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Domain of Competence: Medical Knowledge

Englander R, Carraccio CL
Academic Pediatrics
Pub Med #: 

Imagine a delineation of physician competencies as recently as 25 years ago. Most prominent would have been those related to medical knowledge. Operating in a Flexnerian1 world, knowledge was valued above all else in evaluating both the learner and the teacher. Hodges2 articulates this concept well in describing the prevailing competence discourse at the time as knowledge discourse, focusing on facts, foundational knowledge, basic science, and fund of knowledge. The learner was guided by classic textbooks and articles and evaluated through multiple-choice tests.