{"id":"https://openalex.org/W2003122407","doi":"https://doi.org/10.7326/0003-4819-115-3-203","title":"Assessment of Competency: The Role of Neurobehavioral Deficits","display_name":"Assessment of Competency: The Role of Neurobehavioral Deficits","publication_year":1991,"publication_date":"1991-08-01","ids":{"openalex":"https://openalex.org/W2003122407","doi":"https://doi.org/10.7326/0003-4819-115-3-203","mag":"2003122407","pmid":"https://pubmed.ncbi.nlm.nih.gov/2058875"},"language":"en","primary_location":{"id":"doi:10.7326/0003-4819-115-3-203","doi":"https://doi.org/10.7326/0003-4819-115-3-203","is_oa":false,"landing_page_url":"https://doi.org/10.7326/0003-4819-115-3-203","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002549619","display_name":"Morris Freedman","orcid":"https://orcid.org/0000-0003-4003-6158","observed_orcids":["https://orcid.org/0000-0003-4003-6158"]},"institutions":[{"id":"https://openalex.org/I1291836623","display_name":"Mount Sinai Hospital","ror":"https://ror.org/05deks119","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1291836623","https://openalex.org/I4210130843"]},{"id":"https://openalex.org/I4405262013","display_name":"Baycrest Centre for Geriatric Care","ror":"https://ror.org/00vd0rf02","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2802437833","https://openalex.org/I4405262013"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Morris Freedman","raw_affiliation_strings":["Baycrest Centre for Geriatric Care, Mount Sinai Hospital, Toronto, Ontario"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baycrest Centre for Geriatric Care, Mount Sinai Hospital, Toronto, Ontario","institution_ids":["https://openalex.org/I1291836623","https://openalex.org/I4405262013"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018538172","display_name":"Donald T. Stuss","orcid":"https://orcid.org/0000-0002-4022-9067","observed_orcids":["https://orcid.org/0000-0002-4022-9067"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Donald T. Stuss","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5101788387","display_name":"Michael Gordon","orcid":"https://orcid.org/0000-0001-8098-8247","observed_orcids":["https://orcid.org/0000-0001-8098-8247"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael Gordon","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.7602,"has_fulltext":false,"cited_by_count":78,"citation_normalized_percentile":{"value":0.92228814,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"115","issue":"3","first_page":"203","last_page":"208"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/competency-assessment","display_name":"competency assessment","score":0.8379999995231628},{"id":"https://openalex.org/keywords/neurobehavioral-deficits","display_name":"neurobehavioral deficits","score":0.9079999923706055},{"id":"https://openalex.org/keywords/cognitive-impairment","display_name":"cognitive impairment","score":0.7229999899864197},{"id":"https://openalex.org/keywords/decision-making-capacity","display_name":"decision-making capacity","score":0.5230000019073486},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.4880000054836273},{"id":"https://openalex.org/keywords/traumatic-brain-injury","display_name":"traumatic brain injury","score":0.9200000166893005},{"id":"https://openalex.org/keywords/alzheimer-s-disease","display_name":"Alzheimer's disease","score":0.9980000257492065},{"id":"https://openalex.org/keywords/multi-infarct-dementia","display_name":"multi-infarct dementia","score":0.9909999966621399},{"id":"https://openalex.org/keywords/attention","display_name":"attention","score":0.7120000123977661},{"id":"https://openalex.org/keywords/memory","display_name":"memory","score":0.6940000057220459},{"id":"https://openalex.org/keywords/language","display_name":"language","score":0.8059999942779541},{"id":"https://openalex.org/keywords/frontal-lobe-function","display_name":"frontal lobe function","score":0.9900000095367432},{"id":"https://openalex.org/keywords/compensatory-abilities","display_name":"compensatory abilities","score":0.8759999871253967},{"id":"https://openalex.org/keywords/informed-consent","display_name":"informed consent","score":0.4230000078678131}],"concepts":[{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.7116798162460327},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.6098770499229431},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5706624388694763},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.5379486680030823},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.5239665508270264},{"id":"https://openalex.org/C14036430","wikidata":"https://www.wikidata.org/wiki/Q3736076","display_name":"Function (biology)","level":2,"score":0.4399195909500122},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3671780824661255},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.30177462100982666},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.16706466674804688},{"id":"https://openalex.org/C78458016","wikidata":"https://www.wikidata.org/wiki/Q840400","display_name":"Evolutionary biology","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001288","descriptor_name":"Attention","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003072","descriptor_name":"Cognition Disorders","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005625","descriptor_name":"Frontal Lobe","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007807","descriptor_name":"Language Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008569","descriptor_name":"Memory Disorders","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D008606","descriptor_name":"Mental Processes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009483","descriptor_name":"Neuropsychological Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.7326/0003-4819-115-3-203","doi":"https://doi.org/10.7326/0003-4819-115-3-203","is_oa":false,"landing_page_url":"https://doi.org/10.7326/0003-4819-115-3-203","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:2058875","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2058875","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of internal medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.7246000170707703,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.5699999928474426,"display_name":"Quality education","id":"https://metadata.un.org/sdg/4"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W144054734","https://openalex.org/W1530888326","https://openalex.org/W1596616552","https://openalex.org/W1978708263","https://openalex.org/W2016034982","https://openalex.org/W2038745927","https://openalex.org/W2038861417","https://openalex.org/W2043766819","https://openalex.org/W2044755731","https://openalex.org/W2051346129","https://openalex.org/W2064464160","https://openalex.org/W2075270873","https://openalex.org/W2093360103","https://openalex.org/W2104261103","https://openalex.org/W2322362066","https://openalex.org/W2334878303","https://openalex.org/W2412946146","https://openalex.org/W2415417261","https://openalex.org/W2739796992","https://openalex.org/W2800697077","https://openalex.org/W3036244618","https://openalex.org/W4213265442","https://openalex.org/W4246655974","https://openalex.org/W4299555773","https://openalex.org/W4301711939"],"related_works":["https://openalex.org/W2087741374","https://openalex.org/W2016034982","https://openalex.org/W2053003196","https://openalex.org/W2110213537","https://openalex.org/W1935248021","https://openalex.org/W2793782688","https://openalex.org/W90014519","https://openalex.org/W2184608268","https://openalex.org/W2410640442","https://openalex.org/W198448586"],"abstract_inverted_index":{"We":[0],"present":[1],"a":[2,72,194],"practical":[3],"set":[4],"of":[5,34,50,52,65,74,98,106,200],"guidelines":[6],"for":[7,100,164,197],"assessing":[8],"competency":[9,70],"in":[10,102,127,173],"patients":[11,218,245],"with":[12,44],"cognitive":[13,35,67,108,160,182],"deficits":[14],"due":[15],"to":[16,40,59,77,116,124,129,168,175,186,207,225],"neurologic":[17],"disorders":[18],"such":[19,239],"as":[20],"stroke,":[21],"head":[22],"injury,":[23],"Alzheimer":[24],"disease,":[25],"and":[26,82,132,135,141,150],"multi-infarct":[27],"dementia.":[28],"Our":[29],"focus":[30],"is":[31,114,184],"the":[32,38,48,66,92,103,112,144,157,176,190,198,209,213],"evaluation":[33],"processes":[36,68],"underlying":[37,69],"ability":[39],"make":[41,169],"competent":[42],"decisions,":[43],"an":[45,95,170,240],"emphasis":[46],"on":[47],"identification":[49],"areas":[51],"preserved":[53,159],"function":[54,183],"that":[55,91,111,143,203],"may":[56],"be":[57,187,205,248],"used":[58,206],"bypass":[60,208],"intellectual":[61],"deficits.":[62,210],"The":[63,86,152],"assessment":[64,196,241],"involves":[71],"series":[73],"steps":[75],"designed":[76],"evaluate":[78,125],"attention,":[79],"language,":[80],"memory,":[81],"frontal":[83],"lobe":[84],"function.":[85],"examiner":[87,153,191,214],"must":[88,154],"first":[89],"show":[90],"patient":[93,113,145],"has":[94,146,242],"adequate":[96,171],"level":[97],"attention":[99],"participation":[101],"further":[104],"testing":[105],"specific":[107,177],"functions;":[109],"second,":[110],"able":[115,224],"comprehend":[117],"relevant":[118,130],"instructions,":[119],"retain":[120],"information":[121],"long":[122],"enough":[123],"it":[126],"relation":[128,174],"recent":[131],"remote":[133],"experiences,":[134],"express":[136,226],"his":[137],"or":[138,166,233],"her":[139,167],"wishes;":[140],"finally,":[142],"sufficiently":[147],"intact":[148],"judgment":[149,172],"awareness.":[151],"determine":[155],"whether":[156,217],"patient's":[158],"abilities":[161,202],"are":[162,222],"sufficient":[163],"him":[165],"question":[178],"being":[179],"asked.":[180],"If":[181],"found":[185],"significantly":[188],"impaired,":[189],"should":[192,215,246],"do":[193],"detailed":[195],"presence":[199],"compensatory":[201],"can":[204],"For":[211],"example,":[212],"assess":[216],"who":[219],"cannot":[220],"speak":[221],"still":[223],"their":[227],"wishes":[228],"by":[229,235],"pointing,":[230],"using":[231],"gesture,":[232],"even":[234],"drawing":[236],"pictures.":[237],"Unless":[238],"been":[243],"done,":[244],"not":[247],"considered":[249],"incompetent.":[250]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
