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Articles

Examiner training: A study of examiners making sense of norm-referenced feedback

, , &
Pages 787-794
Published online: 26 Mar 2019
 

Abstract

Purpose: Examiner training has an inconsistent impact on subsequent performance. To understand this variation, we explored how examiners think about changing the way they assess.

Method: We provided comparative data to 17 experienced examiners about their assessments, captured their sense-making processes using a modified think-aloud protocol, and identified patterns by inductive thematic analysis.

Results: We observed five sense-making processes: (1) testing personal relevance (2) interpretation (3) attribution (4) considering the need for change, and (5) considering the nature of change. Three observed meta-themes describe the manner of examiners’ thinking: Guarded curiosity – where examiners expressed curiosity over how their judgments compared with others’, but they also expressed guardedness about the relevance of the comparisons; Dysfunctional assimilation – where examiners’ interpretation and attribution exhibited cognitive anchoring, personalization, and affective bias; Moderated conservatism – where examiners expressed openness to change, but also loyalty to their judgment-framing values and aphorisms.

Conclusions: Our examiners engaged in complex processes as they considered changing their assessments. The ‘stabilising’ mechanisms some used resembled learners assimilating educational feedback. If these are typical examiner responses, they may well explain the variable impact of examiner training, and have significant implications for the pursuit of meaningful and defensible judgment-based assessment.

Acknowledgments

The authors wish to thank Lee Smith, ICBSE Manager, for co-ordinating examiner recruitment.

Disclosure statement

The ICBSE funded one investigator’s travel to Ireland to undertake interviews. The authors do not consider that this raises any conflict of interest and have no other relevant information to report.

Glossary

Guarded curiosity: When examiners express curiosity over how their judgments compared with others’

Dysfunctional assimilation: When examiners’ interpretation and attribution exhibited cognitive anchoring, personalization, and affective bias.

Moderated conservatism: When examiners expressed openness to change, but also loyalty to their judgment-framing values and aphorisms.

Additional information

Notes on contributors

James G. M. Crossley

James G. M. Crossley, MA, MRCPCH, MEd, DM, is Professor of Medical Education at the University of Sheffield and Consultant Paediatrician at Chesterfield Royal Hospital.

Jeremy Groves

Jeremy Groves, BSc, FRCA, is a Consultant in Anaesthesia and Intensive Care at Chesterfield Royal Hospital and an Assessor for the Intercollegiate Committee for Basic Surgical Examinations (ICBSE).

David Croke

David Croke, MA, PhD, FRCPath, is Director of Quality Enhancement at the Royal College of Surgeons in Ireland and Chair of the Internal Quality Assurance Committee of the ICBSE in the UK & Ireland.

Peter A. Brennan

Peter A. Brennan, MD, FRCS, FRCSI, FDSRCS, is Consultant Maxillofacial Surgeon and Honorary Professor of Surgery, Queen Alexandra Hospital, Portsmouth. He is also chairman of the ICBSE in the UK and Ireland.

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