Accredited providers are required to understand the issues with knowledge or competence or performance that underlie a professional practice gap.
The first definition that’s important for the ACCME to share is that our use of competence is in the educational measurement term. Competence is about ability. Competence is what you would do if you could do it. It’s descriptive of strategy. Competence is knowledge put into action; put into action by the learner.
You put competence into action. You put it into practice — that’s performance. Performance implies in practice.
Outcome, patient outcome, research outcome, executive outcome, administrative outcome — those are the consequences in the system, in your stakeholder, in the place of application of your performance. You measure those to determine the impact of the educational intervention.
Here is a video from the ACCME about the use of these terms in accredited CME. (Video)