I spend many hours on formative assessment, which is provided face to face, and then summarised (CCCGPT report form) or expanded (RVTS report form) for the learner.
While I do not usually provide summative assessment, I have contributed multiple choice questions to the ACCRM examination bank for about 10 years. I am currently concentrating on writing questions concerned with ethical issues, using Coroner's reports and Medical Registration Board reports on sanctions for my inspiration.
I also am part of an ACRRM team providing Pre-Employment Structured Clinical Interviews (PESCI) for the Medical Board of Australia. These are summative assessments.
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