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The Miller model for assessing competence

Thee Miller Pyramid is an learning model which is particularly relevant to assessing learning oucomes of clinical competence. It was designed for use in health education, but can be applied to other fields of knoweldge too.

The Pyramid is based on progressive development across a range of abilities, measured according to a workplace context.

At the lower levels of the pyramid, the aim is for the students to understand the theory that is the foundation of clinical competence. They develop this understanding from knowledge transmission learning activities, such as lectures, readings, and demonstrations. 

At the upper levels, the aim is for them to integrate the theory (intellectual skills), their psychomotor skills, and professional attitudes, to perform as health professionals in different contexts. 

Adapted from