Once the IT team decided they liked Moodle, the system administrator asked, "How are we going to tell whether they are the ones who actually did the test?"
Yes, this is a realistic question. And it's an issue that comes up pretty regularly in higher education e-learning circles.
Attending training is a prerequisite for getting a user ID. Pass the test - get access to our system. I would LIKE to think that our health care providers and employees are responsible enough to do the test without going through the effort of having someone else do it for them. A person who decided to take that route shouldn't be responsible for my (or anyone else's) health care. What other shortcuts would they take?
Besides, I figure cheaters would be easily caught once we get the first help desk call and look at the testing reports. The system is complicated enough that it's easy to pick out someone who hasn't gone through training. What we could do about it, on the other hand, is a different issue and up to the organization.
One solution bandied about - make them come into the classroom and take the course and test while you watch then. My thought: We're dealing with adults (we hope). It's a waste of my time and demeaning to the student.
Another solution - before giving them their user IDs, have them call us up. We can remote access to their computer and have them do a brief exercise based on their department's workflows. Find the patient, open the chart, enter the note, write a prescription, enter a charge. That's what they have to do anyway - and if they did the training, they should be able to do all of that in under 10 minutes. That includes extensive documentation in the note. Some policies would have to be put in place regarding when we can do these testing calls or if managers outside the IT department can proctor this exercise. Again - the trust issue.
The third solution - trust our students to do the right thing and come up with a procedure to deal with the rare exception. I personally like this solution because it requires me to do nothing unless the student has trouble. I also think it shows that we trust our employees. I doubt that we will choose this solution.
We haven't decided what we are going to do yet. Any other recommendations?