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David C. Leach, MD

JAMA. 2002;287:243-244.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Concerns about patient safety, geographic variations in patient care unrelated to medical science, and poor "customer service" for patients have called into question the competence of physicians and the health care systems in which they work.^1-22 Many physicians are unhappy in practice, some feeling that their education has not prepared them to lead complex delivery systems; others, that their values are in conflict with their daily work.^23-26

The Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS) have developed initiatives designed to improve graduate medical education by using educational outcome assessments as an accreditation tool (ACGME) and to strengthen the education of residents and practicing physicians by using assessments that demonstrate achievement of certain competencies (ABMS). Both organizations have agreed on 6 general competencies that frame and to some extent define the substance of medicine independent of specialty and delivery . . . [Full Text of this Article]

Author Affiliation: Accreditation Council for Graduate Medical Education, Chicago, Ill.

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