The focus of training in a competency-based residency program is on
ensuring that all residents attain prespecified levels of competence for
particular objectives in each training activity. The authors examine the
components of a competency-based program and describe the phases of
development that their department went through in creating such a program.
They conclude that the competency-based training model directly faces the
issue of certifying competence by holding itself accountable in a
demonstrable way for ensuring that its residents have mastered specific
areas of knowledge, skills, and attitudes.