Domain of competence: Patient care.

From the Boston Combined Residency Program in Pediatrics, Pediatric Emergency Medicine, Boston Medical Center, Boston, Mass (Dr Schumacher); Association of American Medical Colleges, Washington, DC (Dr Englander); Department of Clinical Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa (Dr Hicks); Competency-Based Assessment, American Board of Pediatrics, Chapel Hill, NC (Dr Carraccio); and Office of Graduate Medical Education and Student Affairs, and Department of Pediatrics, Winthrop University Hospital, Mineola, NY (Dr Guralnick) The views expressed in this report are those of the authors and do not necessarily represent those of the Accreditation Council for Graduate Medical Education, the American Board of Pediatrics, the Association of Pediatric Program Directors, or the Academic Pediatric Association. The authors declare that they have no conflict of interest. Publication of this article was supported by the American Board of Pediatrics Foundation and the Association of Pediatric Program Directors. Address correspondence to Daniel J. Schumacher, MD, MEd, One Boston Medical Center Place, Boston, MA 02118 (e-mail: daniel. [email protected]).