Clinical performance data in learner needs identification. Applying the quality assurance process to continuing medical education

Effective learning is best defined as performance change when change is needed. The best organization for dealing with learner needs is the hospital. Patient care data can be aggregated within a hospital and will provide a large enough sample to be reliably assessed. Discovering the data, identifying personally with the data, and perceiving change are achievable at the hospital. The director of medical education has a responsibility to develop curriculum for the learners from performance data. Examples are presented.