Domain of competence: Professionalism.

From the Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, The Children’s Hospital of Philadelphia, Philadelphia, PA The views expressed in this report are those of the authors and do not necessarily represent those of the Accreditation Council for Graduate Medical Education, the American Board of Pediatrics, the Association of Pediatric Program Directors, or the Academic Pediatric Association. The author declares that he has no conflict of interest. Publication of this article was supported by the American Board of Pediatrics Foundation and the Association of Pediatric Program Directors. Address correspondence to Stephen Ludwig,MD, Department of Pediatrics, The Children’s Hospital of Philadelphia, 34th &Civic Center Blvd, Philadelphia, PA 19104 (e-mail: [email protected]). Received for publication November 6, 2013; accepted November 6, 2013.