Posted by: Witch Doctor | June 21, 2007

Competencies – the elephant in the room

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WHAT IS THE SOMETHING ELSE?

Yes, the elephant in the room is the competency mantra.

Individuals much more competent in these matters than The Witch Doctor have published in the June edition of “Academic Medicine” that competencies alone just will not do – there has to be something else. There is an editorial, and three separate papers by different groups of authors, in this journal recommending that mastering competencies does not translate into a competent physician.

There is a link to the editorial below but the papers cannot be linked.

It is unlikely that it will translate into a competent National Practitioner either.

So, what will happen in the UK?

Nothing?

No change?

Just keep in competency mode.

Then, as sure as night follows day, a decade down the line the “Competency Mantra” of the new modernised NHS will be changed at huge expense because it was found not to work.

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REDIRECTING THE ASSESSMENT OF CLINICAL COMPETENCE

Yes, the elephant needs to be turned round and pushed and pulled in another direction. A direction where competencies sit comfortably in education, supporting but not replacing experience and judgement.

This needs to be done now.

Right now.

Who is going to do it?

Sir Liam Donaldson seems to be aware of the “something else” at a personal level. He said the following in February 2007:

“There is no rulebook. You can only draw on what relevant experience you have and exercise judgement,” he considers. “Everything else can get knocked out of the way, but you’ve got to keep all balls in the air.”

It dosn’t look as if Sir Liam embraces competency based training or protocols in his own medical lifestyle.

Why then should any of the medical profession?

 

The Witch Doctor – Link to a random page

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LINK TO UK MISSING KIDS WEBSITE

LINK TO MISSING PERSONS WEBSITE

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Responses

  1. […] will love it. However, ultimately, patients will not. Staff will not. This huge undertaking, this elephant in the room, is an unkown quantity, is far too complex, the capability is not present within the NHS to see it […]

  2. […] will love it. However, ultimately, patients will not. Staff will not. This huge undertaking, this elephant in the room, is an unkown quantity, is far too complex, the capability is not present within the NHS to see it […]

  3. […] as a consequence, the Competency Clutchers and the Tickers of Boxes, will, within less than a decade, be totally out of their depth with most […]

  4. […] will love it. However, ultimately, patients will not. Staff will not. This huge undertaking, this elephant in the room, is an unkown quantity, is far too complex, the capability is not present within the NHS to see it […]


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