TY - JOUR T1 - Pandora JF - British Journal of General Practice JO - Br J Gen Pract SP - 721 LP - 721 VL - 54 IS - 506 A2 - , Y1 - 2004/09/01 UR - http://bjgp.org/content/54/506/721.abstract N2 - In my foolishness I once held the post of a parent governor at my child's school. The singularly most useful experience in the entire 4 years was the discovery of the following concept — that there are four states of competency/consciousness:Unconsciously incompetentConsciously incompetentConsciously competentUnconsciously competentAs a part-time GP of 15 years' standing (well, sitting down mostly, as my derrière can pay tribute to) a husband and three children to my credit, a home to manage and multiple interests outside medicine, I am able to say without any shadow of a doubt that I am most definitely unconscious.But unconsciously what? Competent? Incompetent? A bit of both? Enough of one but not too much of the other? Who knows? Well, my appraiser would. My uncertainty … ER -