Early this summer, we announced that the Accreditation Council for Graduate Medical Education (ACGME) approved our application for initial institutional accreditation. This designation meant that we could then submit applications for one or more graduate medical education (GME) programs to the specialty-specific Residency Review Committee. On October 26, 2015, we learned that ACGME approved the first of these applications, a residence in surgery. This approval allows us to develop native residency programs to teach the next generations of physicians and provide them with unparalleled opportunities to learn about patient safety, cost containment and population health improvement, preparing them to practice in the era of accountable care. Our plan is to establish the GME programs at AAMC in phases. Phase one will be the surgical residency program, with the fi rst residents beginning in the 2017–2018 academic year. Our next phase will focus on internal medicine, and we will share more information as it becomes available.