Trained to Be Certain: How Competency Frameworks Are Producing Physicians Ill-Equipped for the Unknowable
Medical schools across the United States have invested heavily in competency-based education, producing graduates who can demonstrate mastery across defined clinical domains. Yet a growing body of evidence suggests these same physicians falter when the clinical picture refuses to conform to a textbook framework. This article examines why tolerance for uncertainty must move from the margins of medical training to its very center.