The universal GP Training website for everyone, not just Bradford.   Created in 2002 by Dr Ramesh Mehay

Becoming competent at assigning competencies

Sudhir Krishnan

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5 thoughts on “competence”

  1. To help trainees understand the competencies get them to teach them to you at a tutorial early on in their time with you.

  2. To validate a competency the trainee doesn’t need to be ‘competent’ in the area but needs to have adequately reflected to demonstrate some competence or movement towards competence

    Useful to discuss the harder competencies and how to help the trainee reach them

  3. Don’t forget to go into detail about the difficult competencies. The four difficult ones are…
    Managing Medical Complexity (includes promoting health)
    Community Orientation (which is about THE COMMUNITY – what things can they do for the community at large as a result of the encounter with a single patient. Includes provision of community services).
    Practising Ethically (discuss and relate things to ethical frameworks)
    Fitness to Practise (which is really about the trainee. It is not about them proving they are fit! But rather that they recognise when things go off track and try to get things back on track – for example, if they are stressed, or recognise underperformance in self or others).

    When assigning a competency, it has to be a deep and meaningful reflection – not just a passing superficial comment.
    If you validate competencies like this, then when it comes to the ESR and the rating scales – you can then be confident knowing any ‘tagged evidence’ for say “managing medical complexity” is going to be a good demonstration of that competency rather than a crappy one.

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Bradford VTS was created by Dr. Ramesh Mehay, a Programme Director for Bradford GP Training Scheme back in 2001. Over the years, it has seen many permutations.  At the time, there were very few resources for GP trainees and their trainers so Bradford decided to create one FOR EVERYONE. 

So, we see Bradford VTS as  the INDEPENDENT vocational training scheme website providing a wealth of free medical resources for GP trainees, their trainers and TPDs everywhere and anywhere.  We also welcome other health professionals – as we know the site is used by both those qualified and in training – such as Associate Physicians, ANPs, Medical & Nursing Students. 

Our fundamental belief is to openly and freely share knowledge to help learn and develop with each other.  Feel free to use the information – as long as it is not for a commercial purpose.   

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Our sections on (medical) COMMUNICATION SKILLS and (medical) TEACHING & LEARNING are perhaps the best and most comprehensive on the world wide web (see white-on-black menu header section on the homepage).