We are offering a rationale (this paper is part one of a two part series) and curriculum for teaching three of the core ACGME competencies of interpersonal communications, professionalism, and systems based practice for Anesthesiology Residents and Fellows as well as other specialties. The basic assumption is that without a change in training and preparations we are at risk of not being able to respond with effective leadership to the critical issues facing the practice of medicine. The curriculum is based on an understanding of core attributes that contribute to effective leadership in physicians. It is focused on the role of Anesthesiology as a catalyst for communication, teamwork, and health team leadership. These non-cognitive behaviors and habits are not easily taught in traditional ways and require a new pedagogy and a paradigm shift. An openness to learn new behaviors and skills often thought to be “soft,” or not important in the press to learn clinical skills is suggested. The curriculum is motivational in nature and requires significant participation from faculty willing to be role models and mentors.