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Am J Med Sci. 2017 Feb;353(2):126-131. doi: 10.1016/j.amjms.2016.12.001. Epub 2016 Dec 30.

Graduate Medical Education-Accelerated Change.

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Office of Graduate Medical Education, East Tennessee State University, Johnson City, Tennessee. Electronic address:
Office of Graduate Medical Education, Texas Tech University Health Sciences Center, Lubbock, Texas.


Graduate medical education (GME) is a critical link in the educational chain for physicians. Graduating from a strict apprenticeship model, GME has become a highly structured educational system whose peer-review organization provides an intentional and direct approach to ensuring that GME not only addresses the public's expectations of the profession but also positions itself to be a foundational structure in the outcomes-focused healthcare environment of the nation. GME is currently in a state of accelerated change-grounded in both educational and patient outcomes. This article provides an update on the significant changes that have occurred in GME over the past 10 years, a review of current initiatives and the perspectives related to educating physicians-in-training. Additionally, an analysis is provided on the future of GME, including areas of continued focus and uncertainty.


Accreditation Council for Graduate Medical Education; Duty hours; Graduate medical education; Workforce

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