The competence committee is an important element of Competence by Design (CBD). This committee uses data integrated from a variety of sources and observations to make informed and transparent decisions about a learner’s performance and progression. In CBD, promotion decisions are made by the competence committee away from the individual teacher-learner interactions. Shifting broader promotion decisions to the competence committee frees teachers up to focus on giving coaching feedback for improved resident performance. Family Medicine does not have a competence committee per se, however, many of the principles and concepts are similar.
The competence committee identifies patterns of performance revealing a broader picture of a resident’s progression to support their learning over time. Competence committees are able to identify residents who are not meeting their milestones. In these cases, the competence committee can help to arrange support and coaching for residents before they get too far off their trajectory (e.g., assigning special mentors, extra readings or modified rotations).
Starting a Clinical Competence Committee, S. B. Promes and M. J. Wagner, 2014