Enhancing Neurologic Clinical Competency—Implementing Competency-based Medical Education and Workplace-based Assessments in a Neurology Clerkship

Abstract

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.

Keywords

competency-based medical education - workplace-based assessments - neurology clerkship

Publication History

Received: 19 November 2025

Accepted: 03 December 2025

Accepted Manuscript online:
10 December 2025

Article published online:
18 December 2025

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