Enhancing Neurologic Clinical Competency-Implementing Competency-based Medical Education and Workplace-based...

Undergraduate medical education has evolved in its adoption of competency-based medical education (CBME) by more frequent implementation of workplace-based assessments (WBAs). However, a number of challenges may arise due to the complexities of the authentic clinical environment. We describe a single institution's approach to implementing WBAs across core clinical clerkships for medical students, with a focus on the neurology clerkship. At our institution, widespread implementation of WBAs has resulted in a significantly increased number of assessment and feedback opportunities, and we discuss how we approached the increased documentation burden, time, effort, and resources that were required for successful implementation. We conclude that effective adoption of CBME and implementation of WBAs can be achieved through a thoughtful and deliberate approach from the outset, investment in the stakeholders, and a commitment to continuous quality improvement.