Defining Trainee Competence

Defining and assessing professional competence.

CONTEXT Current assessment formats for physicians and trainees reliably test core knowledge and basic skills. However, they may underemphasize some important domains of professional medical practice, including interpersonal skills, lifelong learning, professionalism, and integration of core knowledge into clinical practice. OBJECTIVES To propose a definition of professional competence, to rev...

Defining Adaptive Learning Paths For Competence-Oriented Learning

This paper presents a way to describe educational itineraries in a competence-oriented learning system in order to solve the problem of sequencing several independent courses. The main objective is to extract adaptive learning paths composed by the subset of needed courses passed in the right order. This approach improves the courses’ re-usability allowing courses to be included in different it...

Relationship Competence: Can Trainee Interpersonal Skills Be Measured Reliably and Do They Predict Clinical Effectiveness?

The use of the Cusum technique in the assessment of trainee competence in new procedures.

Continuous quality assurance (QA) in health care has necessitated the adoption of statistical methods developed as industrial process monitoring techniques. One such statistical technique is the cumulative summation (Cusum) methodology, which can monitor continuously a production process and detect subtle deviations from a preset defined level of achievement. The method is practical, simple to ...

Point-of-care assessment of medical trainee competence for independent clinical work.

BACKGROUND Clinical supervisors make frequent assessments of medical trainees' competence so they can provide appropriate opportunities for trainees to experience clinical independence. This study explored context-specific assessments of trainees' competence for independent clinical work. METHOD In Phase One, 88 teaching team members from internal and emergency medicine were observed during c...