Domain of competence: Personal and professional development.

From the Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, The Children’s Hospital of Philadelphia, Philadelphia, Pa (Dr Hicks); Boston Combined Residency Program in Pediatrics, Pediatric Emergency Medicine, Boston Medical Center, Boston, Mass (Dr Schumacher); Graduate Medical Education and Student Affairs, Winthrop University Hospital, and Office of Graduate Medical Education andStudent Affairs, andDepartment of Pediatrics,WinthropUniversity Hospital, Mineola, NY (Dr Guralnick); CompetencyBased Assessment, The American Board of Pediatrics, Chapel Hill, NC (Dr Carraccio); and Wright State University Boonshoft School of Medicine, Dayton, Ohio (Dr Burke) 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 Patricia J. Hicks, MD, MHPE, The Children’s Hospital of Philadelphia, 34th & Civic Center Blvd, Philadelphia, PA 19104 (e-mail: [email protected]).