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Competence in prehospital care: evolving concepts
  1. R Clements1,
  2. R Mackenzie2
  1. 1Specialist Registrar in Accident and Emergency Medicine and Immediate Care, Royal London Hospital, London, UK. Doctor, MAGPAS
  2. 2Clinical Research Fellow in Pre-hospital and Retrieval Medicine, MAGPAS
  1. Correspondence to:
 R Mackenzie
 MAGPAS, 105 Needingworth Road, St Ives, Cambs PE27 5WF, UK;


Competence based training and assessment has become central to education and training for healthcare professionals. There continues to be uncertainty about the meaning of competence and how the principles underpinning competence based training and assessment can be applied to evolving subspecialty and multidisciplinary areas such as prehospital care. Considerable development work has been undertaken on a national level with the creation of a Competence Framework for Emergency Care. This article explores the concepts of competence, defines the terminology, and describes the role of a competence framework in education and training.

  • CFEC, Competence Framework for Emergency Care
  • GMC, General Medical Council
  • IBTICM, Intercollegiate Board for Training in Intensive Care Medicine
  • PMETB, Post Graduate Medical Education and Training Board
  • RCA, Royal College of Anaesthetists
  • Competence
  • competence based training
  • competence framework
  • pre-hospital care

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  • This work was suppored by the MAGPAS Research Programme. MAGPAS, Cambridgeshire’s Emergency Care Charity, is funded entirely by the people of Cambridgeshire

  • Competing interests: R Mackenzie is the Deputy Associate Editor for Prehospital Care for the Emergency Medicine Journal

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