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Monitor Our Progress

Single GME Accreditation System

On February 26, 2014, the ACGME, American Osteopathic Association (AOA), and American Association of Colleges of Osteopathic Medicine (AACOM) announced their agreement to a Memorandum of Understanding (MOU) outlining a single graduate medical education accreditation system in the United States. The single GME accreditation system allows graduates of allopathic and osteopathic medical schools to complete their residency and/or fellowship education in ACGME-accredited programs and demonstrate achievement of common Milestones and competencies.

Read the Executive Summary of the MOU to learn more about the agreement.

Learn more about osteopathic medicine in this presentation by Osteopathic Principles Committee Chair Robert Cain, DO, entitled “Osteopathic Way.”
To access the presentation, register for a free account in the ACGME’s Bridge learning management system. Visit the Bridge Self-Registration Portal to create a user account. After creating an account, go to the Learning Library to access the presentation. If you already have a user account with Bridge, you can log into the system here. E-mail questions about Bridge to de@acgme.org.

Progress Toward a Single GME Accreditation System


  1. The ACGME bylaws and the policies and procedures have been changed to allow for a new governance structure and other changes brought about by the MOU.

  2. The AOA and AACOM are member organizations of the ACGME.

  3. Four new directors were appointed to the ACGME Board of Directors; two each from the AOA and AACOM. Two additional directors will be added from each of these organizations prior to June 30, 2020.

  4. The AOA is a nominating organization to all ACGME Review Committees where AOA-approved program applications are anticipated during the transition to a single GME accreditation system. For each of those committees, osteopathic physicians were nominated, were approved by the ACGME Board of Directors, and are now serving as Review Committee members. Learn more about the Review Committee nomination process.

    Review Committee members are listed in the Review Committee Members and Staff section of each specialty’s section of the ACGME website.

  5. A new (core) specialty of Osteopathic Neuromusculoskeletal Medicine (ONMM) was added, along with a Review Committee for Osteopathic Neuromusculoskeletal Medicine.

  6. The Osteopathic Principles Committee (OPC) was formed, and Osteopathic Recognition was defined to identify ACGME-accredited programs providing training in Osteopathic Principles and Practice. Learn more about Osteopathic Recognition.

  7. AOA Sponsoring Institutions began applying for ACGME accreditation under the under the terms of the MOU on April 1, 2015. Review Sponsoring Institutions that have applied for and achieved ACGME accreditation here.

  8. AOA-approved programs began applying for ACGME accreditation under the terms of the MOU on July 1, 2015. Review programs that have applied for and achieved ACGME accreditation here.

  9. ACGME-accredited and pre-accredited programs began applying for Osteopathic Recognition on July 1, 2015. Review programs that have applied for and received Osteopathic Recognition here.
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