Abstract
Editor's Note: The ACGME News and Views section of JGME includes data reports, updates, and perspectives from the ACGME and its review committees. The decision to publish the article is made by the ACGME. Underlying the clamor for reform of health care insurance, financing, and delivery is a demand for accountability in medical education. Academic medicine must overcome complexity and inertia to accommodate unprecedented societal expectations for safety, quality, and reliability. To achieve this shift, the academic community must rethink and transform learner supervision, autonomy, observation, and feedback. Deep-rooted logical fallacies impede this transformation. Several key items are discussed in the following sections.
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