During the early 1990s, the American College of Preventive Medicine (ACPM),
with support from the Health Resources and Services Administration (HRSA),
identified core competencies and performance indicators (measures to asses
s their achievement) for all preventive medicine residents. After the compe
tencies were approved, distributed by the ACPM and HRSA, and published in t
he American Journal of Preventive Medicine, they were integrated in various
ways into the operation of individual residency programs. Changes in the h
ealth care system during the decade, however, necessitated an update of the
original competencies to better equip preventive medicine educators to pre
pare residents for new roles those in preventive medicine can play in a res
tructured health care system. HRSA funded an effort to produce Version 2.0
of the preventive medicine competencies based on review and refinement of t
he original competencies through a consensus process. This article includes
these revised core competencies and performance indicators. (C) 1999 Ameri
can Journal of Preventive Medicine.