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Commentary: Maintenance of Certification in Psychiatry [CME]
Dr. Ebert: In 1999, the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS), spurred by the beginning of the quality movement in organized medicine in the United States, identified 6 general principles to aid in the organization and assessment of medical education. These general principles were intended to be outcome-oriented, non-negotiable competencies or abilities that are central to medical practice for all specialties.
Two seminal publications from the Institute of Medicine, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, appeared in tandem and facilitated the development of the 6 core competencies, which involve patient care, medical knowledge, interpersonal and communication skills, practice-based learning and improvement, professionalism, and systemsbased practice (Table 1).