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Article Abstract

Dr. Ebert: In 1999, the Accreditation Council for Graduate MedicalEducation (ACGME) and the American Board of Medical Specialties(ABMS), spurred by the beginning of the quality movement in organizedmedicine in the United States, identified 6 general principles to aid in theorganization and assessment of medical education. These general principleswere intended to be outcome-oriented, non-negotiable competenciesor abilities that are central to medical practice for all specialties.

Two seminal publications from the Institute of Medicine, To Err IsHuman: Building a Safer Health System and Crossing the Quality Chasm:A New Health System for the 21st Century, appeared in tandem and facilitatedthe development of the 6 core competencies, which involve patientcare, medical knowledge, interpersonal and communication skills,practice-based learning and improvement, professionalism, and systemsbasedpractice (Table 1).