• Expanding use of evidence to guide medical decisions • Prevention and Health Promotion = everyday patient care • Strategic focus on “non-biologic determinants of health”= poverty, education, housing • Awareness by medical providers about community based resources that enhance care • Health implications of cultural diversity • Global Health opportunities and challenges • Healthcare Reform – leadership of physicians in efforts to reduce costs and improve quality • Physician as Advocate • Addressing the needs of an aging societywith dignity

On June 23, 2010, the Accreditation Council for Graduate Medical Education (ACGME) posted on its web site new program requirements for residency training in the United States. These guidelines were highly anticipated by the academic medical community since they contained the duty hour regulations that would likely frame the work schedules of house staff for the next decade. This expectancy was heightened by the release in 2008 of the Institute of Medicine (IOM) Report – “Resident Duty Hours: Enhancing Sleep, Supervision and Safety.” This report raised concerns that the ACGME 2003 duty hour regulations did not go far enough to ensure the safety of patients and residents. Specifically, the IOM identified research models that found safety gains from more restrictive shift lengths, and highlighted other industries that have aggressively regulated hours at work and at rest.