In winter 2020, the Accreditation Council for Graduate Medical Education (ACGME) announced plans for a major revision of the family medicine residency requirements. Over the last year, the specialty has developed its vision for the future of residency education in focus groups and surveys, a national Starfield summit, and this dedicated issue of Family Medicine. The purpose of this paper is to describe this specialty-wide effort and introduce the core questions and the papers in this issue.