ambulatorymedicalcare clinicalcompetence competency-basededucation corecompetencies education etc handbooks in-servicetraining internshipandresidency manuals medical medicaloffices medicine methods physicians'offices preceptorship psychiatrichospitals psychiatrists psychiatry psychotherapy research standards studyandteaching studyandteaching(preceptorship) trainingsupport unitedstates wm18r4331979 wm21l723b1980