Massachusetts Medical Society: What is the difference between competence, performance in practice, and patient outcomes?

What is the difference between competence, performance in practice, and patient outcomes?

Competence/Performance:

Per the Accreditation Council for Continuing Medical Education (ACCME):

In the ACCME context, we are using Miller's (1990) definition of competence as "knowing how" to do something. Knowledge, in the presence of experience and judgment, is translated into ability (competence) - which has not yet put into practice. It is what a professional would do in practice, if given the opportunity.*

The skills, abilities and strategies one implements in practice is performance.*

Patient Outcomes:

It is hoped that in many cases, patient outcomes are positively affected by CME activities.  However, for this purpose, please only check the "Patient outcomes" box if you plan to measure patient outcomes following the activity.

*See Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990; 65(9 Suppl):S63-7.

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