TY - CHAP M1 - Book, Section TI - Chapter 6. Core Competencies A1 - Sectish, Theodore C. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. Y1 - 2011 N1 - T2 - Rudolph's Pediatrics, 22e AB - In 1910, Flexner issued to the Carnegie Foundation a report on the state of medical education1 that transformed the training of physicians in the United States. Residency training, modeled on the Flexner report, was an apprenticeship in hospitals. Residency training evolved to include structured curricula and specified clinical experiences designed to develop knowledge, skills, and behaviors of physicians within each specialty and general discipline. Over time, the context of training programs changed rapidly as teaching hospitals accomplished their missions of patient care, research, and education while attempting to stay financially solvent in an increasingly competitive medical marketplace. The increasing complexity of patient care and that of the medical care system imposed additional challenges to the environment in which residents were trained. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6736516 ER -