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Published Online:https://doi.org/10.1176/appi.ps.56.1.28

Introduction by the column editor: In most scientific fields and medical specialties, competency-based training is old hat. Before doctoral candidates can earn their Ph.D., they must produce a research thesis that requires designing a study, recruiting participants, administering tests, delivering an intervention with fidelity, collecting data, reporting results, and defending the thesis. Before they complete a residency in surgery or internal medicine, trainees must be able to conduct patient examinations, make valid diagnoses, and perform procedures with acceptable techniques and outcomes. This month's column proposes recommendations for criterion-referenced methods for ascertaining the skills acquired by psychiatric residents in the psychosocial treatment of persons with schizophrenia.