Graduate medical education (GME) as a whole and the ACGME as an organization have been on a remarkable and accelerating path of change. In recent years alone, we have seen the implementation of a new accreditation system; the establishment of resident training milestones; a collaboration with the American Osteopathic Association and American Association of Colleges of Osteopathic Medicine to establish a single accreditation system; and the development and roll out of the Clinical Learning Environment Review (CLER) Program. GME and the ACGME are undergoing these changes concurrently with substantial transformation in the greater health care environment, including expanded access to health care under the Affordable Care Act. We are also adapting to the increasing needs of the public and private insurance market to demonstrate accountability and value in patient care, based in part on the quality and safety of that care. “Imagine the systemic impact of having all of our graduates across disciplines and across the health professions emerge from their training programs as experienced in the tools and methods of quality improvement and the science of patient safety as they are in their clinical specialties.”
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