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At the Intersection of Health, Health Care and Policy Cite this article as: Paul Batalden, David Leach, Susan Swing, Hubert Dreyfus and Stuart Dreyfus General Competencies And Accreditation In Graduate Medical Education Health Affairs, 21, no.5 (2002):103-111 doi: 10.1377/hlthaff.21.5.103

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Health Affairs is published monthly by Project HOPE at 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814-6133. Copyright © 2002 by Project HOPE - The People-to-People Health Foundation. As provided by United States copyright law (Title 17, U.S. Code), no part of Health Affairs may be reproduced, displayed, or transmitted in any form or by any means, electronic or mechanical, including photocopying or by information storage or retrieval systems, without prior written permission from the Publisher. All rights reserved.

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Competenc y



General Competencies And Accreditation In Graduate Medical Education
An antidote to overspecification in the education of medical specialists. by Paul Batalden, David Leach, Susan Swing, Hubert Dreyfus, and Stuart Dreyfus
PROLOGUE: Medical educators these days are bombarded with teaching requirements—genetics, ethics, communication skills, molecular medicine, geriatrics, sexual health, and computer literacy, to mention a few. These demands reflect the continued growth in scientific knowledge coupled with society’s expectation that physicians minister to social and psychological as well as physical infirmities. Timely and


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