Beyond summative decision making: Illuminating the broader roles of competence committees.

Competence committees may be an untapped resource that can support assessment for learning, local evaluation of competency-based medical education (CBME) implementation and continuous quality improvement for programmes of assessment. However, the ability of CCs to engage in this work is fragile and is currently sustained by the willingness of faculty members to devote their time and energy to it. The resourcing of CCs may have profound implications for translation of the theory of programmatic assessment and CBME into practice.