“…In a profession, competency also connotes that behaviors are carried out in a manner consistent with standards and guidelines of peer review, ethical principles, and values of the profession, especially those that protect and otherwise benefit the public. Proctor (1991) and Reilly, Barclay, and Culbertson (1977) summarized the elements of competency to include what a person brings to a job or role (knowledge), what the person does in the job or role (performance), and what is achieved by the person in a job or role (outcomes). More recently, Epstein and Hundert (2002) described professional competency as the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice for the benefit of the individual and community being served.…”