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Updated: Jun 3, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Commentary: pitfalls in assessment of competency-based educational objectives.

Stephen J Lurie¹, Christopher J Mooney, Jeffrey M Lyness

¹Office of Curriculum and Assessment, and associate professor, Department of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA. Stephen_Lurie@urmc.rochester.edu

Academic Medicine : Journal of the Association of American Medical Colleges

|April 1, 2011

Summary

Accreditation requirements for medical professionals use general competencies, but their vague definitions hinder valid measurement. True obstacles lie in questioning if competencies are valid constructs, not just in measurement tools.

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Published on: September 27, 2020

Area of Science:

Medical Education
Professional Accreditation
Competency-Based Assessment

Background:

Medical professional accreditation increasingly relies on general competencies.
Stakeholder negotiations often result in imprecise competency definitions.
Measuring these competencies in learners presents significant challenges.

Discussion:

The authors analyze measurement difficulties through the lens of modern test validity.
A core issue is the reluctance to question the validity of competency constructs themselves.
Political and social aims may shape competencies, but this differs from measurable attributes.

Key Insights:

Vague competency definitions impede valid assessment of medical professionals.
The fundamental challenge is the construct validity of competencies, not measurement tools.
Competencies may serve organizational missions but are not always distinct, demonstrable attributes.

Outlook:

Future accreditation must address the construct validity of competencies.
Developing precise definitions and valid measurement tools for competencies is crucial.
Re-evaluating the nature of competencies in professional assessment is necessary.