What if my learners demonstrate that they stopped doing something known to be ineffective? Can we report that as an "improvement" to meet the expectation of the Improves Performance Criterion?
Yes. If your goal was to get your learners to decrease or stop a practice, for example, prescribing a certain drug or ordering a test, and they do make those changes – then, that would meet the expectations of "improvement" for the Improves Performance Criterion.
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