The document discusses three domains of learning - cognitive, affective, and psychomotor. The cognitive domain involves thinking and intellectual abilities. The affective domain concerns attitudes, values, and communication. The psychomotor domain emphasizes physical skills and performance. Examples are provided for each domain at different levels of learning progression from basic recall to analysis and creation. A competency is also defined involving professionalism and ethics in examining a patient, with its components and the domains and stages of learning needed to achieve each component.