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There is an urgent need to capture the outcomes of the ongoing global implementation of competency-based medical education (CBME). However, the measurement of downstream outcomes following educational innovations, such as CBME is fraught with challenges stemming from the complexities of medical training, the breadth and variability of inputs, and the difficulties attributing outcomes to specific educational elements. In this article, we present a logic model for CBME to conceptualize an impact pathway relating to CBME and facilitate outcomes evaluation. We further identify six strategies to mitigate the challenges of outcomes measurement: (1) clearly identify the outcome of interest, (2) distinguish between outputs and outcomes, (3) carefully consider attribution versus contribution, (4) connect outcomes to the fidelity and integrity of implementation, (5) pay attention to unanticipated outcomes, and (6) embrace methodological pluralism. Embracing these challenges, we argue that careful and thoughtful evaluation strategies will move us forward in answering the all-important question: Are the desired outcomes of CBME being achieved?

When the focus of the accreditation process for social work programs in the United States shifted to competency-based student achievement in 2008 the overall student experience in a program seemed ...

Early Detection and Intervention (EDI) is a system of services that promote development in the critical early years of childhood. It serves as an invaluable support to achieve Inclusive Education (...

This article compares outcomes of transactional analysis individual and group psychotherapy for depression and anxiety within two public clinics in the United Kingdom. The research was a naturalist...

Introduction: Computer Assisted Therapy (CAT) is an emerging treatment within addictions, though the evidence-base is still growing. Therefore, this study describes a pilot outcomes evaluation of a CAT programme for substance misuse, “Breaking Free Online”. Method: A total of 34 service users using Breaking Free Online were included. Quantitative assessments of ability to cope with cravings and maintain abstinence and quality of life were conducted pre- and post-engagement treatment, and qualitative feedback was collected. Results: Significant improvements in perceived ability to control cravings and maintain abstinence were identified and improvements in quality of life were seen, with p values measuring change from baseline to follow-up ranging 0.026–

Competency models offer potential for defining effective and/or superior performance and then aligning curriculum and other learning opportunities with individual development goals. However, barrie...

In victim impact panels, persons convicted of driving while intoxicated are confronted by survivors of accidents caused by drunk drivers. The objective is to reduce the number of subsequent convictions by increasing empathy with victims and increasing awareness of the seriousness of the consequences of drinking and driving. Participation in a victim impact course was not found to consistently reduce reoffending in a sample of persons convicted of operating a motor vehicle while intoxicated. More specifically, program participants were just as likely to reoffend as non‐participants and sometimes more likely.

This research examines outcomes resulting from Community Profiles, a community visioning program facilitated by UNH Cooperative Extension in partnership with New Hampshire cities and towns. The Com...

Researchers demonstrate that investing in women's health yields great social and economic dividends, yet the health of women often receives little attention throughout the world. Women's wellness centers (WWCs) were established in the former Soviet Union beginning in 1992 under the sponsorship of the American International Health Alliance (AIHA) in conjunction with the United States Association for International Development (USAID) to provide a women-centered approach to primary care, providing access to a wide range of clinical services and educational outreach programs. Because the St Petersburg Women's Wellness Center (WWC) is considered one of the more advanced centers and represents a microcosm of opportunities and challenges in women's health care delivery in the Russian Federation, a descriptive qualitative outcomes evaluation of the clinic was conducted. In the spirit of continuous quality improvement, interviews were conducted with childbearing women. Findings are categorized into the dimensions of access, privacy and comfort, communication with providers, comprehensiveness of care, and follow-up care. Strengths of the clinic include the "woman friendly" environment and educational offerings. Suggestions also were made by study participants for improvement of clinic services. Qualitative research can be translated into clinical practice guidelines for WWCs in Eastern Europe.

This paper empirically evaluates a Swedish government subsidy to environmental sustainability, the Local Investment Programme (LIP). During the programme period, 1998 – 2002, more than 670 million was granted to 1814 different municipal projects, making it the largest Swedish subsidization to ecological sustainability to date. For the 682 projects evaluated here, it was found that the projects were rewarded smaller subsidies than granted. To explain the gap between granted and rewarded subsidies, the gap was decomposed into a quantity effect, depending on the quantified environmental and employment outcomes of the projects, and a price effect, depending on the government's valuation of these outcomes. Whereas no statistically significant quantity effect was found, there was a large statistically significant price effect, indicating that the government paid the municipalities less than promised in the granting decision.

Outcomes evaluation is the process of measuring the changes in a patron's behavior, skills, knowledge, perceptions, or attitudes that resulted from the patron's exposure to a library's services and programs, comparing those outcomes to the library's goals and mission, and using that analysis to implement improvements in library services and programs. This article describes the evaluation methods historically used by academic librarians and academic law librarians and then discusses the impetus behind the recent shift to outcomes evaluation methods in academic library settings. The author suggests that academic law librarians should be prepared to implement similar methods in their libraries in the future and that they take an active role in developing evaluation policies and procedures before others do so. The article then provides a framework for implementing an outcomes evaluation

Increasingly, libraries are being asked for more accountability. What benefits or impacts do the services provided have on the people who use them? This paper briefly discusses outcomes evaluation and reports the results of an outcomes-based evaluation of the reference interaction at Munson Community Health Library. The methodology for this study is based on the work of Durrance and Pettigrew, who with IMLS grant support, created a toolkit: How Libraries and Librarians Help: Putting Outcome Evaluation in Context: A Toolkit(www.si. umich.edu/libhelp/toolkit). Results of the study validate that the Community Health Library fulfills its mission of providing information to patrons that supports informed decision-making and lifestyle changes.

(2000). INSERVICE TRAINING TO FACILITATE INCLUSION: AN OUTCOMES EVALUATION. Reading & Writing Quarterly: Vol. 16, No. 3, pp. 281-287.