Competency development is a critical success factor for organizations and their employees when it comes to competitiveness. Competency Management Systems contribute to systematic competency development within organizations by supporting processes such as needs identification, intervention planning and implementation, and evaluation. However, designing Competency Management Systems comes with a ...

In “Competency to Stand Trial in Preadjudicated and Petitioned Juvenile Defendants,” Baerger et al. report the results of their investigation of competency to stand trial of juveniles charged with various offenses. The findings support the expected positive correlations between age and competency and cognitive ability and competency. The importance of the paper, however, lies in its contributio...

INTRODUCTION The termination of unwanted pregnancies up to 12 weeks' gestation became legal in Nepal in 2002. Many interventions have taken place to expand access to comprehensive abortion care services. However, comprehensive abortion care services remain out of reach for women in rural and remote areas. This article describes a training and support strategy to train auxiliary nurse-midwives (...

BACKGROUND The respiratory care department of one campus within our health system evaluated simulation-based medical education for training and competency evaluation of the mini bronchoalveolar lavage (mini-BAL) procedure, with an emphasis on patient safety and procedure performance standards. METHODS Training and competency evaluation occurred in 4 phases. In phase one, 24 staff respiratory ...

Jain and colleagues pushed boundaries in their study by focusing on colonoscopy procedure time and the factors that may influence this. Two of these factors included the level of experience of the endoscopist and the time of day with procedures performed in the afternoon associated with poorer outcomes. As a medical educationalist and gastroenterologist, I want to share scholarship with the aca...

Abstract A pilot's control behavior has a direct impact on aviation safety. To adapt to new flight training reforms, competency-based assessment method is proposed in this paper. First, scenarios, key competencies and observable behaviours were determined. Then, indexes developed based standard operating procedures practical examination standards. Flight data analyzed curve similarity theory ti...

Background Current evidence for the conduct of rapid sequence induction (RSI) is weak. This increases risk clinicians modifying RSI procedure according to personal preferences. Checklists may help increase compliance best practice guidelines and reduce complication rates. Their value during RSI, a critical in anaesthesia, unknown. The aim this study was investigate local frequency RSI-related c...

n engl j med 370;24 nejm.org june 12, 2014 2352 portant questions both about the nature of the evidence and about its sufficiency, a topic that has been the subject of inquiry and discussion in the patient-safety community for well over a decade.1 As noted in the editorial, replications have confirmed substantial effects regarding the use of a surgical checklist, but rigorous randomized trials ...

frameworks may undermine training for true professionalism and highlight how their use challenges the professional status of the medical profession. Hereto, I will bring forward two theoretical arguments, referring to the literature on expert performance and the sociology of professions. In short, there are valid reasons to state that the current competence-based approaches (i) elicit educating...