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Methods of Documentation V: CBE

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

Patient-centered Care

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

Methods of Documentation II: POMR

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.

Methods of Documentation VII: EMR

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...

Accountability and Responsibility of a Nurse I

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Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...

Methods of Documentation III: PIE

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

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Updated: Jun 10, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Competency-based medical education: implications for undergraduate programs.

Peter Harris¹, Linda Snell, Martin Talbot

¹University of New South Wales, Australia. p.harris@unsw.edu.au

Medical Teacher

|July 29, 2010

Summary

This summary is machine-generated.

Competency-based medical education (CBME) offers potential for authentic medical curricula and lifelong learning. However, implementing CBME in undergraduate programs presents significant challenges in curriculum design, assessment, and institutional change.

Related Experiment Videos

Last Updated: Jun 10, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Area of Science:

Medical Education
Curriculum Development
Competency-Based Education

Background:

Evolving educational theories and accreditation standards necessitate a review of undergraduate medical education.
Competency-Based Medical Education (CBME) is emerging as a significant development, offering new possibilities and challenges.

Purpose of the Study:

To review issues associated with implementing CBME in undergraduate medical programs.
To provide examples of best practices for addressing these implementation challenges.

Main Methods:

Review of current literature and trends in medical education.
Analysis of the implications of outcome-based frameworks in curriculum design.
Identification of challenges in curriculum design, assessment, teacher preparation, and institutional change.

Main Results:

CBME focuses on intended learning outcomes rather than specific learning strategies.
Potential benefits include authentic curricula aligned with medical practice and seamless lifelong learning.
Implementation challenges span curriculum design, assessment, faculty development, and systemic change.

Conclusions:

CBME presents a paradigm shift with the potential to enhance medical training.
Addressing implementation challenges is crucial for successful adoption in undergraduate settings.
Best practices are needed to navigate the complexities of integrating CBME.