The members of the ACGME Board of Directors are nominated in equal number (four each) by the American Association of Medical Colleges, American Board of Medical Specialties, American Hospital Association, American Medical Association. and Council of Medical Specialty Societies. The Board also includes two resident members, three public members, the chair of the Council of Review Committees, one to four at large directors, and a non-voting federal representative appointed by the Department of Health and Human Services.
The ACGME governance structure also includes a Council of Review Committees, consisting of the chairs of the 28 Review Committees, and a Council of Review Committee Residents, comprising resident members of the Review Committees.
The ACGME has several standing committees: Awards Committee, Executive Committee, Committee on Requirements, Governance Committee, Monitoring Committee, and Strategic Initiatives Committee.