Introduction : the four foundational professional-development-and-formation goals and their benefits for faculty, staff, and administrators -- A framework for purposefulness to realize the four professional-development-and-formation goals -- Competency-based education as another step toward purposefulness - lessons learned from medical education's fifteen years of additional experience with professional development and formation goals -- Ten principles to inform curriculum development -- Going where each stakeholder is and building bridges among them in order to realize the four professional-development-and-formation goals -- The opportunity to lead