-04-01
- DOI
- https://doi.org/10.2106/jbjs.oa.25.00294
- Primary Topic
- Innovations in Medical Education
- Type
- article
- Field-Weighted Citation Impact
- 0.00