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Test Blueprint for National Exit Examination Program: - BSC IN ANESTHESIA

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Introduction 3 Objective of Test Blueprint 3 Expected Profile of the Graduates 4 Objectives of the Program 4 General Objective 4 Specific Objectives 4 Themes and list of modules/courses with Credit Hours 5 Share of the Themes/Courses/Items in Percentage (%) 6 Test blueprint Table (Table of Specification) 0 Learning outcomes in terms of the three domains (Cognitive, Affective and Psychomotor) 21 Conclusion 23 Introduction The Ministry of Education of Ethiopia has announced the implementation of exit exam for all undergraduate program students (public and private), beginning with the 2022/2023 academic year, in order to improve the quality of graduates produced by higher learning institutions. The exit exam aimed at checking whether students have acquired the required knowledge, skills and attitudes or not. To implement this, it requires determining competency areas for a specific program, which is already completed. Based on the competency areas prepared, it needs to plan the construction of tests. Planning of a test is a first and vital step in the construction of an achievement test. An achievement test demands very systematic and careful planning, as a fact that good planning is a symbol of success. Tests are the tools that provide scores that measure level of student learning and study program learning outcomes. In order to achieve the valid and reliable measurement of student learning and program learning outcomes, the development of valid and reliable test is the mandatory. Test should be able to measure student performance in all dimensions of knowledge, skill and attitude. The carefully planned test construction contributes to improve the overall quality of the test in terms of test content validity, difficulty level, discrimination power and test reliability. Test preparation is not an easy task; it requires a careful planning and guideline to make the task simple. Test construction needs the preparation of test blue print. Test blueprint is defined as a complete plan that explains how to develop a test. The term refers to a map or specification of assessment to ensure that all aspects of the curriculum and educational domains are covered by the assessment programs over a specified period of time. It helps curriculum developers/test constructors to match various competencies with the course content and the appropriate modality of assessment. Generally, test blueprint will help to ensure tests: 1) Appropriately assess the achievement of instructional objectives of the course; 2) Appropriately reflect key course goals, objectives and the material learned or covered during the instruction period; and 3) Include the appropriate item formats along with the knowledge and skills being assessed. Keeping this in mind, the team has prepared this test blueprint document in order to help the test developers or content specialists in their process of valid and reliable test construction. The major points considered in the process of preparing this test blue print guideline were the core competencies that have been already identified for the themes of courses, the course contents, course credit hours, and the learning outcomes with their corresponding levels of achievement by learning domains. In line with these, the number of test items that should adequately assess the performance of students in all the content topics will be determined through discussion with the content specialists who construct the blueprint and test for their corresponding study program. Therefore, the main purpose of this manual is to give direction on how to develop exit exam for content specialists so that they can develop a representative and balanced exam for their respective program. Objective of Test Blueprint Test blueprint preparation is generally opted to assist the preparation of a test that is representative, broadly sampled, and consisting of complete knowledge domain expected of Anesthesia students up on completion of their study program. The specific objectives of test blueprint are to: • Facilitate the construction of a representative and balanced test items for the selected courses in accordance with the competencies identified. • Guide test developers or writers to write or set appropriate test items. Expected Profile of the Graduates Upon completion of the training, the graduates will be able to: Perform comprehensive pre-anesthesia patient assessment including taking history, performing a physical examination, order and interpret relevant investigations and obtain informed consent Prepare and optimize patients for surgery and Anesthesia Utilize Anesthesia equipment, monitoring devises, medical gas sources, anesthetic agents and supplies according to the acceptable practice standards and protocols Apply standard safety measures to manage perioperative hazards Manage patient airways using different modalities Manage Anesthesia for different general and urologic surgical procedures Manage Anesthesia for obstetrics and gynecologic surgeries Manage Anesthesia for trauma and orthopedic surgeries Manage Anesthesia for geriatric patients undergoing surgeries Manage Anesthesia for pediatric and neonatal surgeries Manage Anesthesia for emergency thoracic surgeries Manage Anesthesia for ophthalmic surgeries Manage Anesthesia for maxillofacial and ENT surgeries Manage Anesthesia for neurosurgeries Manage remote Anesthesia Provide postoperative care to a surgical patient Engage in the patient discharge process from PACU Assess and manage acute pain Participate in the management of chronic and cancer pain Perform different regional blocks for pain management service Engage in the initial assessment and stabilization of critically ill patients Engage in the management of emergency and critically ill patients Perform effective Basic and Advanced Life Support (BLS and ALS) Demonstrate professionalism in Anesthesia practice Engage in the conduct of research relevant to Anesthesia services Apply the principles of evidence-based practice Conduct a clinical audit and need assessment Develop, implement and monitor the overall Anesthesia service plan in a facility Adapt and implement a quality improvement and assurance framework for quality Anesthesia service delivery Objectives of the Program General Objective To produce competent Anesthesia professionals who will provide the full scope of Anesthesia service, as defined by the professional scope of practice, with good knowledge, clinical skills, attitude, and critical thinking abilities. Specific Objectives • To equip Anesthesia professionals with solid knowledge of biomedical science, clinical and public health practice • Prepare Anesthesia students to assess and optimize patients with co-morbidity for surgery and Anesthesia • Prepare Anesthesia students in providing individualized Anesthesia clinical care using an individualized Anesthesia management plan • Equip Anesthesia students on the management of patients with multiple Co-existing diseases using the existing scientific knowledge • Enable Anesthesia students to practice professionally on all levels of Anesthesia clinical care setting • Train Anesthesia students in developing professional communication skills in dealing with patients, patient families, and other health professionals • Prepare the Anesthesia students to participate in conducting and utilizing relevant research findings • Train Anesthesia students to apply evidence-based Anesthesia clinical care practice • Train the Anesthesia student in practical skills based on a theoretical foundation • Equip the Anesthesia students with leadership and management skills • Equip Anesthesia students with critical thinking and decision-making skills which lead to reflective and responsible practice • Equip Anesthesia students with knowledge and skill in emergency and critical care which help them to handle critically ill patients • Prepare Anesthesia students for post-graduate studies

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Ministry of Education


Test Blueprint for National Exit Examination to be held in 2015 E.C
Band 3


Program: - Bachelor of Science Degree in Anesthesia




Compiled By:

1. Yohannes Molla (Jhpiego, Ethiopia);
2. Astemamagn Achule (Arba Minch University);
3. Tadese Tamire (Debre Tabor University);




February, 2023

Addis Ababa, Ethiopia




Table of Contents


1

,Contents
Introduction...........................................................................................................................................3
Objective of Test Blueprint....................................................................................................................3
Expected Profile of the Graduates.........................................................................................................4
Objectives of the Program.....................................................................................................................4
General Objective..............................................................................................................................4
Specific Objectives.............................................................................................................................4
Themes and list of modules/courses with Credit Hours........................................................................5
Share of the Themes/Courses/Items in Percentage (%)........................................................................6
Test blueprint Table (Table of Specification).........................................................................................1
Learning outcomes in terms of the three domains (Cognitive, Affective and Psychomotor)...............19
Conclusion...........................................................................................................................................22




2

,Introduction
The Ministry of Education of Ethiopia has announced the implementation of exit exam for all
undergraduate program students (public and private), beginning with the 2022/2023 academic year, in
order to improve the quality of graduates produced by higher learning institutions. The exit exam
aimed at checking whether students have acquired the required knowledge, skills and attitudes or not.
To implement this, it requires determining competency areas for a specific program, which is already
completed. Based on the competency areas prepared, it needs to plan the construction of tests.

Planning of a test is a first and vital step in the construction of an achievement test. An achievement
test demands very systematic and careful planning, as a fact that good planning is a symbol of
success. Tests are the tools that provide scores that measure level of student learning and study
program learning outcomes. In order to achieve the valid and reliable measurement of student
learning and program learning outcomes, the development of valid and reliable test is the mandatory.
Test should be able to measure student performance in all dimensions of knowledge, skill and
attitude. The carefully planned test construction contributes to improve the overall quality of the test
in terms of test content validity, difficulty level, discrimination power and test reliability. Test
preparation is not an easy task; it requires a careful planning and guideline to make the task simple.
Test construction needs the preparation of test blue print. Test blueprint is defined as a complete plan
that explains how to develop a test. The term refers to a map or specification of assessment to ensure
that all aspects of the curriculum and educational domains are covered by the assessment programs
over a specified period of time. It helps curriculum developers/test constructors to match various
competencies with the course content and the appropriate modality of assessment.

Generally, test blueprint will help to ensure tests: 1) Appropriately assess the achievement of
instructional objectives of the course; 2) Appropriately reflect key course goals, objectives and the
material learned or covered during the instruction period; and 3) Include the appropriate item formats
along with the knowledge and skills being assessed.
Keeping this in mind, the team has prepared this test blueprint document in order to help the test
developers or content specialists in their process of valid and reliable test construction. The major
points considered in the process of preparing this test blue print guideline were the core
competencies that have been already identified for the themes of courses, the course contents, course
credit hours, and the learning outcomes with their corresponding levels of achievement by learning
domains. In line with these, the number of test items that should adequately assess the performance
of students in all the content topics will be determined through discussion with the content specialists
who construct the blueprint and test for their corresponding study program.

Therefore, the main purpose of this manual is to give direction on how to develop exit exam for
content specialists so that they can develop a representative and balanced exam for their respective
program.


Objective of Test Blueprint
Test blueprint preparation is generally opted to assist the preparation of a test that is representative,
broadly sampled, and consisting of complete knowledge domain expected of Anesthesia students up
on completion of their study program. The specific objectives of test blueprint are to:
 Facilitate the construction of a representative and balanced test items for the selected courses
in accordance with the competencies identified.
 Guide test developers or writers to write or set appropriate test items.


3

, Expected Profile of the Graduates
Upon completion of the training, the graduates will be able to:

Perform comprehensive pre-anesthesia patient assessment including taking history, performing a
physical examination, order and interpret relevant investigations and obtain informed consent
Prepare and optimize patients for surgery and Anesthesia
Utilize Anesthesia equipment, monitoring devises, medical gas sources, anesthetic agents and
supplies according to the acceptable practice standards and protocols
Apply standard safety measures to manage perioperative hazards
Manage patient airways using different modalities
Manage Anesthesia for different general and urologic surgical procedures
Manage Anesthesia for obstetrics and gynecologic surgeries
Manage Anesthesia for trauma and orthopedic surgeries
Manage Anesthesia for geriatric patients undergoing surgeries
Manage Anesthesia for pediatric and neonatal surgeries
Manage Anesthesia for emergency thoracic surgeries
Manage Anesthesia for ophthalmic surgeries
Manage Anesthesia for maxillofacial and ENT surgeries
Manage Anesthesia for neurosurgeries
Manage remote Anesthesia
Provide postoperative care to a surgical patient
Engage in the patient discharge process from PACU
Assess and manage acute pain
Participate in the management of chronic and cancer pain
Perform different regional blocks for pain management service
Engage in the initial assessment and stabilization of critically ill patients
Engage in the management of emergency and critically ill patients
Perform effective Basic and Advanced Life Support (BLS and ALS)
Demonstrate professionalism in Anesthesia practice
Engage in the conduct of research relevant to Anesthesia services
Apply the principles of evidence-based practice
Conduct a clinical audit and need assessment
Develop, implement and monitor the overall Anesthesia service plan in a facility
Adapt and implement a quality improvement and assurance framework for quality Anesthesia
service delivery


Objectives of the Program
General Objective
To produce competent Anesthesia professionals who will provide the full scope of Anesthesia service,
as defined by the professional scope of practice, with good knowledge, clinical skills, attitude, and
critical thinking abilities.
Specific Objectives
 To equip Anesthesia professionals with solid knowledge of biomedical science, clinical and
public health practice
 Prepare Anesthesia students to assess and optimize patients with co-morbidity for surgery and
Anesthesia



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