[COMPETENCE BASED MEDICAL EDUCATION]

Since the 1950s medical education focused on integrated topics across traditional disciplines such as organ systems. In the 1990s competency-based medical education (CBME) was introduced. In a traditional educational system, the unit of progression is time and it is teacher-centered. In a competence-based system, the unit of progression is mastery of specific knowledge and skills and is learner-centered. The CBME movement started to redefine the doctor in more general competency terms. The Canadian and American medical education directives proposed several roles of the doctor including medical expert, professional, communicator, manager, scholar and health advocate.