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Twenty-one Competencies for
the Twenty-First Century
For a full discussion, see chapter IV of Recreating
Health Professional Practice for a New Century. The Fourth Report
of the Pew Health Professions Commission. December 1998.
- Embrace a personal ethic of social responsibility and
service.
- Exhibit ethical behavior in all professional activities.
- Provide evidence-based, clinically competent care.
- Incorporate the multiple determinants of health in
clinical care.
- Apply knowledge of the new sciences.
- Demonstrate critical thinking, reflection, and problem-solving
skills.
- Understand the role of primary care.
- Rigorously practice preventive health care.
- Integrate population-based care and services into practice.
- Improve access to health care for those with unmet
health needs.
- Practice relationship-centered care with individuals
and families.
- Provide culturally sensitive care to a diverse society.
- Partner with communities in health care decisions.
- Use communication and information technology effectively
and appropriately.
- Work in interdisciplinary teams.
- Ensure care that balances individual, professional,
system and societal needs.
- Practice leadership.
- Take responsibility for quality of care and health
outcomes at all levels.
- Contribute to continuous improvement of the health
care system.
- Advocate for public policy that promotes and protects
the health of the public.
- Continue to learn and help others learn.
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