Examiner workload comparison: three structured oral examination formats for the European diploma in anaesthesiology and intensive care.

Dziadzko, Mikhail; Varvinskiy, Andrey; Di Loreto, Rodolphe; Scipioni, Hugues; Ateleanu, Bazil; Klimek, Markus; Berger-Estilita, Joana (2024). Examiner workload comparison: three structured oral examination formats for the European diploma in anaesthesiology and intensive care. Medical Education Online, 29(2364990) Taylor & Francis 10.1080/10872981.2024.2364990

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The COVID-19 pandemic triggered transformations in academic medicine, rapidly adopting remote teaching and online assessments. Whilst virtual environments show promise in evaluating medical knowledge, their impact on examiner workload is unclear. This study explores examiner's workload during different European Diploma in Anaesthesiology and Intensive Care Part 2 Structured Oral Examinations formats. We hypothesise that online exams result in lower examiner's workload than traditional face-to-face methods. We also investigate workload structure and its correlation with examiner characteristics and marking performance. In 2023, examiner's workload for three examination formats (face-to-face, hybrid, online) using the NASA TLX instrument was prospectively evaluated. The impact of examiner demographics, candidate scoring agreement, and examination scores on workload was analysed. The overall NASA TLX score from 215 workload measurements in 142 examiners was high at 59.61 ± 14.13. The online examination had a statistically higher workload (61.65 ± 12.84) than hybrid but not face-to-face. Primary contributors to workload were mental and temporal demands, and effort. Online exams were associated with elevated frustration. Male examiners and those spending more time on exam preparation experienced a higher workload. Multiple diploma specialties and familiarity with European Diploma in Anaesthesiology and Intensive Care exams were protective against high workload. Perceived workload did not impact marking agreement or examination scores across all formats. Examiners experience high workload. Online exams are not systematically associated with decreased workload, likely due to frustration. Despite workload differences, no impact on examiner's performance or examination scores was found. The hybrid examination mode, combining face-to-face and online, was associated with a minor but statistically significant workload reduction. This hybrid approach may offer a more balanced and efficient examination process while maintaining integrity, cost savings, and increased accessibility for candidates.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute for Medical Education

UniBE Contributor:

Berger-Estilita, Joana Marta

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1087-2981

Publisher:

Taylor & Francis

Language:

English

Submitter:

Pubmed Import

Date Deposited:

10 Jun 2024 08:41

Last Modified:

11 Jun 2024 15:37

Publisher DOI:

10.1080/10872981.2024.2364990

PubMed ID:

38848480

Uncontrolled Keywords:

Anaesthesiology continued education evaluation examiner taskload online assessment structured oral examination

BORIS DOI:

10.48350/197682

URI:

https://boris.unibe.ch/id/eprint/197682

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