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Clinical Competence

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lightbulbAbout this topic
Clinical competence refers to the ability of healthcare professionals to effectively apply their knowledge, skills, and judgment in clinical settings to provide safe and effective patient care. It encompasses a range of competencies, including clinical reasoning, communication, and technical skills, essential for delivering high-quality healthcare.
lightbulbAbout this topic
Clinical competence refers to the ability of healthcare professionals to effectively apply their knowledge, skills, and judgment in clinical settings to provide safe and effective patient care. It encompasses a range of competencies, including clinical reasoning, communication, and technical skills, essential for delivering high-quality healthcare.

Key research themes

1. How are interprofessional competencies defined and integrated to improve collaborative clinical competence?

This theme focuses on the development, definition, and implementation of interprofessional competency frameworks that underpin collaborative practice among healthcare professionals. It matters because interprofessional collaboration (IPC) is increasingly recognized as key to effective health care delivery, improving patient outcomes, and optimizing team-based care. Developing clear, measurable interprofessional competencies informs curriculum design and professional development, addressing complex healthcare needs through shared understanding and teamwork across disciplines.

Key finding: The Canadian Interprofessional Health Collaborative developed a comprehensive competency framework delineating key interprofessional collaborative practice competencies based on extensive literature review and existing... Read more
Key finding: Despite patient-centered care being crucial for competent practice, this review finds that patient and public involvement in developing competency frameworks remains uncommon, which potentially limits the frameworks’... Read more
Key finding: This paper presents global perspectives and case studies illustrating how competency frameworks, including the International Pharmaceutical Federation's Global Competency Framework, have been adapted to support... Read more

2. What are the links between self-perceived and objectively measured clinical competence among health professional students and practitioners?

This theme examines the relationships, discrepancies, and implications of self-assessment versus objective measurements of clinical competence among healthcare trainees and professionals. This is significant because accurate self-perception informs lifelong learning and patient safety, while objective assessment ensures readiness for clinical practice. Understanding the alignment or divergence between these perspectives informs curriculum design, feedback mechanisms, and competency development strategies.

Key finding: In a Zambian medical school cohort, a large discrepancy was found between students’ self-perceived competence and their Objective Structured Clinical Examination (OSCE) performance across 14 core clinical procedures. While... Read more
Key finding: Using the Nurse Competence Scale, this study showed that nurses’ self-assessed competence increases with clinical experience, with most nurses rating their competence as sufficient or higher across multiple domains. The... Read more
Key finding: Among Saudi medical students, 93% passed eight selected clinical competencies measured by OSCEs, reflecting a generally high level of objective competence which correlated positively with self-assessments. However, the study... Read more

3. How are competency frameworks operationalized, assessed, and continuously improved within clinical education and postgraduate training?

This theme explores the design, implementation, and evaluation of competency frameworks in clinical and postgraduate health professional education, focusing on assessment methods, curricular integration, and feedback systems. Its importance lies in ensuring that competency-based education (CBE) leads to effectively trained clinicians responsive to healthcare demands. Furthermore, it addresses faculty development, multi-source evaluations, and systemic challenges in maintaining validity and reliability of competence assessments.

Key finding: This paper details how US accreditation systems and physician certification integrate six core competencies—patient care, medical knowledge, practice-based learning, communication, professionalism, and systems-based... Read more
Key finding: The study demonstrates statistically significant improvements in six ACGME core competencies among postgraduate residents assessed via 360-degree evaluations between two consecutive cycles. It validates the 360-degree... Read more
Key finding: By systematically mapping assessment tools used in Makerere University’s Competency-Based Medical Education curriculum, this evaluation revealed gaps in the alignment between assessments and stated competencies. It... Read more
Key finding: Using a nominal group technique with international clinical experts, this study identifies personal characteristics beyond knowledge and technical skills—such as adaptability, self-evaluation, and emotional resilience—as... Read more

All papers in Clinical Competence

Continuing medical education was aimed at providing on a daily basis the current stands or information concerning all subjects in all known fields of medical practice. This practice is aimed at keeping all health workers updated both in... more
The aim of this exploratory study was to describe audiologist communication behaviours during appointments for hearing device monitoring and management before and after participation in counselling skills training. The study used a... more
Çelik İskifo glu T, Çerkez Y and İskifo glu G () Thinking culture and critical thinking dispositions of high school students in Turkish Republic of Northern Cyprus.
Maternal and child health is a key priority in low-resource settings and an integral part of the Sustainable Development Goals (SDGs). However, even after the MDG era, several developing countries still have high rates of infant... more
Aim: The study aimed to examine how socio-demographic factors, age, nursing specialty, and the frequency of end-of-life care provision influence nurses' attitudes toward death and fear of death. Design: A cross-sectional quantitative... more
Objectives. We sought to identify characteristics associated with use of skilled birth attendants where health services exist in Afghanistan. Methods. We conducted a cross-sectional study in all 33 provinces in 2004, yielding data from... more
Virtual worlds offer a new application development platform, and are particularly appealing for creating new types of educational training programs. However, in order to enable the adoption of this platform by instructors, special-purpose... more
This paper reflects on one Primary Care Research Network's (WoReN's) experience of running a workshop on analysing qualitative interview data, provided as the second of a three-part workshop concerned with acquiring qualitative... more
This paper reflects on one Primary Care Research Network's (WoReN's) experience of running a workshop on analysing qualitative interview data, provided as the second of a three-part workshop concerned with acquiring qualitative... more
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals continue to face significant mental health disparities due to structural oppression, societal stigma, and limited access to affirming care. Mental health trainees and... more