Gersten Jonker

160   Chapter 8 A B FIGURE 1: Acquisition of competence. (a) Acquisition of competence, showing the competence threshold (corresponding to proficiency level IV) and continuing growth of expertise after delegation of a clinical activity. (b) Acquisition of competence for 5 different EPAs. At reaching the competence threshold, an informed and justified delegation decision can be made. Adapted with permission from [20].