Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Miller's Pyramid: assessing clinical competence

No description
by

Erik Langenau

on 20 October 2011

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Miller's Pyramid: assessing clinical competence

KNOWS
KNOWS HOW
SHOWS HOW
DOES
CONCLUSIONS
References:

Norcini JJ. Clinical Review: ABC of learning and teaching in medicine work based assessment. BMJ 2003: 326: 753-755.

Miller GE. The assessment of clinical skills/competence/performance. Acad Med 1990: S63-7.
http://meded.ucsd.edu/clinicalmed/heart.htm
http://www.sciencephoto.com/media/297696/enlarge
http://www.eworldpoint.com/
Miller's Pyramid for assessing clinical competence
Does the examinee perform the task regularly (in a familiar setting)?
Can the examinee demonstrate the task properly?
Does the examinee know how to perform the task?
Does the examinee know the theory and mechanics of the task?
Theory
Competence is application of "the basics"
Action
Performance
Competence
knowledge
Ultimate goal: to perform tasks reguarly in a competent fashion
Therefore, you need to understand the basics first. Walk before you run!
Assessment is done in a developmentally appropriate fashion
Developmental framework for assessing clinical competence
Example:
Medical student peforming cardiac auscultation (listening to the heart)
http://www.daemonstv.com
Example: Does the medical student know:

how the heart pumps,
how pumping affects the heart sounds,
where to listen to the heart, etc?
http://health.medicscientist.com/577
http://www.nlm.nih.gov/medlineplus/ency/imagepages/19612.htm
Example: Does the medical student know:

how to listen to the heart,
where to place the stethoscope?
http://picasaweb.google.com/110220964214919925934/PatientSimulationCenter#
http://www.bumc.bu.edu/im-residency/training/ambulatory/
Example: Does the medical student show how to

how to listen to the heart,
where to place the stethoscope,
how to position patients?
http://drugster.info/img/ail/1412_1423_2.jpg
Example: Does the medical student ascultate the heart in a competent manner?
She seems smart, but can she auscultate a heart?
Let's see.
... small
Demonstrating clinical competence requires a fundamental understanding of scientific principles, anatomy and physiology.
Developing clinical teaching approaches, as well as assessment tools, must take this knows/knows how/shows how/does approach into consideration.
This approach obviously has relevance to other fields, not just medicine. This model could be applied to any performance-based task (how to answer a telephone call at a call center, how to write a scientific paper, how to use construct a concept map, etc).
Thank you,
Erik Langenau, 10/18/11
Full transcript