Bargagliotti, Luttrell, and Lenburg (1999) provided a definition about competency-based performance evaluation that reinforced the IOM's recommendations. Competency-based evaluations are different than traditional check off methods in that they focus on:

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Competency-based evaluations focus on the overall performance and ability to apply skills in practice, rather than just completing specific steps or skills.

Bargagliotti, Luttrell, and Lenburg (1999) Provided a Definition About Competency-Based