Keywords: Accreditation Council for Graduate Medical Education; American Society of Anesthesiologists; Association for Hospital Medical Education; Cleveland Clinic; Harvard Macy Institute; Kaplan Leadership Development Award; Next Accreditation System; Ochsner Clinic, University of Chicago; Program Directors Certificate; Society for Education in Anesthesia; Society of Academic Anesthesiology Associations and Perioperative Medicine; Society of Cardiovascular Anesthesiologists; TAGME; Train-the-Trainer; University of Pennsylvania; adult cardiothoracic anesthesiology; burnout; change management; designated institutional official; entrustable professional activities; master’s of education; medical education fellowships; mentorship; program director.