Letters Competency based training

Challenging competency based training

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g4262 (Published 01 July 2014) Cite this as: BMJ 2014;349:g4262
  1. Jim Boddington, GP partner and trainer1
  1. 1Shoreditch Park Surgery, London N1 5DR, UK
  1. jim.boddington{at}nhs.net

I applaud Jonathan Glass’s timely critique of competency based training.1 This fashion in medical education constitutes part of the wider “industrialisation” of medicine: a phenomenon that reduces the complex psychosocial roles of doctors to discrete production line components.2 The selective focus on the measurable, which is inherent in this world view, devalues and marginalises the higher order skills that are essential to becoming a wise, humane, empathic practitioner. …

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