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Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

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Page 1: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

Formal Appraisal of Undergraduates –worth the effort?

Deborah Murdoch-EatonProfessor of Medical Education

Leeds

Page 2: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

The workshop

• Who are we?

• What do you want to get out of the day?

Page 3: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Proposed Outcomes

• Explored whether formal appraisal might be of benefit for students &/or faculty

• developed a model for undergraduates

• Considered whether it might be applicable in your institution ie “worth the effort”?

Page 4: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

What is appraisal?

• 1 to 1 interview

• Purpose?

(Sam Scallan review of educational appraisal)

Page 5: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Purpose of Appraisal

• Review performance

• Provide opportunity to discuss progress

• Develop personal and professional development needs

• (contribute to University requirements for PDP)

Page 6: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Is appraisal different for UG and PG and CPD?

• Purpose ?

• Type of goals set?

• Skills of reflection ?• Students?• Appraiser

• Appraiser skills

Page 7: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Group work

• Benefits to student

• Benefits to faculty

• What stage of UG career might it be considered most valuable?

• Who should do the appraisals?

Page 8: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

• Feedback from groups

Page 9: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Benefits to student?

• Individuality• Reassurance re progress and grades• Life at university• Feedback – on more than academic

criteria

• Achieve potential• Model for future ? Reflective practice?

Page 10: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

“A more positive feeling about how I am doing. I truly believed I was doing badly, and without this appraisal I would have maintained this disheartening and negative feeling”

Page 11: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Benefits to faculty?

• Detection

• Alternative view on course

• Enhance student support system?

Page 12: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Who gets appraised

• Does it depend on the medical school

• Type of curriculum?

• All students?

• Selected?• Performance• Year• Self-need

Page 13: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Who are the appraisers?

• Different from PG and / or CPD model?

• Chosen• Knowledge of curriculum• Interest / understanding

• trained

Page 14: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Coffee break

Page 15: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

methodology

• When do you do it?

• Preparation

• Documentation of outcomes?

Page 16: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

methodology

• How and when

• Preparatory material• Student• Appraiser

• outcomes

Page 17: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Leeds Model

• When• After Easter break

• Who• All 1st and 2nd years, “selected” 3rd years• Is it “optional”?

(Murdoch Eaton & Levene Med Teacher 2004)

Page 18: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Student preparation

• Written guidelines

• Preparatory questions

• Summative and formative assessment marks• Individual

• (Study habits survey – data from 2002 + 2003

available)

Page 19: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Preparatory questions for students – work / course

• do you think the results you obtained were a fair reflection of the work you put in?

• Think about how you worked – was it always appropriate and efficient? Give an example of where it went well, what you are pleased about and why.

Page 20: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Preparatory questions for students work / course

• Is there anything over the year you didn’t do as well in or learn as much from as you could have? How might you approach something like this differently again?

Page 21: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Preparatory questions for students – career choice

• Has anything this year changed your views on what being a doctor is about?

• Either made you less or more enthused about your career choice?

Page 22: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Preparatory questions for students – personal change

• How would you measure a successful next year? What would you like to do to ensure this happens (both personally and in your UG career)?

• Is there anything else you would like to discuss – personal or professional development?

Page 23: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Study Habits Survey

• Who knows how hard a student works?

• What is the “norm”?

Page 24: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Study Habits Survey

• One representative week in term 2• Document

• Number of hours private study(all course related activities which are unsupervised)

• Where, with whom

• Employment?• Hours/week on sport / social activities?

(Whittle S R & Murdoch Eaton D G. Study Habits audit. Medical Education 2004 (38) 566-567)

Page 25: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Study Habits SurveyNumber of Hours spent on self-directed learning

0

5

10

15

20

25

30

0-5 6-10 11-15 16-20 21-25 26-30 31-35 36-40 >40

Hours per week

Nu

mb

er

of

stu

den

ts

Series1

Page 26: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Study Habits SurveyHours spent sports / societies

0

5

10

15

20

25

30

0 1-2 3-4 5-6 7-8 9-10 11-12 >12

Hours per week

Nu

mb

er

of

stu

den

ts

Page 27: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Use of Study Habits Survey Results

• Not the absolute values for comparison

• Relative in relation to• Academic results• Outcomes• Personal objectives

• i.e. A diagnostic tool??

Page 28: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Personal Tutor involvement

• Sent copy of students results

• Form to complete• Relevant information• Not breaking confidentiality

Page 29: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

For the Appraisers

• Environment• Information for appraisers

• Student specific: Individual results appraisal record – (yr 2

+ 3)

PT report• General : preparatory guidelines prev results study habits survey

• Appraisal record form to complete with student

Page 30: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

methodology

• How and when

• Preparatory material• Student• Appraiser

• Recording the outcomes

Page 31: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

APPRAISAL RECORD FORM – year 1

STUDENT NAME APPRAISER DATE TOPIC OUTCOME NOTES Overview of the year’s academic progress, including assessment outcomes

Positive evaluation: What went well during the year, what achieved of last years’ objectives

Personal learning needs identified

Activities planned / to be considered over next academic year

Student signature Appraiser signature Refer to Dean

Page 32: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Qns on bottom of Appraisal record form

• Option to refer to Dean / Sub-Dean of students

• Use of progress file

• Contact / met with Personal Tutor

• Consider for 3rd year appraisal

Page 33: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Appraisal record form

What happens to the information?

• Student

• Personal tutor

• Student file

• Signed by both appraiser and student

Page 34: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Lunch break

Page 35: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Issues raised in appraisal

2 main outcome themes

• altered perception on personal progress

• Altered perception of faculty

…….feel like a person, not just a statistic – the Med school

does care!

Page 36: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Video clips

Page 37: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Tea break

Page 38: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

So is appraising undergraduates worth the

effort?Cost effectiveness ?

Students ~ 600Appraisers ~ 28

84 X 3 hour sessions = 252 hours senior academics time

Administration - complex

Page 39: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Appraisers perspective

• all would do it again

• Personally rewarding

• Timing about right

• Training of future appraisers?

Page 40: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Effect on Students?

Student Feedback

• Questionnaire• Quantitative and qualitative questions

Student Outcomes

• Analysis of Record of Appraisal Outcomes

Page 41: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Outcomes – student perspective

Questionnaire – quantitative analysis

response rate (86%)

• 96% well informed about process

• 99% they could be honest in answers• 99% topics covered were relevant• 96% feedback was useful and accurate

Page 42: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Outcomes – student perspectiveQuestionnaire – quantitative analysis

(2)

• 94% able to discuss academic problems• 98% appraisal record fair representation

of the points discussed

• 62% appraisal feedback would alter their study habits

• 33% appraisal feedback would alter attitude towards medical career

Page 43: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Outcomes – student perspectiveQuestionnaire – qualitative

analysis

• Majority very satisfied with appraisal session

• Perspective of medical school changed• “feel like I’m a person, not just a statistic”• “the Med School does care”

Page 44: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

“2 things you will take away”

• Personal• Confidence, reassurance

• Work/social balance• Healthy balance

• Study skills advice• Time management, efficiency of working

• Academic progress• C grade is fine

Page 45: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

“Two things you will take away”

“A more positive feeling about how I am doing. I truly believed I was doing badly, and without this appraisal I would have maintained this disheartening and negative feeling”

Page 46: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

But does it change anything?

Longer term study

To identify from Appraisal Record Forms• Pattern of advice and areas discussed

• Year 1 appraisal• Year 2 appraisal

• What of year 1 goals are achieved by year 2• What are new goals for year 2, and what

goals are carried forward from year 1 to 2• Correlation between factors

Page 47: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Analysis of Appraisal Outcomes

2 cohorts of students completed both 1st and 2nd year appraisals N=511

1. Anonymous student feedback questionnaires(88 % response rate)

2. Appraisal record forms (100% completion)

Page 48: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Feedback questionnaire - key points

Overwhelming positive perception of the value of appraisal in both years

• 59.2% overall considered issues covered would alter study habits

• 51% of 2nd years considered they had made changes based on previous years appraisal

Page 49: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Practice Points – key advice required early in undergraduates’ career

• Study skills guidance was the commonest need

• Some significant correlations were seen between types of advice required

• Evolution of personal goals - changing course requirements and maturation

• Early opportunity to address healthy work-leisure balance

Page 50: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

Undergraduate appraisal

• Worth the effort?

• We think so

• Data would suggest that it is, from both students and faculty perspective

• The future?• Later years????

Page 51: Formal Appraisal of Undergraduates – worth the effort? Deborah Murdoch-Eaton Professor of Medical Education Leeds

http://www.ltsn-01.ac.uk

• Any questions / comments

Thank you for coming and participating! I hope you found it valuable.

[email protected]