Competence and the quality framework.

BACKGROUND: The quality framework developed by The Royal Australian College of General Practitioners is described by Booth in this issue of Australian Family Physician. This article applies the framework to the 'competence' domain. OBJECTIVE: This article explores the key role of competence in the delivery of quality health care. DISCUSSION: Competence is often defined in terms of the individual practitioner and there are various ways to assess attainment and maintenance of clinical competence. Professional competence requires constant attention and redevelopment in a changing clinical environment. Competence in general practice also means an emphasis on teamwork and working in teams requires specific skills sets and a systems approach. Nationally defined competencies impact at the local level in the delivery of services and it is important to be aware of that impact and ensure that standards of high quality health care are maintained and delivered.