© 2005 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine
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There are new hands at the EMJ tiller this month and the new editors introduce themselves and their first thoughts on change in their first editorial. It seems that evolution rather than revolution is on the cards.
Rachael Clements and our own Rod Mackenzie enter potentially controversial waters this month with their discussion paper on evolving concepts of competence in prehospital care B. They point out that competence can be defined in many ways – with the simplest being "the ability to operate to an adequate, safe standard". At this level it is not really an aspiration but a requirement. The real issue in an evolving specialty is not about whether practitioners should be competent – but is about the definition, measurement and maintenance of it. The authors explore existing frameworks and mechanisms in an attempt to see if any fit well with the specialty. This is a debate to
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