Domain of Competence: Systems-Based Practice

      Systems-based practice (SBP) is the competency domain that is perceived to be the most abstract. Perhaps this is because it is so foundational to the practice of medicine that it goes unnoticed. The system underlies everything we do as a medical professional. It encompasses the vast array of people, places, resources, and environments in which we care for patients. At the core of SBP is the need to understand complex systems, navigate them for the benefit of patients, and lead or participate in continually improving them. Physicians' knowledge and understanding of the patient, community, and micro- and macrosystems within which they work are integral to optimal care delivery.


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