Objectives-learning outcomes The advanced master's programme aims to train the doctor-specialist to have adequate knowledge and skills to provide high quality patient care in his/her area of expertise. The advanced master's programme also wants to deliver a clinically competent medical specialist who has the attitude of scientific curiosity and inquisitiveness which enables him/her to spontaneously and independently inform him/herself in a subject area which rapidly expands scientifically and technologically. The general competences relate to the social acting as a doctor-specialist within an economically sound framework and taking into account social and ethical aspects of the specialist medical practise. These needs were already translated in the learning outcomes of the medical doctor but they also apply to the follow-on training (traning continuum). The general competences knowledge and science, as in medical acting, will relate to the ability to ask the right questions, to purposefully search for and evaluate the quality of the foundations in literature and to remain aware of the care standards in the subject area. General competences During the advanced master's programme the doctor specialist in training (DST) acquires the necessary scientific knowledge, skills and attitudes for his/her future professional life. These cannot be split from the professional training as legally laid down by the Recognition Committees. Continuation of acquiring medical knowledge (and knowledge of introducing basal sciences in the clinical practise) and insight. Acquire in depth knowledge in the specialism Acquire skills, specific to the specialism Develop problem-solving skills and apply them. Communicate correctly and in a humane-empathic way with the patient and his/her environment Effectively communicate with and report to other specialists and non-medical health workers.   Adequately provide feedback an be able to deal with getting feedback. Be able to participate in clinical scientific research. Interpret, analyse and report the offered scientific knowledge (critical evaluation of literature: Evidence Based Medicine, clinical epidemiology). Found a scientific attitude Participarte in the organisation of health care and in the policy in the specialist department.  The competences per specialism (30 specialisms) are drawn up by the subcommittees specialisms (per goup 1 representative from the specialism per faculty) lead by the VLIR and are expressed in terms of academic and professional competences necessary to practise the specialism. General competences, domain specific competences and learning outcomes are defined per specialism per level. The knowledge, skills and attitudes are defined from the principle of learning outcomes, i.c. "which competences does the DST minimally need to have at the end of his/her training?".