biostudies-literatureUnknown5(12)El Lakis AACompetency frameworks such as CanMEDS anchor medical training and accountability, yet most validations privilege educators and seldom test whether patients recognize and prioritize the same architecture. We conducted a cross-sectional online survey (February-June 2025) of Lebanese adults (N = 403) to validate, from the patient perspective, the seven CanMEDS roles and to examine sociodemographic moderators of endorsement and rank priorities. A 103-item instrument combined five-point endorsements and forced ranking. Psychometric evaluation used polychoric exploratory factor analysis and confirmatory factor analysis with diagonally weighted least squares; reliability was estimated with Cronbach's α and McDonald's ω. Robust linear regressions (HC4) modeled domain scores, and multinomial logistPLOS global public healthe0005716https://www.ebi.ac.uk/biostudies/studies/S-EPMC12753085biostudies-literaturePatient perspectives on physician competence: Validation of the CanMEDS framework.PMC12753085Salameh PEl Issawi AEl Lakis AAAl Tahan JfalsePatient perspectives on physician competence: Validation of the CanMEDS framework.Competency frameworks such as CanMEDS anchor medical training and accountability, yet most validations privilege educators and seldom test whether patients recognize and prioritize the same architecture. We conducted a cross-sectional online survey (February-June 2025) of Lebanese adults (N = 403) to validate, from the patient perspective, the seven CanMEDS roles and to examine sociodemographic moderators of endorsement and rank priorities. A 103-item instrument combined five-point endorsements and forced ranking. Psychometric evaluation used polychoric exploratory factor analysis and confirmatory factor analysis with diagonally weighted least squares; reliability was estimated with Cronbach's α and McDonald's ω. Robust linear regressions (HC4) modeled domain scores, and multinomial logist2025-01-01T00:00:00Z20252026-06-06T08:22:56.988Z2026-05-27T03:11:48.669ZS-EPMC127530854146845310.1371/journal.pgph.0005716