Commentary & Perspectives

Competence Over Time

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  • 1

    Time-based training in ophthalmology is inadequate.

  • 2

    Competence should replace time as a measure of readiness.

  • 3

    CBME emphasizes demonstrated skills over years of training.

  • 4

    Objective assessments are crucial for progress.

  • 5

    Barriers to CBME include resistance to transparency.

  • 6

    Simulation training should be standard.

  • 7

    Early identification of skill gaps is essential.

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