Mattson, Bushardt & Artino (2021) — FLAGGED: OUT OF SCOPE

Full title: When a Measure Becomes a Target, It Ceases to be a Good Measure Authors: Christopher Mattson, Reamer L. Bushardt, Anthony R. Artino Jr. Journal: Journal of Graduate Medical Education, Vol. 13, No. 1, pp. 2-5 Year: 2021 DOI: 10.4300/JGME-D-20-01492.1 Date flagged: 2026-06-23 Status: OUT OF SCOPE — not relevant to this knowledge base

Why It Was Flagged

This is a medical education editorial about Goodhart's Law ("When a measure becomes a target, it ceases to be a good measure") and Campbell's Law, applied to graduate medical education (GME) assessment and program evaluation. The paper discusses how ACGME resident surveys, USMLE Step 1 scores, publication metrics, and other assessment targets become corrupted when used as performance measures, and proposes mitigation strategies (criterion-referenced assessments, mastery learning, narrative approaches).

While the paper is from a medical journal, its content is entirely about educational measurement theory and program evaluation methodology. It does not address the autonomic nervous system, polyvagal theory, interoception, HRV, breathwork, somatic practices, or any neuroscience topic covered by this wiki.

Not related to: autonomic nervous system, polyvagal theory, interoception, vagal tone, Window of Tolerance, or any topic in this knowledge base.

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