to improve quality of hospice and palliative medicine education of your trainees at all levels. In 2009, the Accreditation Council for Graduate Medical Education (ACGME) began a multiyear process of restructuring its accreditation system to be based on educational outcomes in the six domains of clinical competencies: patient care, medical knowledge, systems-based practice (SBP), practice-based learning and improvement (PBLI), professionalism and interpersonal skills, and communication. The result of this effort is the Next Accreditation System (NAS), which aims to (a) enhance the ability of the peer review system to prepare physicians for practice in the 21st century, (b) accelerate the ACGME’s movement toward accreditation on the basis of educational outcomes, and (c) reduce the burden associated with the current structure and process-based approach. Hospice and palliative medicine (HPM) training programs are uniquely situated to become early adapters of the NAS as (a) we have developed a set of peer reviewed core HPM competencies by a national consensus process, (b) the fellowship programs in HPM are in their infancy and thus easily able to adapt the training to be competency based, and (c) the field of HPM naturally lends itself to impart PBLI, SBP, and communication skills to doctors in training in a variety of venues. This skill-oriented session is specifically aimed at multidisciplinary palliative care educators (from nursing, social work, psychology, chaplaincy, and medicine) who work with doctors in training at all levels. We propose to engage the participants in an important conversation of how best to leverage the NAS and use this new national training imperative to engage your local graduate medical education and institutional leadership in promoting palliative care training and practice within your institution. Participants will leave the session with at least three effective strategies to implement immediately in their home institutions.