J. Stewart et al., Clarifying the concepts of confidence and competence to produce appropriate self-evaluation measurement scales, MED EDUC, 34(11), 2000, pp. 903-909
Introduction This paper reviews the literature on self-evaluation and discu
sses the findings of a small-scale qualitative study which explored the ter
ms 'confidence' and 'competence' as useful measures in a self-evaluation sc
ale. Four pre-registration house officers took part in interviews and compl
eted a provisional instrument to assess their perceived competence.
Findings Competence and confidence are useful terms for house officers expr
essing beliefs about their ability to perform their job but the terms shoul
d not be used synonymously. In our study, 'competent' represented what indi
viduals knew about their ability and was based on the individual's previous
experience of the task. 'Confident' described a judgement which influenced
whether an individual was willing or not to undertake an activity. Confide
nce was not necessarily based on known levels of competence and therefore p
erformance of tasks which were unfamiliar to the house officer also involve
d the assessment of risk. The authors give examples of task and skill scale
s which may be useful in the process of self-evaluation by pre-registration
house officers.
Conclusions The authors suggest that the process of assessing oneself is co
mplicated, and by its very nature can never be objective or free from the b
eliefs and values individuals hold about themselves. Therefore self-evaluat
ion instruments are best used to help individuals analyse their work practi
ces and to promote reflection on performance. They should not be used to ju
dge the 'accuracy' of the individual's evaluation.