The profession of medicine has a unique ethical obligation to ensure that it trains new practitioners to be competent and ready to serve patients who are often in a vulnerable state and unable to assess the competence of the practitioners who are treating them. For many years, the proof of a physician’s competency has been relatively simple and process-oriented—if a physician passed a board exam and/or completed the residency training, then he or she was de facto deemed competent.
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Willoughby et al. (2015) studied this question.