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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.
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Related Experiment Video

Updated: Jun 4, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems

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BEME Guide No. 1: Best Evidence Medical Education.

R M Harden, Janet Grant, Graham Buckley

Medical Teacher

|February 2, 2011

Summary

This summary is machine-generated.

Best Evidence Medical Education (BEME) shifts education from opinion to evidence. Teachers use professional judgment on research quality, utility, extent, strength, validity, and context to guide teaching methods.

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Area of Science:

Medical Education
Evidence-Based Practice

Background:

Traditional medical education often relies on opinion rather than empirical evidence.
There is a recognized need to transition towards evidence-based educational strategies.

Purpose of the Study:

To introduce and define Best Evidence Medical Education (BEME) as a framework for implementing evidence-based practices in medical teaching.
To outline the QUESTS dimensions for evaluating evidence in medical education.

Main Methods:

Implementation of educational methods based on the best available evidence.
Application of professional judgment by educators considering the QUESTS dimensions: Quality, Utility, Extent, Strength, Target (validity), and Setting (context).

Main Results:

Evidence in medical education is rarely perfect across all QUESTS dimensions.
Teachers must balance varying dimensions of evidence using professional judgment to inform teaching decisions.
The QUESTS framework highlights inherent tensions in medical education research, such as quality versus relevance and validity versus context.

Conclusions:

Best Evidence Medical Education (BEME) promotes a culture of informed decision-making in medical teaching.
It encourages educators to critically evaluate and apply research evidence in their practice.
BEME supports the integration of research findings into the dynamic context of medical education.