All aspects of health care are under intense scrutiny, none more so than the competence of health care professionals to diagnose and man- age disease. Correctly, patients expect those who minister to them to be competent and properly trained. Concepts of what constitutes a good and a bad doctor vary widely. Good may equate with sympathy, yet sympathy is no sbu- stitute for ability. The question of competence has received relatively scant attention but is now an important issue. Establishing compe- tence requires setting standards an usually setting conditions for maintaining clinical acu- men and ability.
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