The VPA™: Assessment & Clinical Reasoning: facilitator notes
Presenter cues, worked examples, and answer keys for the case slides and discussion prompts · Module 1.
Presenter-side material. Not part of the learner module body and not counted toward contact hours. Model answers are teaching examples. Adapt to your state practice act, payer rules, and district policy.
Module 1
Why Performance-Based Visual Assessment
~20 min · 8 slides
Presenter cues
Start with the limits of a standard score, not with the VPA™ — participants must feel the gap first.
Say plainly: this is not anti-standardized-testing. The two evidence sources answer different questions.
Reinforce the scope line before any assessment content: we measure performance, we do not diagnose the eye.
Answer key
What does a performance-based measure add over a norm-referenced battery?
Location of breakdown by level, endurance and rate under sustained demand, error type and strategy, and a direct line from the finding to a goal and a dose. Norm-referenced data still answers "how far from peers" when a payer or eligibility decision requires it.
Watch-outs
Participants assume performance-based means informal. Correct it: fixed setup, verbatim scripts, defined basal/ceiling rules, and repeated identical probes are exactly what makes it defensible.