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Related Concept Videos

Methods of Documentation V: CBE01:23

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.
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Behaviorism01:28

Behaviorism

The field of behaviorism was pioneered by figures such as Ivan Pavlov, John B. Watson, and B.F. Skinner fundamentally shifted the focus of psychology to the observable and controllable aspects of human and animal behavior. This shift marked a critical evolution in the discipline, emphasizing scientific rigor and experimental methodology.
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Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
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Metacognition

Metacognition is a conscious process where individuals are aware of their cognitive and executive processes, such as planning before solving a problem or self-monitoring during reading. For instance, a writer may need help with composing a piece. The situation involves a writer who is working on a piece of writing, but while doing so, they realize that something is missing. They notice that their characters lack depth or details. This realization occurs because the writer is reflecting on their...
Behavior Modification01:21

Behavior Modification

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Nursing Assessment

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Related Experiment Video

Updated: May 26, 2026

Computerized Adaptive Testing System of Functional Assessment of Stroke
05:21

Computerized Adaptive Testing System of Functional Assessment of Stroke

Published on: January 7, 2019

History and practice of competency-based assessment.

Stephen J Lurie1

  • 1Office of Curriculum and Assessment, Faculty of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14620, USA. stephen_lurie@urmc.rochester.edu

Medical Education
|December 14, 2011
PubMed
Summary
This summary is machine-generated.

Competency-based medical education lacks dependable assessment tools because models are legislated, not data-driven. Future efforts require data-based hypotheses, situational specificity, and resource metrics for accurate clinical behavior measurement.

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Area of Science:

  • Medical Education Research
  • Competency-Based Assessment
  • Clinical Behavioral Science

Background:

  • Medical education increasingly focuses on global competencies, driven by evolving professional expectations.
  • Despite decades of study, competency-based education has not yielded reliable assessment tools.
  • Current competency frameworks often use prescriptive language rather than descriptive, data-driven approaches.

Observation:

  • Competency models are frequently legislated, not empirically derived from observed behaviors.
  • Existing assessment tools struggle to reliably measure actual clinical behaviors.
  • There's a disconnect between political negotiation of educational objectives and scientific validation of performance.

Findings:

  • Effective measurement of clinical behaviors requires framing educational constructs as data-based hypotheses.
  • Competency constructs must be specified by relevant situations, not as global personal traits.
  • Rigorous establishment of resource metrics is crucial for rational selection of assessment methods.

Implications:

  • Shifting from legislated models to empirically grounded ones can improve clinical behavior assessment.
  • Clearer conceptualization and situational specificity will enhance the validity of competency measures.
  • Developing standardized resource metrics will enable more objective and comparable assessment across different methods.