Duvivier, RobbertVeysey, Martin2026-01-012026-01-010308-0110PubMed:27873409ORCID:/0000-0002-8652-0036/work/163627072https://hdl.handle.net/1885/733800893Current tools for clinical assessment are tedious and time-consuming, particularly the dreadful long case. There is a need for novel instruments that incorporate other aspects of competence. We propose such a method, namely the Uh/Um Index. Our innovation paper describes the rationale for using speech dysfluency and occurrences of filler words such as ‘uh’ and ‘um’ as a proxy for competence. This appears to have won initial support from senior clinicians in our institution. Additional research is needed (non-restricted grants are welcomed) to establish rigorous standard setting and to fund our attendance at overseas conferences to make the Uh/Um Index the new buzzword in medical education.4enPublisher Copyright: © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education2016-12-0110.1111/medu.1309184996548986