ETHICS, ECONOMICS AND OUTCOME: Edited by Stanley RosenbaumAssessment of competence developing trends and ethical considerationsChin, Melissa; Lagasse, Robert S. Author Information Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut, USA Correspondence to Robert S. Lagasse, MD, Professor of Anesthesiology, Vice Chair, Quality Management and Regulatory Affairs, Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, TMP 3, P.O. Box 208051, New Haven, CT 06520-8051, USA. Tel: +1 203 785 2802; fax: +1 203 785 6664; e-mail: [email protected] Current Opinion in Anaesthesiology: April 2017 - Volume 30 - Issue 2 - p 236-241 doi: 10.1097/ACO.0000000000000431 Buy Metrics Abstract Purpose of review This review explores new concepts in competency assessment in anesthesiology, the associated ethical challenges, and directions for new research. Recent findings Many new tools for the assessment of competence are currently in development to address changes in medical education curricula. The assessment of competence currently focuses on technical skills, nontechnical skills, and the interaction of both through the use of simulation, with increasing emphasis on validity and reliability testing. Summary The search for objective measures of competence is well underway. Current methods require substantial investment of resources, and further research into more efficient and financially feasible tools of assessment is needed. As these assessments become more common in use, the ethical challenges raised by defining competency in high-stakes clinical practice situations will need to be addressed. Copyright © 2017 YEAR Wolters Kluwer Health, Inc. All rights reserved.