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purpose midwifery education produce clinically competent midwives however clinical training malawi faces multiple challenges concept clinical competency cc analysed context article analyses cc undergraduate midwifery training malawi elucidate attributes antecedents consequences empirical referents literature search performed data bases google scholar pubmed cinahl using following terms clinical competency midwifery competency nursing competency nursing midwifery competency published articles retrieved clinical competency analysis guided walker avants strategy cc attributes knowledge skills attitudes performance level professionalism entrustable professional activity antecedents included motivation role models learning environment personal traits consequences cc include confidence client safety quality care cc measured combination four strategies observing student practising clinical area simulation objective structured clinical examination osce application written essays case presentations knowledgebased assessment cc multidimensional concept definition defining attributes contextual similarly clinical competencies major determinant educational decisions curriculum nucleus length clinical placement teaching strategies student assessment methods however cc attributes fully utilised malawi especially clinical teaching student clinical assessments need adequately prepare midwifery educators clinical staff students deliver quality clinical competencies consistent competencybased education adoption different assessment strategies development valid reliable tools necessary comprehensively measure cc among midwifery students malawi