title: The seventh competency.
abstract: BACKGROUND
  Disclosure of error is gaining acceptance as an ethical imperative in health care. Despite this, residency training programs do not commonly address this in their curricula, and competence in the identification and disclosure of adverse events and medical error is typically not assessed.
  
  
  CONCLUSIONS
  Although aspects of the identification, disclosure, and apology for medical error can be subsumed under existing competencies, the skills required in this area are in many ways fundamentally different from anything else physicians are taught.
  
  
  CONCLUSIONS
  We propose that the identification of medical error recognition and disclosure be recognized as a seventh core competency and we suggest that residency program directors be invited to develop innovative approaches to teaching and assessing competence in this area. This will benefit training programs, residents, and ultimately society and the patients that we serve.
authors.affiliation: Department of Medicine, School of Medicine, Johns Hopkins University, 4940 Eastern Avenue, Baltimore, MD 21224, USA. ccristm@jhmi.edu
authors.forename: Colleen
authors.initials: C
authors.lastname: Christmas
authors.forename: Roy C
authors.initials: RC
authors.lastname: Ziegelstein