Surgical residents training at Wright State University in Dayton, Ohio have recently formed a new organization within 1 of their major teaching hospitals; this group's formation illustrates the practical application of several goals of residency training. Several years ago, the Accreditation Council for Graduate Medical Education (ACGME) established 6 general competencies in keeping with its mission to ensure and to improve the quality of graduate medical education as well as to ensure that physicians who graduate from training programs are adequately prepared to practice medicine in the changing health-care delivery system.1 Before the implementation of these general competencies, similar practical residency evaluation tools had domains important to successful surgical resident performance.2 These tools may have been effective in the evaluation of residents within a single training program; however, these evaluation tools were not mandatory and were program-specific. The ACGME outcomes project represented a standardization for all training programs on which accreditation of programs now depends. Residencies have been forced to adapt to the changing climate of resident education to meet the ACGME's requirements. In the past, application of the general competencies has been accomplished through slight modifications of existing educational conferences, including morning report and Morbidity and Mortality conferences.3 and 4 Although organizations similar to the Trauma Support Group may exist in other surgical training programs, the application of the ACGME's general competencies for residency training has not been illustrated by the establishment of an organization formed by surgical residents.