Evaluation Tools for Competency-based Training of Health Workers

Training models for health care workers, especially those involved in emergency response and disaster preparedness, have shifted from content, or information-based, to competency, or skill-based learning. Competency-based training focuses on outcomes and behaviors, and evaluates students' abilities to meet an established standard. Knowledge, skill acquisition and outcomes are key areas for evaluation.

Knowledge Assessment

• Although competency-based training is multidimensional and practical, assessments of key points depend on knowledge as well. Competency-based trainers develop objectives, outline benchmarks and establish a knowledge base in which individuals demonstrate their command of information. Tools such as learning guides and quizzes assist with evaluating this kind of competency.

Skills Assessment

• Skills assessments depend on standards for minimal competence. Checklists can help to track competencies and identify areas of improvement, and standards can be designed that establish a minimum standard of skill in any given situation. Competence is evaluated in a practical way as students demonstrate directly their ability to perform the tasks related to the skill.

Outcomes and Behaviors

• Competency-based training of all kinds focuses on outcomes, and the students' abilities to meet the standards established for the skills being trained. Evaluation of outcomes depends on the initial assessment of students' knowledge and skill level, compared with their skills at the end of training.