"Miller’s pyramid of describes the competences identified for the healthcare education specially. It is useful for mapping assessment methods (Miller 1990). Competence indicates what people can do in a contextual vacuum, under perfect conditions. This might be evident using controlled assessment methods. Performance, however, indicates how people behave in real life, on a day-to-day basis. Figure 1 shows five levels of Miller’s pyramid model, however Table 2 classify assessment methods for every of these levels."
Via Alfredo Calderón, juandoming