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Professionalism: The Formation of Physicians

Many people are unhappy with the healthcare system. Patients are concerned about their safety and whether care is appropriate; doctors are frustrated by numerous constraints put on their traditional role as they attempt to determine the best means toward the best ends for individual patients; and all are concerned about the costs of healthcare (Kohn, Korrigan, and Donaldson 2000; Committee on Quality of Health Care in America 2001). In recent years the Accreditation Council for Graduate Medical Education (ACGME), the body that sets standards for and accredits the nation’s 7800 residency programs, has developed an initiative designed to improve graduate medical education by using educational outcome assessments as an accreditation tool.1 Six general competencies have been identied that frame, and to some extent dene, the substance of medicine independent of specialty and independent of delivery model. The six competencies are: