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| AMSEC Core Competency Framework Forum Welcome to the AMSEC Core Competency Framework Forum. The purpose of this Forum is to allow you to comment generally on competencies, and to identify any particular aspects that you think may require change. To view content you must be logged in. Please log in above if you are not currently logged in. Click on the headings below to access specific competency categories, each category is subdivided into specific areas where competencies are required. You may comment about any area – just make sure you include the number beside the competency so we can ensure that we identify the right section of the competency. You may attach any documents you think are relevant and useful (eg guidelines, standards, curricula, and particularly assessment suggestions/tools). You are able to add attachments when you click on the “Post Reply” button. A “Level of Practice” has been assigned to each competency, and these are a central strategy for ensuring vertical integration. The levels have been defined:
The AMSEC Core Competency Framework also identifies specific levels of practice for medical graduates / interns undertaking MSK procedural skills. These are defined as:
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A = Core
"that which is common, rather than essential, and that which is essential should be determined within the core. It is mastery of the latter that must be insisted on for safe practice"
B = Advanced important information in the context of general MSK and related practice, but not essential for safe, competent practice at intern level
C = Specialised information that is in general in the domain of specialisation in MSK practice.
Level 0 (Not aware) Highly specialised uncommonly performed procedures
Level 1 (knows of) Outlines very general indications for a procedure - not expected to have seen the procedure performed - exhibits a general awareness
Level 2 (knows how) Outlines at a basic level the performance of a procedure and its indications, common and important complications and general limitations and has seen the procedure performed either on patients or in a presentation
Level 3 (shows how) Outlines the indications, complications and limitations of the procedures, and has had training using cadavers, models, or patients in performing these procedures though they will not be expected to be able to perform these procedures without supervision
Level 4 (does) Performs clinical procedures independently and correctly, knows their associated indications, complications and limitations and recognizes when further consultation or assistance is required
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