Andrew E. Krumm’s research while affiliated with Concordia University Ann Arbor and other places

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Publications (74)


Readiness of Graduating General Surgery Residents To Perform Common Pediatric Surgery Procedures
  • Article

January 2025

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2 Reads

Journal of Surgical Education

Rebecca Moreci

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Alyssa Pradarelli

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Benjamin Zendejas

Proximity to Practice: The Role of Technology in the Next Era of Assessment
  • Article
  • Full-text available

December 2024

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9 Reads

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1 Citation

Perspectives on Medical Education

The integration of technology into health professions assessment has created multiple possibilities. In this paper, we focus on the challenges and opportunities of integrating technologies that are used during clinical activities or that are completed by raters after a clinical encounter. In focusing on technologies that are more proximal to practice, we identify tradeoffs with different data collection approaches. To maximize the benefits of integrating technology in workplace-based assessment, we describe the importance of using preexisting frameworks from the fields of assessment design, implementation research, and clinical artificial intelligence governance.

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Relationships between Example Assessments and Key Terms. Note: CTT = classical test theory; IRT = item response theory; QI = quality improvement.
Digital Evidence: Revisiting Assumptions at the Intersection of Technology and Assessment

November 2024

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22 Reads

Perspectives on Medical Education

The increasing use of technology in health care and health professions education is an invitation to examine how digital sources of evidence are used in making assessment claims. In this paper, we describe how four sets of terms—primary and secondary data; structured and unstructured data; development and use; and deterministic and generative—can aid in examining how data from digital sources are used in evaluating what learners know and can do. Drawing on multiple examples, this paper shows how the four sets of terms can help both developers and users of technology-based assessment systems.









Citations (37)


... They emphasize that assessment systems work best when co-produced with stakeholders, including patients, healthcare professionals, patients, electronic health record vendors (designing metrics), health system leaders (integrating assessment into workflows), educators (ensuring assessors have skills and attitudes consistent with authentic assessment), and accreditors (incentivizing best practices systems implementation). 3. Krumm et al. [47] provide key questions to ask when seeking to harness technology for assessment. They discuss useful frameworks that can help strategically integrate technology into assessment practice. ...

Reference:

Introducing the Next Era in Assessment
Proximity to Practice: The Role of Technology in the Next Era of Assessment

Perspectives on Medical Education

... Among affective competencies, collaboration and participation in decision-making processes can be mentioned [25,26]. As pointed out by Singleton et al. [27], collaboration in scientific sensemaking is an important component in increasing students' interest in science. This understanding of learning inquiry competencies can be much broader than is usual in science. ...

The role of equitable classroom cultures for supporting interest in science
  • Citing Article
  • March 2024

Journal of Research in Science Teaching

... Therefore, clinical AI governance models can help in calling attention to the ways in which data collected by various technologies that are more proximal to practice in HPE are (1) processed by AI systems and (2) how different systems automatically recommend or enact interventions based on those data [31,32]. Developing AI governance models can help in highlighting a need to more rapidly evaluate both an AI system's performance and the potential harms of aligned decisions and actions. ...

Considering the Secondary Use of Clinical and Educational Data to Facilitate the Development of Artificial Intelligence Models
  • Citing Article
  • December 2023

Academic Medicine

... As researchers have worked to understand how assessment data can be used to drive decision-making, barriers and facilitators to high quality implementation have emerged [18]. Lastly, as more and more tools are developed to algorithmically guide or enact decisions based on digital data sources, the ways in which algorithms are governed and evaluated have continued to evolve [19]. To help researchers work with data gathered from practice using various technologies, we next highlight three frameworks that could guide future research and development activities. ...

Strategies for evaluating predictive models: examples and implications based on a natural language processing model used to assess operative performance feedback
  • Citing Article
  • December 2023

Global Surgical Education - Journal of the Association for Surgical Education

... This complexity can cause difficulties for newly graduated surgeons. In the United States, data from the American Board of Surgery from 2007 to 2009 revealed higher mortality and severe complication rates among newly graduated surgeons than among their more seasoned counterparts [4]. However, technical proficiency is not necessarily correlated with experience [5]. ...

Mortality and Severe Complications Among Newly Graduated Surgeons in the United States
  • Citing Article
  • October 2023

Annals of Surgery

... A study by George and colleagues explored the interrelationship between educational outcomes and patient outcomes in a surgical context. 21 Their work suggests that the implications of medical education research go beyond learning outcomes and translate into outcomes related to surgical complications and the health and wellbeing of patients themselves. 21 Likewise, Weingartner and colleagues demonstrate that conducting research in medical education may improve clinical skills for pre-medical students, 22 and Teal and colleagues highlight the importance of education research funding to support nascent RIME scientists. ...

Evaluating Educational Outcomes Using Patient Outcomes of New Surgeons Performing Partial Colectomy Compared to Cholecystectomy
  • Citing Article
  • August 2023

Academic Medicine

... Some learners may tolerate more ambiguity than others based on their prior knowledge. The diverse identities of learners and instructors, which have been previously suggested to affect post-operative communication, represent another area in which to study the manifestations of unscripted discourse during operations (Gates et al., 2023). Second, it would be useful to better understand other communication tools that facilitate instruction; for example, we speculate that measured repetition may help scaffold motor action. ...

Association of Gender and Operative Feedback Quality in Surgical Residents
  • Citing Article
  • June 2023

Journal of Surgical Education

... Although the NGSS were released over a decade ago, instruments for measuring the standards' impacts are only beginning to emerge, in part because the last decade has seen a focus on curriculum design (e.g., Reiser et al., 2021) and, more recently, curriculum-based PD (e.g., Lee et al., 2023;Lowell & McNeill, 2023). Emerging instruments elicit information about multiple aspects of contemporary science instruction, including teachers' knowledge, beliefs, and practices (e.g., Fulmer et al., 2021;Hayes et al., 2016;Nollmeyer & Bangert, 2017), classroom instruction (e.g., Chen & Terada, 2021;Martínez et al., 2022), and students' experiences (e.g., Campbell, Lee, Longhurst, et al., 2021;Penuel et al., 2023). These instruments employ a variety of data collection methods, including questionnaires (e.g., Fulmer et al., 2021), observation protocols (e.g., Chen & Terada, 2021), and electronic portfolios (e.g., Martínez et al., 2022). ...

Belonging in science classrooms: Investigating its relation to students' contributions and influence in knowledge building
  • Citing Article
  • June 2023

Journal of Research in Science Teaching

... 49 In the GME surgical landscape, there is momentum around making such decisions for procedural skills. [50][51][52] Using probabilistic models, surgical educators demonstrated the ability to make predictions of future performance based on data from recent, prior performance. 50 While it unclear if or how such an approach would work in UME, it is important to recognise that the data used to inform aforementioned probabilistic models originated from WBAs interrogated for reliability and validity. ...

Right Case, Right Time: Which Procedures Best Differentiate General Surgery Trainees’ Operative Performance?
  • Citing Article
  • June 2023

Journal of Surgical Education

... 49 In the GME surgical landscape, there is momentum around making such decisions for procedural skills. [50][51][52] Using probabilistic models, surgical educators demonstrated the ability to make predictions of future performance based on data from recent, prior performance. 50 While it unclear if or how such an approach would work in UME, it is important to recognise that the data used to inform aforementioned probabilistic models originated from WBAs interrogated for reliability and validity. ...

Predicting Resident Competence for Otolaryngology Key Indicator Procedures
  • Citing Article
  • March 2023

The Laryngoscope