Miller's Triangle of Clinical Competence

Miller's Triangle looks at clinical competence, again starting at the base and moving towards the peak as skills develop.

In every step the underlying level is the building block for the next level.

Miller's Triangle

  1. Knows: This is the knowledge one must have to be able to fulfill future tasks (within a competence). Evidence for this level can be sharing knowledge or formally testing theory.
  2. Knows how: This level indicates whether the student knows how to use the
    knowledge. Evidence for this level can also be sharing knowledge or formally testing theory.
  3. Shows how: The student is able to show that he can perform a skill (based on his knowledge). Evidence for this level can be demonstrating the skill with peers.
  4. Does: This is acting independently in the complex situation of an everyday
    context. Evidence for this level is showing in this context that one is able to conduct this competence in a complex everyday situation.

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