The assessment of medical competencies

Objective: To describe the most widely used tools in the assessment of medical competencies, analyse their prevalence of use, their advantages and disadvantages and propose an appropriate model for our context. Methods: We conducted a narrative review of articles from MEDLINE, following the PRISM protocol, and analysed a total of 62 articles. Results: The assessment of competencies is heterogeneous, especially in the educational and professional settings. The specific and technical competencies acquired during university education are mainly assessed using the objective structured clinical assessment. In the professional setting, core competencies are assessed using the 360 technique. Conclusions: We need a rigorous empiric comparison of the efficiency of the tools according to the type of competency. We propose a competency management model for the "undergraduate/graduate/active professionab" continuum, whose goal is to improve training and professional practice and thereby increase the quality of patient care. (C) 2017 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.