Domain of competence: Systems-based practice.

From the Office of Graduate Medical Education and Student Affairs, and Department of Pediatrics, Winthrop University Hospital, Mineola, NY (Dr Guralnick); Perelman School of Medicine, University of Pennsylvania, and Children’s Hospital of Philadelphia, Philadelphia, Pa (Dr Ludwig); and Association of American Medical Colleges, Washington, DC (Dr Englander) 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 authors declare that they have 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 Susan Guralnick, MD, 222 Station Plaza N Suite 510, Mineola, NY 11501 (e-mail: [email protected]).