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British Journal of Anaesthesia, 2002, Vol. 88, No. 3 329-330
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Editorial

Editorial I

Development and use of scoring systems for assessment of clinical competence

R. J. Glavin and N. J. Maran

Scottish Clinical Simulation Centre Stirling Royal Infirmary Livilands Gate Stirling FK8 2AU UK

The assessment of clinical competence is one of the greatest challenges facing medicine today. A useful construct for the assessment of competence is provided in the Miller pyramid (Fig. 1).1


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  		Fig 1 The Miller pyramid.

 
The first two stages, ‘knows’ and ‘knows how’, can be assessed using the traditional assessment tools of written and oral tests. However, ‘knowing’ and ‘knowing how’ clearly do not necessarily extrapolate to the application of knowledge in the workplace. To demonstrate clinical competence, assessment at levels 3 and 4 becomes more important, but also more challenging. Level 3, ‘shows how’, is currently assessed by . . . [Full Text of this Article]

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