Validation of a competence-based assessment of medical students performance in the physicians role

Assessing competence of advanced undergraduate medical students based on performance in the clinical context is the ultimate, yet challenging goal for medical educators to provide constructive alignment between undergraduate medical training and professional work of physicians. To assess different facets of competence expressed in performance, we designed a 360-degree assessment for undergraduate medical students, which simulates a first day of residency in three phases: a consultation hour, a patient management phase, and a patient handover. Different rater groups assessed the participants with four main instruments, which are based on ten facets of competence needed by beginning residents