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Review
. 2003 Apr 5;326(7392):753-5.
doi: 10.1136/bmj.326.7392.753.

Work based assessment

Review

Work based assessment

John J Norcini. BMJ. .
No abstract available

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Figures

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Miller's pyramid for assessing clinical competence
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Classification for work based assessment methods
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Care is delivered in teams, so judging a doctor's performance through outcomes is not realistic
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Unevenness in case mix can reduce usefulness of using patients' outcomes as a measure of doctors' competence
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Unevenness in case mix can reduce usefulness of using patients' outcomes as a measure of doctors' competence
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Judgments on process of care might include foot examinations for diabetic patients
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Traditional medical records may give way to widespread use of electronic records, making data collection easier and quicker
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How portfolios are compiled

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