It also comprises measurement and formal recognition of actual competence or implicit knowledge" [ 2] p94.
However, the status of ICM within the medical community must definitely be improved, for example by recognition of special ICM competence (by defining quality standards as well as by creating professional structures which offer acceptable job prospects).
In their study of the impact that race and gender have on science identities, Carlone and Johnson (2007) utilize a science identity model, which includes indicators of competence, performance, and recognition, upon which students must rate themselves and be rated by others as a "science person" in order to demonstrate a strong science identity.
It also requires recognition of one's limitations and areas of competence, and is an individual and subjective process.
The GMC's tests of competence have gained worldwide recognition as valid and reliable assessment tools of clinical performance [ 9].
"All showed evidence of the same problems of poor clinical competence, insufficient recognition of risk, inappropriate pursuit of normal childbirth and failures of team-working," Kirkup said.
Although there is wide recognition of the fact that professional competence is context-dependent, this aspect has so far been neglected in assessment of GP communication with patients in authentic consultations [ 6, 7, 10, 11].
This principle does not mean that professions should cease to exist, rather that state recognition and monitoring should be based on the levels of competence and risk, rather than historic professional 'bundles' of skills.
The desired level of competence consisted in acquiring technical skills (the recognition of the LUS signs and the different patterns) and in making the correct focused diagnosis.
There is a growing recognition that competence is not a question of all or nothing but is spread across a wide continuum [ 71].
