Health care delivery is a concerted and systematic
process. Multiple factors influence the effectiveness and
outcome. Personnel like physicians, nurses, paramedics;
resources and facilities available and efficient
management are the major determinants . No doubt skill
and competence of the working physician remains at
the centre of all activities pertaining to health care
delivery to the people. Teaching and training of graduate
and post-graduate students should therefore intend to
defining and achieving required competencies of a
physician to deliver patient care in a suitable setting.