Monkey see, monkey do: a critique of the competency model in graduate medical education - PubMed The author discusses the need for replacing such criterion-referenced models in favour of a model that engages the higher order competence, performance and understanding which represent professional practice at its best.

Tell me what you are thinking

Competence ≠ Entrustable Professional Activity

Can we infer integration, synthesis or complex cognition just from observing someone's behaviour?

What has #relevance to the construct of #competence
#MillersPyramid

Does the learner have enough self-efficacy to identify the complex but fundamental relationship between knowledge & competency?
#MillersPyramid #CBME #KSAO #constructivealignment #progresstesting #schema #scaffolding #relevance #situatedlearning

@drjfrank @LSchuwirth

Build on #MillersPyramid: Lessons should be designed on not only knowing, but also knowing how, when and why. Give opportunities for residents to share, #teach and #demonstrate

The missing element in #MillersPyramid

Expertise not only come from knowing how but knowing WHEN

#MedEd #ReflectivePractise #DeliberatePractise #MakeItStick @sherbino @drjfrank @precordialthump @sandnsurf @EM_Educator @srrezaie @emcrit @LSchuwirth

Meta-Teaching
#MedEd #MillersPyramid @sherbino @drjfrank @precordialthump @IanMeducator @srrezaie @EM_Educator @sandnsurf @LSchuwirth