Table 7.

Summary of Assessment Questions and Key Results.

Assessment Questions	Key Results
(1) Are examples of complexity provided?	• All competency frameworks mentioned either patient- or client-centred care; although there were more references to managing the physical aspects of care (as opposed to psychosocial, etc.) • Most competency frameworks had strong references to teamwork and collaboration. • There were few references to system level complexity in competency frameworks.
(2) Are specific clinician attributes described as helpful when managing complexity?	There were a few competency statements that directed clinicians to recognize when a practice situation becomes complex and adapt their thinking or actions accordingly. For example: • MD: “Recognize practice uncertainty and knowledge gaps in clinical and other professional encounters and generate focused questions that can address them” • OT: “Demonstrates situational awareness by continually observing the whole environment, thinking ahead, and reviewing potential options and consequences” • RN: “Communicates effectively in complex and rapidly changing situation”
(3) Is explicit guidance provided for clinicians when managing complexity?	Many statements require clinicians to demonstrate an ‘awareness’ of the concepts related to complexity, such as complex patient needs or organizational cultures of safety, without providing clear direction in terms of how awareness is achieved and reflected in particular skills, behaviours or actions.