 Miller's prism of clinical competence, where we have the domains arranged as the second dimension in this pyramid, that is knowledge, skills and attitude. But the basic dimension of this prism is knows, knows how, shows and does. In knows, there will be fact gathering and knows can be assessed using traditional true or false or MCQ type of assessment. In knows how, there will be interpretation or application through case presentations, essays, extended matching type MCQs. Shows, that is, in this stage they have the competence of demonstration of learning. This can be assessed via simulations and askies. And does, where the performance is integrated into practice, this can be assessed using direct observation, workplace based assessment. The base of this Miller's prism of clinical competence is know ways and through professional authenticity, he becomes an expert when he reaches the tip of this prism.