Med-Peds hospitalist, residency program director, and PhD candidate Dr. Ben Kinnear discusses how time-variable training impacts learning amongst students and residents and the importance of evolving medical training to ensure residents are prepared to provide high-quality care for patients. Is time-variable learning the best path forward for quality medical training? Will unionization of hospitals become the norm in the foreseeable future? Dr. Kinnear walks us through his thoughts on competency-based learning and how it can lead to more effective results for learners.