1. All authors are employed by the Accreditation Council for Graduate Medical Education (ACGME). Ingrid Philibert, PhD, MBA, is Senior Vice President, Field Activities, and Executive Managing Editor, Journal of Graduate Medical Education; John H. Beernink, MD, Barbara H. Bush, PhD, Donna A. Caniano, MD, John J. Coyle, MD, Joseph Gilhooly, MD, Donald E. Kraybill, PhD, David Larson, MD, Mary Catherine