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The Accreditation Council for Graduate Medical Education(ACGME) has traditionally focused on compliance with theResidency Review Committee’s essentials of training in the accreditationprocess of residency training programs. However, inresponse to "[c]oncerns about patient safety, geographic variationsin patient care unrelated to medical science, and poor ‘ customerservice’ for patients [that] have called into question thecompetence of physicians and the health care systems in whichthey work,"1(p243) the ACGME launched its Outcome Project.This project resulted in the delineation of 6 general competenciesin medical education: patient care, medical knowledge,practice-based learning and improvement, interpersonal and communicationskills, professionalism, and systems-based practice.’ ‹