Document Detail

Conceptual framework for performance assessment: competency, competence and performance in the context of assessments in healthcare--deciphering the terminology.
MedLine Citation:
PMID:  23039835     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The definitions of performance, competence and competency are not very clear in the literature. The assessment of performance and the selection of tools for this purpose depend upon a deep understanding of each of the above terms and the factors influencing performance.
AIM: In this article, we distinguish between competence and competency and explain the relationship of competence and performance in the light of the Dreyfus model of skills acquisition. We briefly critique the application of the principles described by Miller to the modern assessment tools and distinguish between assessment of actual performance in workplace settings and the observed performance, demonstrated by the candidates in the workplace or simulated settings.
RESULTS: We describe a modification of the Dreyfus model applicable to assessments in healthcare and propose a new model for the assessment of performance and performance rating scale (PRS) based on this model.
CONCLUSION: We propose that the use of adapted versions of this PRS will result in benchmarking of performance and allowing the candidates to track their progression of skills in various areas of clinical practice.
Kamran Khan; Sankaranarayanan Ramachandran
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Publication Detail:
Type:  Journal Article     Date:  2012-10-08
Journal Detail:
Title:  Medical teacher     Volume:  34     ISSN:  1466-187X     ISO Abbreviation:  Med Teach     Publication Date:  2012  
Date Detail:
Created Date:  2012-11-12     Completed Date:  2013-04-29     Revised Date:  2013-11-13    
Medline Journal Info:
Nlm Unique ID:  7909593     Medline TA:  Med Teach     Country:  England    
Other Details:
Languages:  eng     Pagination:  920-8     Citation Subset:  IM    
Manchester Medical School, University of Manchester, Manchester, UK.
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MeSH Terms
Clinical Competence*
Employee Performance Appraisal / organization & administration*
Health Knowledge, Attitudes, Practice*
Staff Development

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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