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Table 2 Comparison of features for keeping cognitive skills current across learning opportunities

From: Cognitive perspectives on maintaining physicians’ medical expertise: I. Reimagining Maintenance of Certification to promote lifelong learning

Features of learning opportunities

Traditional 10-year assessment

Longitudinal assessment

CME

Clinical experience

Clinical decision support systems

Audit and feedback

Retrieval practice

Y

Y

N

Y

Y

Y

Feedback

N

Y

Y

S

Y

Y

Spaced

N

Y

S

Y

Y

Y

Self-directed

N

TBD

Y

Y

N

N

Consequences

Y

Y

S

Y

Y

Y

Authentic

N

N

N

Y

Y

Y

  1. Y yes, N no, S somewhat, TBD to be determined