Accreditation Council for Graduate Medical Education

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Accreditation Council for Graduate Medical Education
Key people
Thomas Nasca, Chief Executive Officer
John Ogunkeye, Chief Financial Officer
AffiliationsAmerican Board of Medical Specialties
American Hospital Association
American Medical Association
Association of American Medical Colleges
Council of Medical Specialty Societies
American Osteopathic Association
American Association of Colleges of Osteopathic Medicine

The Accreditation Council for Graduate Medical Education (ACGME) is the body responsible for accrediting the majority of graduate medical training programs (i.e., internships, residencies, and fellowships, a.k.a. subspecialty residencies) for physicians in the United States. It is a non-profit private council that evaluates and accredits medical residency and internship programs. The ACGME was founded in 1981 and was preceded by the Liaison Committee for Graduate Medical Education, which was established in 1972.[1] The ACGME currently oversees the post-graduate education and training for all MD and the majority of DO physicians in the United States.[2] Plans call for the ACGME to oversee the Unified Accreditation System for all MDs and DOs in 2015.[3]

The ACGME's member organizations are the American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges, and the Council of Medical Specialty Societies each of whom appoints four members to the ACGME's board of directors.

In 2014, the ACGME, the American Osteopathic Association (AOA) and the American Association of Colleges of Osteopathic Medicine (AACOM) announced an agreement to pursue a single, unified accreditation system for graduate medical education programs in the United States beginning in 2015. Plans call for the ACGME to accredit all osteopathic graduate medical education programs by July 1, 2020.


The Clinical Learning Environment Review project promotes patient safety, quality during changes in care, appropriate supervision of care, managing fatigue of residents, and increasing the professionalism of physicians.[4]

By June 30, 2020, all US residency programs will be ACGME-accredited. Before this date, only MD residencies were ACGME-accredited, while DO residencies were AOA-accredited.

Outcome Project[edit]

The Outcome Project began in 2001 with a set of assessments for measuring physician competence.[5] By 2009, it was recognized that ACGME measurements could not reliably be evaluated independently of each other and instead should be used together and with other measurements.[6]

The ACGME introduced milestones in internal medicine, pediatrics, and surgery for assessing progress of residents toward the six identified competencies.[7] Milestones can be evaluated by numerous methods ranging from direct observation of clinical encounters to medical simulation.[7][8]


Awards handed out by the ACGME include the David C Leach award and Palmer award.[9][10][11] Many of the awardees have notably earned multiple national level awards including both ACGME and American Medical Association award recognition.[12]

See also[edit]


  1. ^ "ACGME". Accreditation Council for Graduate Medical Education. Archived from the original on 13 August 2007. Retrieved 2007-08-18.
  2. ^ Salsberg, Edward. Testimony to United States House of Representatives Committee on the Judiciary Subcommittee on Immigration, Border Security, and Claims. Archived September 13, 2007, at the Wayback Machine Association of American Medical Colleges. accessed Oct 2007.
  3. ^ M.D.s and D.O.s Moving toward a Single, Unified Accreditation System for Graduate Medical Education By Accreditation Council for Graduate Medical Education
  4. ^ Weiss, Kevin B.; Wagner, Robin; Nasca, Thomas J. (2012). "Development, Testing, and Implementation of the ACGME Clinical Learning Environment Review (CLER) Program". Journal of Graduate Medical Education. 4 (3): 396–398. doi:10.4300/JGME-04-03-31. ISSN 1949-8349. PMC 3444205.
  5. ^ Swing, Susan R.; Clyman, Stephen G.; Holmboe, Eric S.; Williams, Reed G. (2009). "Advancing Resident Assessment in Graduate Medical Education". Journal of Graduate Medical Education. 1 (2): 278–286. doi:10.4300/JGME-D-09-00010.1. ISSN 1949-8349. PMC 2931233.
  6. ^ Lurie, SJ; Mooney, CJ; Lyness, JM (March 2009). "Measurement of the general competencies of the accreditation council for graduate medical education: a systematic review". Academic Medicine. 84 (3): 301–9. doi:10.1097/acm.0b013e3181971f08. PMID 19240434.
  7. ^ a b Holmboe ES, Yamazaki K, Edgar L, Conforti L, Yaghmour N, Miller RS, Hamstra SJ (September 2015). "Reflections on the First 2 Years of Milestone Implementation". J Grad Med Educ. 7 (3): 506–11. doi:10.4300/JGME-07-03-43. PMC 4597976. PMID 26457171.
  8. ^ Isaak RS, Chen F, Martinelli SM, Arora H, Zvara DA, Hobbs G, Stiegler MP (June 2018). "Validity of Simulation-Based Assessment for Accreditation Council for Graduate Medical Education Milestone Achievement". Simul Healthc. 13 (3): 201–210. doi:10.1097/SIH.0000000000000285. PMID 29373383.
  9. ^ "Archived copy" (PDF). Archived from the original (PDF) on 2011-03-22. Retrieved 2011-03-10.CS1 maint: Archived copy as title (link)
  10. ^
  11. ^
  12. ^ "Archived copy" (PDF). Archived from the original (PDF) on 2011-09-28. Retrieved 2011-04-06.CS1 maint: Archived copy as title (link)

External links[edit]