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CompetenceCompetence is defined as ``the ability to perform the roles and tasks required by one's job to the expected standard''. This definition does not apply only to the intended outcomes of basic and specialist training. Throughout postgraduate education doctors have direct responsibilities for providing patient care and their current competence has to meet this service expectation as it changes with increasing experience and seniority. They are also seeking to expand that competence to meet anticipated future responsibilities; and this dual obligation presents a considerable challenge. Their success in meeting this challenge is significantly affected by the balance between the demands of their job and the opportunities presented by their learning programme. Further insight into the nature of this challenge is provided by recognising the distinction between competence, what a doctor can do, and performance, what a doctor does do. There are many reasons why a doctor's performance may not reach the level of their competence. Some of these are associated with personal factors such as disposition, attitude and life-events outside the job. Some are associated with contextual factors such as workload, working conditions, levels of support and unexpected bursts of emergency work. Source: Michael Eraut Competence and Judgement |
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