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teacher vs learner

sumative vs fomrative
indierect assess vs direct assessment


1999 six domains
mk
pc
profess
comm
practice based learning
systems based practice

Milestones Project
kn
sk
att
performance

Stages of Development
novice to master
>> make examples of each one; anchor
Previous System
score 4.3
New System
heading toward NAS
national accreditation system

Healthcare
We spend 1 trillion
We rank 17 in the world


Competency

Competent

Competence
adapt, to context and situational needs

Measurement and Reporting outcomes
Grace says hard to come up with milestones for cog practices

142 milestones become 22 milesotnes
Naca 2012

MILESTONES
we need a language to describe early , middle, advance
we need a framework


aspirational is beyond

NO CLUE to ASPIRATONAL

GOOD SLIDES
the big picture slide
the formula slide x + y+ z

CATP2
cecal intubation
adenoma detection
time to withdraw
patient tolerance
patient complications

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