Commentary & Perspectives

Competence Over Time

Should time really surpass competence when it comes to ophthalmology training?

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Ophthalmology training currently relies heavily on time as a measure of competence, leading to disparities in trainee proficiency. Traditional methods, despite historical roots, are insufficient in today's context of high patient safety expectations and limited resources. Competency-Based Medical Education (CBME) proposes a shift towards demonstrable skills rather than mere time served, emphasizing objective performance metrics. This change aims to ensure that trainees are ready before operating, addressing the variability and potential risks associated with the apprenticeship model. The article underscores the need for structured assessments and flexibility in trainee progression to enhance safety and efficacy in ophthalmic surgery.

Original Source(s)

Competence Over Time

Should time really surpass competence when it comes to ophthalmology training?

  • by Ann Sofia Skou Thomsen, Lars Konge

  • February 23, 2026

  • 5 min

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