Blueprinting process in biochemistry: A strategic step in written assessment in undergraduate medical education
Yogesh Ramkrishna Pawade1, Anita Shivaji Chalak1, Dipti Yogesh Pawade2
1 Department of Biochemistry, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
2 Department of Information Technology, K. J. Somaiya College of Engineering, Mumbai, Maharashtra, India
Correspondence Address:
Dr. Yogesh Ramkrishna Pawade
Department of Biochemistry, Seth GS Medical College and KEM Hospital, Parel, Mumbai - 400 012, Maharashtra
India
Source of Support: None, Conflict of Interest: None
DOI: 10.4103/efh.efh_311_20
Dear Editor,
Recent reports contend that the traditional pattern of theory assessment has significantly deteriorated in quality, with compromised attributes of assessment, due to factors like the subjectivity of the faculty who constructs the written examination, lack of uniformity, lack of pre-validation, and structuring of a question paper (QP).[1] Few interventional studies[2],[3] have tried to troubleshoot such issues. Within this context, our interventional study was piloted to sensitize faculty toward strategizing theory assessment using blueprinting to align objectives, content areas, and curriculum with assessment.
The multiple steps in the blueprinting process [Figure 1] were reviewed and presented to study participants, consisting of 10 faculty and 9 subject experts in Biochemistry. The main study intervention was the Faculty Development Program (FDP) on blueprinting for Biochemistry faculty, conducted by an expert in blueprinting from the Medical Education Unit of Seth GS Medical College and KEM Hospital, Mumbai. Using weightage-rating scales,[4] the final weightage for content areas in the entire syllabus, was compiled, unanimously approved, and internally validated.
All 10 participating faculty from the Department of Biochemistry prepared theory QP blueprints, using the validated weightage. Using that blueprint, they created one QP of the same paper. All QPs were blinded and randomly assigned to the biochemistry subject experts for review using a pre-validated, semi-structured objective checklist. Participant feedback was gathered and analyzed using content analysis.
Reliability analysis of the review of the QPs showed statistically significant, good consistent agreement. Significant improvement in the overall quality of the QPs and paper-setting skills due to blueprinting was observed, ensuring high content validity of the assessment. The favorable effect of blueprinting on the reliability and validity of the assessment was also found. Categorically distributing weightage for recall, comprehension, and application was perceived by participants to be a novel concept.
All participants agreed with the need for blueprinting for quality assessment in formative and summative theory examinations. Similarly, a previous study[5] also endorsed the influence of blueprinting in negating threats to assessment, like underrepresentation and construct-irrelevant variance. Blueprints, with regular necessary updates and peer review, can safeguard the attainment of learning objectives.
Overall, study participants were convinced of the role of blueprinting in making assessment more congruent with objectives, content area, and curriculum; and recommended its implementation to improve the reliability and content validity of the assessment. In a phase-wise manner, the blueprinting process can be shared with other institutional faculty and other medical institutes through FDPs. The internally validated weightage needs to be widely peer-reviewed. More studies along similar lines using the blueprinting process can be initiated pertaining to other subjects in the undergraduate curriculum. Moreover, blueprinting in assessment can be promoted and enforced by health science universities as well as regulatory agencies, like the National Medical Commission, to accomplish the core objectives of medical education.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
References
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