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Domain of Competence: Patient Care

      The patient care domain contains the greatest number of competencies of the 7 domains of competence considered by pediatrics. Combined with a historical emphasis on the central nature of patient care to physician practice, it may be tempting to assume the number of competencies in this domain means it is the most important or is sufficient to stand alone. On the contrary, looking beyond patient care to the other domains is essential to meeting the Institute of Medicine goals of providing care that is safe, effective, efficient, patient centered, timely, and equitable.
      • Institute of Medicine Committee on Quality of Health Care in America
      Crossing the Quality Chasm: A New Health System for the 21st Century.
      Further, the competencies in the domain of patient care are far from independent. Indeed, much overlap exists between many of the patient care competencies and competencies in other domains, such as interpersonal and communication skills, professionalism, personal and professional development, and medical knowledge.

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      References

        • Institute of Medicine Committee on Quality of Health Care in America
        Crossing the Quality Chasm: A New Health System for the 21st Century.
        National Academies Press, Washington, DC2001
        • Balmer D.F.
        • Giardino A.P.
        • Richards B.F.
        The dance between attending physicians and senior residents as teachers and supervisors.
        Pediatrics. 2012; 129: 910-915