Milestone: 1. A stone marker set up on a roadside to indicate the distance in miles from a given point. 2. An important event, as in a person's career, the history of a nation, or the advancement of knowledge in a field; a turning point. 1
Background
The United States health care system and graduate medical education are undergoing intense and inter-dependent transformation. The Institute of Medicine's (IOM) 2001 Crossing the Quality Chasm report2 argued that the U.S. health care delivery system failed to provide consistent, high quality medical care and



