Inequity is woven into the fabric: a discourse analysis of assessment in pediatric residency training

Hannah L. Anderson*, Layla Abdulla, Dorene F. Balmer, Marjan Govaerts, Jamiu O. Busari

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Intrinsic inequity in assessment refers to sources of harmful discrimination inherent in the design of assessment tools and systems. This study seeks to understand intrinsic inequity in assessment systems by studying assessment policies and associated procedures in residency training, using general pediatrics as a discourse case study. Foucauldian discourse analysis (FDA) was conducted on assessment policy and procedure documents. Two authors independently prepared structured analytic notes using guiding questions. Documents and respective analytic notes were subsequently reviewed independently by all authors. Each author prepared further unstructured analytic notes on the documents' discourse. The authors then compared notes and constructed truth statements (i.e., interpretations of what the discourse establishes as true about the construct under study) and sub-strands (i.e., themes) that were repeated and legitimized across the documents via iterative discussion. Based on analysis, the authors constructed two truth statements. These truth statements, "good assessment is equitable assessment," and "everyone is responsible for inequity," conceptualized inequity in assessment as an isolated or individual-level aberration in an otherwise effective or neutral system. Closer examination of the truth statements and sub-strands in the discourse presented an alternative view, suggesting that inequity may in fact not be an aberration but rather an inherent feature of assessment systems.
Original languageEnglish
Pages (from-to)199-216
Number of pages18
JournalAdvances in Health Sciences Education
Volume29
Issue number1
Early online date1 Jun 2023
DOIs
Publication statusPublished - Mar 2024

Keywords

  • Assessment
  • Equity
  • Residency
  • Policy
  • Discourse analysis

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