Med Educ January 2024 PMID 37455291

Medical competence as a multilayered construct.

Olle Ten Cate, Natasha Khursigara-Slattery, Richard L Cruess, Stanley J Hamstra, Yvonne Steinert, Robert Sternszus

Mentions

31
Peak: 16 in Aug 2023
across 2 sources since Jul 2023

Extended reach

97,514
potential audience

Total likes

87

Video views

17

Mentions per month

Jul 2023 – Sep 2025

Where it's discussed

  • X / Twitter30 posts
  • YouTube1 videos

AI synopsis

What people are saying

The overall discourse reflects a positive reception with many posts emphasizing the model’s innovative nature and its potential to reshape medical competence assessment. The tone ranges from supportive to contemplative, exemplified by words like 'seismic contributions' and phrases such as 'set the foundation.' Some comments also question traditional methods, indicating critical engagement. The choice of language and the focus on theoretical shifts and practical implications demonstrate an interest in advancing medical education frameworks.

AgreementModerate agreement

Most discussions support the multilayered model, highlighting its validity and importance in medical education, as seen in comments praising the framework as 'foundational' and 'exciting.'

InterestHigh interest

The use of phrases like 'thought-provoking' and mentions of paradigm shifts indicate strong curiosity and engagement with the article's concepts.

EngagementModerate engagement

Posts that reference specific elements such as the shift from 'knowledge–skills–attitude' to 'knowing, acting, and being' show a willingness to delve into theoretical details, though some comments are more general appreciation.

ImpactModerate impact

The repeated acknowledgment of the model’s significance and its potential to influence future work in medical training suggest users perceive a moderate to high impact, though mostly within academic or professional contexts.

Abstract in brief

  • Medical competence is seen as a multilayered concept, consisting of core knowledge and skills, context-dependent abilities, and personalized traits, to balance standardization with individual uniqueness.
  • The three layers include: a universal core of knowledge and skills, specific to practice context, and personal attributes like interests and habits, all of which collectively define professional competence.
  • Different methods are needed to assess each layer: standardized tests for core knowledge, diverse sources and expert agreement for context-specific skills, and qualitative judgment for personal and artistic aspects of medicine.

Top posts

Most liked on X and Bluesky
Olle ten Cate
@olletencate · X

Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yvonne Steinert, Robert Sternszus @RSternszus https://t.co/DAtYtqjj34

Jul 23, 2023 · 40 likes · 9 shares · 1,791 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

To see the paradigm shift in #MedEd from "knowledge–skills–attitude" to a trilogy of "knowing, acting, and being" as an outcome of education, read this paper by @olletencate et al. https://t.co/EM6n98mp4Y

Aug 20, 2023 · 20 likes · 3 shares · 1,335 followers View post →
Mucheli Sharavan
@Mucheli_ID_Ed · X

#MedEd #CBME gem: Medical competence as a multilayered construct - Cate - Medical Education - Wiley Online Library https://t.co/BHJ19zvuG0

Aug 14, 2023 · 7 likes · 444 followers View post →
Satid Thammasitboon, MD, MHPE
@DrSatid · X

Thank you so much for your seismic contributions to #MedEd #HPE filed. The multi-layer construct for competence will set the foundation for our work for many years to come. https://t.co/slJeTcnNJX https://t.co/sL85iCaXpN

Sep 4, 2023 · 6 likes · 555 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"No two individuals have a similar cognitive structure or knowledge base, simply because they do not have identical prior learning experiences." #MedEd Ref: 10.1111/medu.15162

Aug 16, 2023 · 3 likes · 1 share · 1,335 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"Grading students in clerkships with a purpose to rank students (ranking is inherent to traditional reliability theory) is increasingly considered flawed, and schools are gradually replacing it by pass/fail decisions." #MedEd Ref: 10.1111/medu.15162

Aug 19, 2023 · 2 likes · 1 share · 1,335 followers View post →

All mentions

Dr Jo Bishop BSc (Hons), PhD (she/her)
@JoCBishopHD · X

@olletencate @olletencate shares Kanes validity framework and recent publication on medical competence to support decision making https://t.co/5NKqR8SyfJ https://t.co/Q7Qd7DZWMf

Aug 28, 2024 · 904 followers View post →
Cory Rohlfsen
@CoryRohlfsen · X

@DrPsychMD It’s what Olle Ten Cate uses to describe integration of self in pursuit of a practice, art, mastery. 1st defined in CBME lit this past yr. How well does it translate to self actualization? (I don’t know how much Maslow was influenced by vygotsky?) https://t.co/qaiH4eRqDc

Mar 11, 2024 · 1,202 followers View post →
Tim Dyster
@timdyster · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Dec 27, 2023 · 9 shares · 923 followers View post →
Geisinger Commonwealth School of Medicine
@GeisingerCwlth · X

"Medical Competence as a Multilayered Construct," presented by Olle ten Cate, PhD, professor of medical education at University Medical Center Utrecht, Netherlands, on Friday, Nov. 3, at 7 a.m. If you are interested, contact Annie Seif at aseif1@geisinger.edu. https://t.co/TjueBgJCOK

Oct 25, 2023 · 1 like · 2,501 followers View post →
Dr Asma
@drasma75 · X

RT @MedEdFlamingo: "Although the validity, in terms of authenticity, is clearly strong in the workplace [based-assessment], traditional rel…

Sep 6, 2023 · 1 share · 192 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"Although the validity, in terms of authenticity, is clearly strong in the workplace [based-assessment], traditional reliability standards can hardly be met." #MedEd Ref: 10.1111/medu.15162

Sep 6, 2023 · 1 like · 1 share · 1,335 followers View post →
Satid Thammasitboon, MD, MHPE
@DrSatid · X

Thank you so much for your seismic contributions to #MedEd #HPE filed. The multi-layer construct for competence will set the foundation for our work for many years to come. https://t.co/slJeTcnNJX https://t.co/sL85iCaXpN

Sep 4, 2023 · 6 likes · 555 followers View post →
Robert Trevino, MD, PhD
@trevy13 · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Sep 3, 2023 · 9 shares · 1,665 followers View post →
Francis Deng, MD
@francisdeng · X

@olletencate Medical competence as a multilayered construct https://t.co/bWEwsJqpjO #MedEd https://t.co/cKXgGHPMqj

Aug 31, 2023 · 16,937 followers View post →
profli
@profli7 · X

RT @MedEdFlamingo: To see the paradigm shift in #MedEd from "knowledge–skills–attitude" to a trilogy of "knowing, acting, and being" as an…

Aug 21, 2023 · 3 shares · 3 followers View post →
J
@JFGuatemala · X

RT @MedEdFlamingo: To see the paradigm shift in #MedEd from "knowledge–skills–attitude" to a trilogy of "knowing, acting, and being" as an…

Aug 21, 2023 · 3 shares · 37 followers View post →
Melchor Sanchez
@melchorsm · X

RT @MedEdFlamingo: To see the paradigm shift in #MedEd from "knowledge–skills–attitude" to a trilogy of "knowing, acting, and being" as an…

Aug 21, 2023 · 3 shares · 882 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"Diversity among learners and professionals should not just be regarded as differences to be mitigated, or a source of measurement error ... , but also as an inherent characteristic of a healthy, dynamic medical workforce." Ref: 10.1111/medu.15162

Aug 21, 2023 · 1 like · 1,335 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

To see the paradigm shift in #MedEd from "knowledge–skills–attitude" to a trilogy of "knowing, acting, and being" as an outcome of education, read this paper by @olletencate et al. https://t.co/EM6n98mp4Y

Aug 20, 2023 · 20 likes · 3 shares · 1,335 followers View post →
UoNMedEd
@UoNMedEd · X

Thought-provoking paper by @olletencate and colleagues

Aug 20, 2023 · 393 followers View post →
UoNMedEd
@UoNMedEd · X

RT @MedEdFlamingo: "Grading students in clerkships with a purpose to rank students (ranking is inherent to traditional reliability theory)…

Aug 20, 2023 · 1 share · 393 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"Grading students in clerkships with a purpose to rank students (ranking is inherent to traditional reliability theory) is increasingly considered flawed, and schools are gradually replacing it by pass/fail decisions." #MedEd Ref: 10.1111/medu.15162

Aug 19, 2023 · 2 likes · 1 share · 1,335 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"Vygotsky's notion that ‘Every idea contains some remnant of the individual's affective relationship to that aspect of reality which it represents’ means that cognition alone would insufficiently explain behaviour." #MedEd Ref: 10.1111/medu.15162

Aug 17, 2023 · 2 likes · 2 shares · 1,335 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"No two individuals have a similar cognitive structure or knowledge base, simply because they do not have identical prior learning experiences." #MedEd Ref: 10.1111/medu.15162

Aug 16, 2023 · 3 likes · 1 share · 1,335 followers View post →
Nomar Alviar
@HPEducatorPH · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Aug 14, 2023 · 9 shares · 336 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

"Until roughly a century ago, a licence in medicine was sufficient for a lifetime of medical practice. However, in Western countries, the medical degree is now an intermediate station en route to specialist training." #MedEd Ref: 10.1111/medu.15162

Aug 14, 2023 · 1 like · 1,335 followers View post →
Mucheli Sharavan
@Mucheli_ID_Ed · X

#MedEd #CBME gem: Medical competence as a multilayered construct - Cate - Medical Education - Wiley Online Library https://t.co/BHJ19zvuG0

Aug 14, 2023 · 7 likes · 444 followers View post →
Medical Education Flamingo, MD, PhD
@MedEdFlamingo · X

Competence as a multilayered construct: (1) a core layer of canonical competence (2) a layer of contextual competence (3) a layer of personalised competence Ref: 10.1111/medu.15162

Aug 13, 2023 · 1 like · 1,335 followers View post →
Keith Wilson
@keefer007 · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Aug 2, 2023 · 9 shares · 1,217 followers View post →
Simon Fleming
@OrthopodReg · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Jul 31, 2023 · 9 shares · 53,474 followers View post →
J
@JFGuatemala · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Jul 23, 2023 · 9 shares · 37 followers View post →
Komal A.
@DrKomalA · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Jul 23, 2023 · 9 shares · 935 followers View post →
Abdullah Alismail,PhD,FCCP,FAARC,ATSF
@AAlismail_PhD · X

RT @olletencate: Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yv…

Jul 23, 2023 · 9 shares · 1,022 followers View post →
Olle ten Cate
@olletencate · X

Excited to see our paper on layers of competence appear, with Natasha Slattery, Dick Cruess, Stan Hamstra @stanhamstra, Yvonne Steinert, Robert Sternszus @RSternszus https://t.co/DAtYtqjj34

Jul 23, 2023 · 40 likes · 9 shares · 1,791 followers View post →
Sociedad Española de Educación Médica
@Sedem_ORG · X

Doi 10.1111/medu.15162

Jul 18, 2023 · 1 like · 775 followers View post →