Natasha N Bray1, Kathryn M Andolsek2, Laura Edgar3. 1. is Associate Dean for Academic Affairs and Accreditation, Oklahoma State University Center for Health Sciences, Chair, Osteopathic Principles Committee, Accreditation Council for Graduate Medical Education (ACGME), and Vice Chair, ACGME Council of Review Committee Chairs. 2. is Professor, Family Medicine and Community Health, and Assistant Dean, Premedical Education, Duke University School of Medicine, and Associate Editor, Journal of Graduate Medical Education. 3. is Vice President, Milestones Development, ACGME.