Portfolio Workbook in Undergraduate Medical Education. Students' Performances and Perceptions in Saudi Arabia

Objective: Portfolio Workbook (PWB) is an effective tool for learning and assessment in undergraduate medical education. However, its employment is infrequent. This study aims to share our experience using PWB over the years while assessing students’ performance and perceptions of it in teaching and assessment. Study design: This is a retrospective cohort study. Place and duration: We developed and implemented a PWB, using principles of cognitive load and learning theories, for the Professionalism & Ethics module at the Faculty of Medicine in Rabigh, King Abdulaziz University in Saudi Arabia. The study analysed students’ performances and perceptions related to it in the last five years, from Jan 2020 to Dec 2024. Methodology: The study involved 10 exams and 360 students. Assessments based on PWB were included. Perceptions were checked through a satisfaction rating and closed- and open-ended questions. Quantitative data obtained was analyzed for frequencies and percentages. Themes were extracted from open-ended responses. Results: Evaluation of the last ten exams revealed extremely good and consistent student’ performances. Satisfactory rating for PWB remained excellent over all the years and 95% of students liked it as an assessment tool. The majority (90%) believed that PWB experience would help them later as doctors. Anticipation of future responsibilities and improvement in writing skills were among the major themes that emerged. Conclusions: PWB is an excellent learning and assessment tool in undergraduate medical education. Reflective exercises enhance the practicality of learning and are effective for the delivery of learning outcomes while decreasing over-dependency on Multiple Choice Questions.