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The CbD assesses the performance of a resident in the management of a patient to provide an indication of competence in areas such as clinical reasoning, decision-making and application of medical knowledge in relation to patient care. It also serves as a method to document presentations of cases by residents. The CbD should include discussion about a presented case during clinical rounds or an equivalent session. Furthermore, the quality of writing an out-patient letter and discharge summary also contribute to this skill.