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Related Experiment Videos

A conceptual framework for measuring clinical problem-solving.

P G Bashook

    Journal of Medical Education
    |February 1, 1976
    PubMed
    Summary
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    Measuring clinical competence requires a new framework. This approach defines the clinician's functional domain, incorporating problem-solving, discipline, and care context for accurate assessment.

    Area of Science:

    • Medical Education
    • Clinical Assessment
    • Healthcare Professional Development

    Background:

    • Traditional methods for measuring clinical competence often focus on modeling the clinician's problem-solving process.
    • Conflicting data from existing studies highlight limitations in current approaches, necessitating a conceptual revision.

    Purpose of the Study:

    • To present a novel conceptual framework for measuring clinical competence.
    • To establish a more robust and accurate method for assessing healthcare professionals' abilities.

    Main Methods:

    • The proposed framework expands on previous models by defining the clinician's functional domain as the primary basis for measurement.
    • It incorporates three key dimensions: the problem-solving process, the clinical discipline, and the context of care.

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  • The intersection of these dimensions delineates the specific clinical practice domain for assessment.

    • Main Results:

    • This multidimensional approach allows for the identification of domain-specific problems.
    • Clinicians can then be tasked with demonstrating their competence in resolving these identified problems.
    • The framework provides a structured method for evaluating clinical practice.

    Conclusions:

    • The new framework offers a more comprehensive approach to measuring clinical competence.
    • By defining the domain based on problem-solving, discipline, and context, it allows for targeted and effective assessment.
    • This model facilitates a deeper understanding and evaluation of clinical practice and professional development.