Work

Assessment for learning: a realist evaluation of the portfolio in the transfusion medicine area of focused competence program

Year: 2026

Type: article

Abstract: In Canada, additional training in Transfusion Medicine (TM) can be pursued through Area of Focused Competence (AFC) Diploma programs. The Transfusion Medicine AFC program was one of the first in Canada to adopt a competence by design philosophy through a portfolio. This objective of this study was to evaluate the TM AFC assessment portfolio and its impact on interest-holders. A realist framework was used to explore the outcomes of the competency portfolio, and the contexts and mechanisms involved. Purposive sampling was used to recruit participants trainees, teachers, and curriculum developers from across the country. Qualitative data was collected from 22 participants through semi-structured interviews. Data was coded and used to refine initial program theories. Key outcomes were identified such as increased trainee confidence and knowledge, recognition of specialist knowledge, and a sense of community within the transfusion medicine field. Data analysis revealed mechanisms that enabled these outcomes within the contexts of academic care centres and Canadian blood suppliers. This realist evaluation highlighted the positive outcomes of the TM AFC competency-based portfolio and provided a modified program theory that reveals how the portfolio impacts learners.

Source: BMC Medical Education

DOI: 10.1186/s12909-026-10003-5

Authors: Marissa Laureano, Eric K. Tseng, David Rojas, Ayelet Kuper, Shannon J. Lane, Michelle Zeller

Institutions: University of Toronto, McMaster University, The Wilson Centre, Canadian Blood Services

Language: English

Topic: Innovations in Medical Education

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Quality education, Good health and well-being

Open Access status: gold

Estimated APC paid: $2,990