ACGME Accreditation Council for Graduate Medical Education

Selection Process

Description of Review Committees:  There are three types: the Residency Review Committee (RRC), the Transitional Year Review Committee (TYRC), and the Institutional Review Committee (IRC). Each committee sets accreditation standards, provides peer evaluation of programs or institutions to assess the degree to which the program or institution complies with the published set of educational standards, and confers an accreditation status for programs and institutions meeting those standards.   

Composition:  RRCs are composed of physician members, at least one of whom is a resident at the time of appointment.  Members (except the resident member) are nominated by RRC ‘appointing organizations’ and confirmed by the ACGME Board of Directors. The current appointing organizations are the American Medical Association’s Council on Medical Education, the ABMS specialty board that certifies physicians within the specialty, and in most cases, the professional college or other professional organization or society associated with the specialty.   

The IRC and TYRC are composed of voting members, including a resident member, appointed by the ACGME Board of Director’s Executive Committee and confirmed by the ACGME Board of Directors. 

Appointment of non-resident RRC Members: The process takes about 18 months from start to finish. Each appointing organization provides at least two candidates for each vacant position; the RRC selects one candidate based on professional qualifications, geographic distribution and diversity in gender, race, and ethnicity to recommend for confirmation to the ACGME Board of Directors.  Qualifications include:  

  • ABMS certification (except resident members) 
  • Actively involved in GME 
  • Substantial experience in the administration and/or teaching in the specialty (e.g., program director, active faculty member, or participating site director) 
  • Knowledge of the accreditation process 
  • Association with a program in good accreditation standing (i.e., does not have probationary status).

Resident members must be enrolled in a residency or fellowship program at the time of appointment, may not serve on a review committee if they are from the same institution as a current member, and may not serve more than one year beyond completion of residency or fellowship. The resident term is a minimum of one year; reappointment is permitted.

Individuals who meet the qualifications and are interested in serving on a Review Committee should indicate their interest to the one of the specialty specific appointing organizations.

Appointment of non-resident IRC and TYRC Members: The process takes about 18 months. Candidates are solicited from ACGME member organizations (AAMC, ABMS, AHA, AMA, CMSS), ACGME Board of Directors, Council of Review Committee Chairs, and the GME community at large, and for the resident member, resident organizations recognized by the ACGME.  Qualifications include:  

  • Association with an institution that holds initial accreditation or continued accreditation 
  • Familiarity with the institutional review process and the institutional requirements 
  • Experience with or current responsibility for implementation of the standards 
  • Experience in institutional administration, institutional oversight, and/or institutional review.  

Resident members must be enrolled in a residency or fellowship program at the time of appointment, may not serve on the TYRC or IRC if they are from the same institution as a current member, and may not serve more than one year beyond completion of residency or fellowship. The resident term is a minimum of one year; reappointment is permitted.

Appointment of Resident Members:  The appointment process begins about 14 months before the new member’s term begins in July. The Review Committee Executive Director requests submission of nominees either through the ACGME e-Communications and/or via letter to the professional organizations that have resident groups.  Information in the request includes: 

  • Qualifications (e.g., resident must be in good standing and in a program with good accreditation status) 
  • Responsibilities 
    • Participates as a full voting member in all Review Committee activities, including program review and policy discussion  
    • Is subject to ACGME policies of confidentiality, conflict of interest, and fiduciary responsibility 
    • Must attend all meetings 
  • The time commitments need before and during each meeting.

Resident members are also members of the ACGME Council of Review Committee Residents (CRCR). The CRCR meets twice each year;  it advises the ACGME Board, providing valuable input and feedback about resident matters, GME, and accreditation.

The content of the nomination documents vary slightly by Review Committee, but usually includes:

  • A letter for recommendation
  • A statement of support from the program director
  • Curriculum vitae
  • Letter from the resident outlining his/her educational goals, professional interests and intent to serve, if selected.

Similar to the process of selecting non-resident members, the Review Committees review the nomination documents and select one candidate to recommend for confirmation by the ACGME Board of Directors. Once confirmed, the Review Committee Executive Director notifies the resident.