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    This review synthesizes evidence on clinical competency committees (CCCs), identifying factors influencing their optimal functioning. Understanding CCC structures, processes, and faculty development is crucial for effective resident assessment and program improvement.

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    Area of Science:

    • Medical Education Research
    • Healthcare Quality Improvement
    • Graduate Medical Education

    Background:

    • Clinical Competency Committees (CCCs) are integral to resident assessment in postgraduate training.
    • Existing literature on CCCs is extensive but lacks comprehensive synthesis.
    • Understanding factors influencing CCC effectiveness is vital for optimizing resident evaluation.

    Purpose of the Study:

    • To map existing evidence on CCC faculty development, structures, and processes.
    • To identify barriers, facilitators, and recommendations for optimizing CCC functioning.
    • To provide a foundation for future research and strategic development of CCCs.

    Main Methods:

    • Scoping review of literature.
    • Searches conducted in MEDLINE, Embase, Education Source, and Web of Science.
    • Quasi-statistical content analysis of 39 full-text articles.

    Main Results:

    • Findings categorized into faculty development, CCC structures, CCC processes, and barriers/facilitators.
    • Identified variability in CCC structures and operational processes across programs.
    • Key factors influencing function include data sufficiency, composition, pre-meeting work, data interpretation, and bias.

    Conclusions:

    • Significant variability exists in CCC implementation and operation.
    • Barriers and facilitators to optimal CCC functioning are multifactorial.
    • Findings can inform postgraduate programs, CCC leaders, and accrediting bodies for CCC optimization.