Presented by Jayzona Alberton and Jorge Godinez
Vertical- Dental
The College of Dental Medicine at Western University of Health Sciences has been actively utilizing ExamSoft rubrics since the beta-test phase of the feature’s launch. After implementing ExamSoft rubrics in multiple parts of their curriculum through a full year, CDM’s Office of Academic Affairs worked diligently with Dental Center administration to develop a plan for launching this feature throughout the clinic. After months of preparation, the college went fully electronic with their clinical exams both at the Dental Center and at off-site clinics for the community-based dental education portion of their curriculum. Now, faculty are trained in grading rubrics using ExamSoft spontaneously at the clinic during students’ procedures on their patients. The journey to this pinnacle was quite a challenge, but is improving many aspects of the dental program at WesternU tremendously. Faculty, staff, and administration can generate more robust reports of institutional learning outcomes and competencies that combine both written exams with performance-based assessments. To learn more about launching ExamSoft rubrics in a simulated or clinical setting, check out WesternU CDM’s 90-minute interactive session!
At the end of the session, participants will be able to:
1) Develop a plan to implement ExamSoft rubrics on a large scale at their institution and in a clinical setting.
2) Discuss the benefits of using ExamSoft rubrics in both a simulated and live clinical setting.
3) Determine methods of addressing issues during pilot testing of performance-based assessments.
4) Understand the importance of pulling longitudinal reports using rubric results to help improve student outcomes (including soft skills such as collaboration and professionalism).
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Learning Objectives
• Develop a plan to implement ExamSoft rubrics
on a large scale at their institution and in a
clinical setting.
• Discuss the benefits of using ExamSoft rubrics
in both a simulated and live clinical setting.
• Determine methods of addressing issues during
pilot testing of performance-based assessments.
• Understand the importance of pulling
longitudinal reports using rubric results to help
improve student outcomes.
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Presentation Overview
• Introduction of Presenters
• Background on College of Dental Medicine at
Western University of Health Sciences
• Laying out the Logistics
• Faculty Buy-in and Training
• Pilot Testing with Lead Faculty
• Addressing Issues during Pilot Test Period
• Launching ExamSoft Rubrics in a Live-Patient
Setting
• Live Demo Simulation of Rubrics
• Our Conclusions and Plans for Improvement
• Interactive Q&A with Presenters
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College of Dental Medicine
• Clinical Exams
– On The Fly
– Challenged Individually
– Two Faculty Graders
– 3rd & 4th year students
– 10 Clinical Exams
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Previous Process
• Staff Time
• Resources (i.e. 2 Staff Members + Paper)
• Temporarily Misplacing Rubrics
• Turnaround Time for Releasing Scores
• Calculation Errors
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Previous Process
Student
challenges
clinical exam
2 faculty
grade on
paper
rubrics
Faculty
submit
rubrics to
clinic staff
member
Staff
member
calculates
scores
Staff
member
delivers
rubrics to
Office of
Academic
Affairs
(OAA)
OAA staff
scans & files
rubric,
releases
score to
student, and
updates
grade sheet.
1 clinic
session
1 clinic
session
Varies 3 hours Varies 8 hours
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Before Implementation
• Establish long-term goals
• Have a clear vision of what you need
• Develop an implementation process
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Establish Long-Term Goals
• Determine types of reports to generate
• Create a timeline for implementation
• Assign roles or tasks
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Clear Vision
• Live Patient Clinical Exams
• Support from Administration
• Unique clinical exam logistics requires
customized ExamSoft set-up
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Implementation Process
• Set deadlines
• Assign roles to staff members
– Inputting rubrics
– Assigning graders
– Training faculty members
– Pulling reports
– Managing grade score release
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Implementation Process
• ExamSoft set-up
– Individual Courses for Students
– Created Rubric & Rubric Templates
– Assigned all 10 rubrics to each student
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Implementation Process
• SharePoint form developed
– Form submitted by student notifying staff of
CE date, CE rubric, and faculty graders
– Submission of form initiates SharePoint
workflow
– Workflow generates email sent to college
ticketing system
– OAA staff member tracks CE tickets and
manages grader assignments in ExamSoft
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Overview of Implementation Process
Set Deadlines
Assign roles to
staff members
Set-Up
ExamSoft
Develop Info
Gathering
Form
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Faculty Buy-In and Training
• Support from college administration
• Explain advantages of ExamSoft rubrics
– Prevents misplacement of rubrics
– Minimizes use of paper
– Mobile device grading
– Decreases likelihood of miscalculations due to
human error
– Rubric creation is under 10 minutes
– Immediate release of results to students
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Faculty Buy-In and Training
• Small group faculty training session
– 2 sessions held
– 1 hour long
– 12 faculty selected for pilot test
– Staff provided cheat sheet for reference
• Staff developed step-by-step instruction
manual
• Faculty encouraged to utilize personal
devices
• Staff offered technical support
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Pilot Testing
• Pilot test period: December 2014 through
February 2015
• Clinical faculty leaders were assigned as
ExamSoft graders
• 4 of the 10 clinical exam’s were tested
• Provided feedback and suggestions for
improvement
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Pilot Testing
• Staff support during test period
– Observed faculty graders for 2 clinical
sessions
– Obtained feedback from faculty while on the
clinic floor
– Made available via phone and e-mail for any
technical or operator-related issues
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Pilot Testing
• Modification of SharePoint form
– Version 1: Form fields for 2 graders
– Version 2: Form fields for up to 6 graders
• Allowed for 2 graders per dimension
– Version 3: Finalized following pilot test period
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Addressing Issues During Pilot Test Period
• Major Issues:
– Faculty login
• Graders had difficulty remembering passwords
• Last minute changes to grader assignments
– Multiple faculty grading various dimensions
within single rubric
– Lack of tracking for releasing scores
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Addressing Issues During Pilot Test Period
• Minor Issues:
– Students requesting faculty graders not in
pilot test group
– Incomplete assessments
– High volume of reminder e-mails sent to
faculty
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Addressing Issues During Pilot Test Period
• Solutions:
– Created 2 general faculty accounts per clinic
group
– Updated SharePoint form for better tracking of
clinical exams
– Changed deadline of clinical exam
assessments to the end of each week
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Launching ExamSoft in a Live-Patient Setting
• Clinical Dean issued a deadline to faculty for
final submission of paper rubrics
• Faculty in pilot group trained remaining
clinical faculty members
• Academic Affairs staff provided students with
updated protocol for challenging clinical
exams
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Launching ExamSoft in a Live-Patient Setting
• Academic Managers set up auto login to
ExamSoft grading portal on clinic iPads
– Devices were secured through passcode
• Academic Managers facilitated ExamSoft set
up for off-site clinics
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Conclusions
• Streamlines process of clinical exam grading
– Smoother workflow
– More efficient use of staff time
– Minimizes likelihood of miscalculations due to
human error
– Quicker turnaround for releasing scores
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Conclusions
• Generate meaningful data
– Demonstrate connections between
dimensions of a rubric and tagged categories
– Translate data into robust reports for
university’s outcomes assessment committee
and accreditation bodies
– Short-term & long-term reports for individual
students and as a cohort
– Recommend improvements to the curriculum
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Conclusions
• Generate meaningful data
– Identify longitudinal trends such as
competencies in which students either excel
in or need more focused attention
– Tag rubrics with “soft skills” such as
professionalism, communication, and
humanism
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Plans for Improvements
• Brainstorm methods to identify critical errors
in grading
• Refine rubric content
• Continuous feedback from faculty, staff and
student
• Offer development suggestions to ExamSoft
account managers