This fourth edition of the Guide to Medical Education in the Teaching Hospital provides an overview of topics across the medical education continuum that impact hospital medical education. Sixty-two authors contributed 35 chapters to the Guide which is both a primer for the day-to-day challenges of delivering quality medical education and meeting accreditation standards, and an overview of the current status and the future of medical education in the teaching hospitals. Authors include thought leaders from the ACGME, ACCME, and the AAMC, along with many others in the field.