Graduate medical education program directors face new challenges as the Accreditation Council of Graduate Medical Education (ACGME) modifies curriculum standards. Current standards require “a formally-structured educational program in clinical and basic sciences related to the subspecialty,” and these requirements involve training in areas beyond direct patient care.1 Similarly, the American Board of Pediatrics (ABP) has expanded curriculum requirements for fellowship training,2 and the Federation of Pediatric Organizations has added that training in scholarship, core competencies, and skills in lifelong learning and teaching also should be incorporated.
