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This presents the interesting conflict between the merits of outcome driven certification of competency and certification based on experience or a combination thereof. To have a checklist of items against which an individual must be assessed - outcomes - is a far more efficient and cost-effective method of being able to determine whether an individual meets a given minimum standard. Indeed, it may even be a very fair system in this regard. This form of assessment, however, can only ever say that, at a certain point in time, a given outcome was capable of being fulfilled.
By comparison, a time-served model brings with it the requirement to have accrued a certain number of hours merely to meet the minima required by the course. With time comes experience and whilst this is not necessarily any guarantor of capability, it indicates a certain depth and breadth has been gained, in addition to the knowledge assessed by outcome driven, single point assessments. I am sure many other students would agree that whilst we may possess some (terrifyingly small amount) of knowledge, we feel most comfortable doing the things we are most accustomed to and not the full range of things we may know how, in theory, to perform.
Such is the advantage of a model partly based at least partially on length of time served and it would be unfair to some medical graduates and the patients they have to serve to remove this from them.