RT Journal Article SR Electronic T1 Competence in prehospital care: evolving concepts JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 516 OP 519 DO 10.1136/emj.2005.026237 VO 22 IS 7 A1 R Clements A1 R Mackenzie YR 2005 UL http://emj.bmj.com/content/22/7/516.abstract AB 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.