Part of what makes medicine such an engaging career is how the field continuously evolves as we strive to do better for patients. The historic passage of the 2010 Patient Protection and Affordable Care Act, also referred to as the "Accountable" Care Act (ACA), created a renewed focus on quality in health care. With its passage comes an opportunity for individual physicians to redefine their roles within the context of the larger health care system. The six key competency areas expected of a practitioner (http://www.acgme.org/outcome/comp/compmin.asp)—Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-Based Practice—are each infused with issues relating to quality and value. In particular, the domains of Professionalism, Problem-Based Learning and Improvement, and Systems-Based Care involve applying an increased public health, or population, perspective when approaching patients.