BMJ  2006;333 (7 October), doi:10.1136/bmj.333.7571.0-d

Trust depends on more than competence

The decision of a supervisor to trust a trainee to manage a critically ill patient is based on much more than tests of competence, says Olle ten Cate (p 748). He argues that adequate performance includes the ability and inclination to apply competence in a way that optimises the outcome of professional activities. He discusses how these judgments can be incorporated into assessments and suggests that identifying entrustable professional activities may help competency based assessment and curriculums.

Figure 1
Credit: CHRISTINE KENNEDY/ALAMY


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Relevant Article

Trust, competence, and the supervisor's role in postgraduate training
Olle ten Cate
BMJ 2006 333: 748-751. [Full Text] [PDF]




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