In one of the final sessions at the 2018 Annual Educational Conference on Sunday, March 4, a panel of ACGME executives, deans, a patient safety expert, and a resident spoke to the crowd about how medicine is changing and graduate medical education may need to evolve to serve patients well into the 21^st century.

ACGME President and CEO Dr. Nasca kicked off his Saturday morning session at the Annual Educational Conference with some “non-rhetorical” questions: Can anyone predict what the health care system will look like in 2035? Can anyone predict how long your residents will practice? 40 years?

After stumping the room, he went on to explain that it is our job is to prepare residents to practice in the future—not to arm them with practices, skills, and knowledge of the present. We want our residents to be prepared not just for 2018 but for 2035—and beyond.

Jamie Dow, EdM, is assistant director for resident education and training at the University of Florida. Her poster, Mindfulness in Neurosurgery: Improving Neurosurgeon Wellness in Training and Beyond (with co-authors W. Christopher Fox, MD, Associate Program Director, University of Florida, and Gregory Murad, MD, Program Director, University of Florida), looked at wellness in neurosurgery, which Dow says “has traditionally been considered an oxymoron.” However, as priorities among neurological surgery residents evolve and the effects of physician burnout are increasingly recognized across specialties, life balance and overall well-being have become areas of emphasis and an opportunity for program improvement.

For the first time since 2012, the ACGME today presented the John C. Gienapp Distinguished Service Award to Timothy C. Flynn, MD, FACS. The award is named for Dr. John Gienapp, who was the ACGME’s Executive Director for 19 years. Dr. Gienapp made several important contributions to GME and ACGME accreditation, and when he retired this award was established in his honor to recognize those who, like himself, dedicated themselves to a career in graduate medical education and made outstanding contributions to residency education and ACGME activities in a variety of ways.

Linda B. Andrews, MD joined the ACGME leadership team in February 2019 as the new Senior Vice President, Field Activities. We chatted with Dr. Andrews to learn more about her background and her vision for Field Activities at the ACGME.

As a new academic year approaches, it is important to continue breaking the silence surrounding clinician burnout. During a highly emotional and personal panel discussion at the 2019 ACGME Annual Educational Conference in March, Dr. Nasca and colleagues from other national organizations in medicine discussed how burnout and self-doubt touched their lives. Influenced by those experiences and others throughout his career, Dr. Nasca has positioned the ACGME to help lead the charge to address physician well-being.

The ACGME has been working with Chicago-based Hope For The Day for over a year, and we are thrilled to announce the ACGME is now a Hope For The Day Partner in Prevention, actively working towards mental health education and proactive suicide prevention.

With overdose as the leading cause of death for Americans under 50, it is imperative that the nation—including the entire medical community—take responsibility for its role in creating this epidemic and identify and enact strategies that can address it. This is Dr. Leana Wen’s position. The former Baltimore Health Commissioner and current president of Planned Parenthood spoke about the steps she and the City of Baltimore took to address opioid addiction in the community, and what role she sees physicians playing in solving this problem that is devastating the nation.

Associate Program Director Kimberly Collins, MD of Johns Hopkins All Children's Hospital in Saint Petersburg, Florida set out to see how simulating conversations about social determinants of health (as opposed to in-class learning or immersion-based training) affected a resident’s or fellow’s ability to broach and explore these complex, often sensitive, subjects with patients and their parents. Her results are recorded in her poster: Improving Resident Comfort with Discussing Social Determinants of Health through Simulation.

Jamie Arsenyevictz, MPH, led a team at Geisinger Health System to develop a GME analysis tool, leading to the development of shared language and knowledge surrounding GME finance and value between the GME Office and Geisinger leadership.