Achieving alignment in graduate medical education to train the next generation of healthcare professionals to improve healthcare delivery.

Medical training is increasingly focused on the need to improve healthcare delivery. To succeed in this endeavor, teaching hospitals should align their educational and clinical operations. This article discusses recent innovations and emerging strategies in medical training across three key components for achieving alignment: (1) bridging educational and clinical priorities; (2) developing curricula to support alignment; (3) and fostering resident-led programs that lead to systems change. Understanding the current landscape of educational and operational innovations across clinical learning environments can help health system leaders and medical educators work together to implement cohesive programs that achieve all of these key components.