Graduate medical education (GME) is critical to the career development of individual physicians, to the functioning of many teaching institutions, and to the production of our physician workforce. However, recent reports have called for substantial reform of GME. The current lack of established GME outcome measures limits our ability to assess the…

Despite wide publicity and common usage, the concept of skills shortage has different meaning to different people depending on their perspective. Understanding the different concepts of skills shortages, their measurement and the causes of skill shortages is important if sound policies are to be developed in the areas of employment, education,…

The final chapter of a seven-section report that examined the assessment of occupational competence, this chapter explores the key patterns and commonalities that have emerged from the study of occupational competency assessment. The chapter begins with a synthesis of the state of the art of competency definition and measurement under four topic…