Shared tensions and contextual adaptations in programmatic assessment reform.

This article focuses on the implementation challenges of programmatic assessment (PA) in medical education, using Indonesia as a case study. It highlights how sociocultural factors, such as hierarchical structures and exam traditions, influence PA adoption and emphasizes the need for alignment betwe...

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Publicado en:Medical Teacher Vol. 48; no. 6; pp. 919 - 921
Autores principales: Lee, Zheng-Wei, Li, Li, Ng, Olivia, Phua, Dong Haur, Cleland, Jennifer Anne
Formato: commentary Journal Article
Publicado: Taylor & Francis Ltd Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Shared tensions and contextual adaptations in programmatic assessment reform.
      aug:
        au:
          Lee, Zheng-Wei
          Li, Li
          Ng, Olivia
          Phua, Dong Haur
          Cleland, Jennifer Anne
        affil: Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
      sug:
        subj:
          Educational Measurement
          Diffusion of Innovation
          Implementation Science
          Education, Medical Indonesia
          Adaptation, Psychological
          Faculty, Medical Psychosocial Factors
          Teaching Methods Ethical Issues
          Indonesia
          Program Evaluation
      ab: This article focuses on the implementation challenges of programmatic assessment (PA) in medical education, using Indonesia as a case study. It highlights how sociocultural factors, such as hierarchical structures and exam traditions, influence PA adoption and emphasizes the need for alignment between local systems and PA processes. Key issues include educators’ difficulties managing increased assessment data, ethical tensions between mentoring and monitoring roles, and the importance of building trust within educational relationships. The article also notes that successful PA implementation requires both bottom-up engagement and supportive broader systemic conditions, such as stable leadership and coherent policies.
      pubtype: Academic Journal
      doctype:
        commentary
        Journal Article
      ougenre: Article
    language: English
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