Review and Comment: Proposed Program Requirements
The following Program Requirements and accompanying Impact Statements are posted for review and comment, here:
Comment Deadline: July 30, 2025
Common Program Requirements (Interim Revision)
NEW! Family Medicine Data Entry
Family medicine programs can now input data via the ACGME Case Log System. Programs must verify that data has been entered for all residents and that graduating residents are marked as complete the Resident Roster in the Accreditation Data System (ADS) by August 1, 2025.
A tutorial video and FAQs are available on the Documents and Resources page in the Family Medicine section of the ACGME website.
NEW! Otolaryngology – Head and Neck Surgery International Rotation FAQs
FAQs on international rotations in neurotology,otolaryngology – head and neck surgery, and pediatric otolaryngology are available on the Documents and Resources page in the Otolaryngology – Head and Neck Surgery section of the website.
Email questions to Accreditation Administrator Deanna Eallonardo.
NEW! Hand Surgery (Plastic Surgery) Case Log Update
Effective now and retroactively for Academic Year 2024-2025, hand surgery (plastic surgery) cases will be reported by procedure, which will count multiple procedures performed during a single case. This change will enable all tracked CPT codes entered into the Accreditation Data System (ADS) and the Case Log System to be reflected in ADS reports.
Contact Review Committee staff members (contact details are on the Plastic Surgery section of the website) with questions.
NEXT MONDAY! Upcoming Major Revision of Program Requirements for Emergency Medical Services
The Review Committee for Emergency Medicine invites comments related to specific requirements or topics that should be addressed as revisions are developed. In particular, the Review Committee invites comments related to what the subspecialty will look like in the future, and the competencies, resources, and personnel necessary to create physicians who will practice in this subspecialty.
Changes to the ACGME Common Program Requirements are not within the purview of the Review Committee and, therefore, comments related to Common Program Requirements, indicated by bold font in the Requirements document, should not be submitted and will not be considered.
Access the requirements on the Program Requirements and FAQs and Applications page of the Emergency Medicine section of the website.
Submit comments to em@acgme.org by June 30, 2025.
UPDATED! Upcoming Major Revision of Program Requirements for Micrographic Surgery and Dermatologic Oncology
The Review Committee for Dermatology invites comments related to specific requirements or topics that should be addressed as revisions are developed. In particular, the Review Committee invites comments related to what the subspecialty will look like in the future, and the competencies, resources, and personnel necessary to create physicians who will practice in this subspecialty.
Changes to the ACGME Common Program Requirements are not within the purview of the Review Committee and, therefore, comments related to Common Program Requirements, indicated by bold font in the Requirements document, should not be submitted and will not be considered.
Access the requirements on the Program Requirements and FAQs and Applications page of the Dermatology section of the website. NOTE: Use the document, “Reformatted Program Requirements Effective July 1, 2025.”
Email comments by July 15, 2025 to Executive Director Eileen Anthony.
FRIDAY! ADS and Case Log System Downtime due to Academic Year Rollover
ADS and Case Logs will be unavailable from Friday, June 27 at 11:59 p.m. Central until approximately 4:00 p.m. Central on Saturday, June 28 to convert to the 2025-2026 Academic Year. After 4:00 p.m. on June 28, the ACGME's data systems will reflect Academic Year 2025-2026, and all residents and fellows will have an unconfirmed status.
FRIDAY! Milestones Reporting Window
The Milestones reporting window is open through June 27. Milestones assessments can be submitted via ADS at any point during the reporting window. FAQs can be found on the ACGME website.
Email technical questions to ADS@acgme.org.
Email content questions to milestones@acgme.org.
NEXT MONDAY! ACGME Seeks Appeals Panel Members
The ACGME is seeking physicians to serve on standing Appeals Panels for the following specialties:
- Diagnostic Radiology
- Institutional Review
- Ophthalmology
- Osteopathic Neuromusculoskeletal Medicine
- Radiation Oncology
Apply by June 30, 2025. Applicant Criteria
- Must be certified by the relevant American Board of Medical Specialties member board or American Osteopathic Association certifying board.
- Must be able to devote sufficient time to the Appeals Panel work.
- Should have at least three years’ experience as a program director, department chair, associate/assistant program director, and/or core faculty member.
- Applicants not currently serving in one of these roles may be considered if they held one of these positions within the last three years.
- Applicants’ programs must have a status of Continued Accreditation.
Email Senior Administrator, Governance, Appeals, Policies, and Procedures Lisa Davis for more information.
Medically Undeserved Areas and Populations (MUA/P) Interest Group
I/T/U organizations are Indian Health Service (IHS), tribal health services, and Urban Indian Organizations (UIOs).
ADS Annual Update Schedule and Changes
The Academic Year 2025-2026 ADS Annual Update will take place between July and September 2025, and Sponsoring Institutions and programs will receive an initial notification email at the beginning of the reporting timeframe noting all Annual Update requirements and respective deadlines. By July 1, each program's Annual Update timeframe will appear in ADS on the right-hand side of the screen under “Program” > “Important Dates.”
In keeping with the commitment to reduce burden on Sponsoring Institutions and programs, several reporting requirements have been removed. A notable change is removal of the faculty scholarly activity data collection, which has been replaced with two new questions about faculty scholarship.
Resources, including a 2025-2026 ADS Annual Update Overview, Summary of Changes, FAQs, and a Schedule by Specialty, are available in the Annual Update section of the ADS Help Center.
Email questions to ADS@acgme.org.
Coordinator Advisory Group Nominations
The ACGME is accepting nominations for the Coordinator Advisory Group, which serves as a consultative body to the ACGME administration concerning coordinator, graduate medical education (GME), learning environment, and accreditation matters. Members will serve three-year terms, from July 1, 2026 to June 30, 2029.
Additional information is on the Coordinator Advisory Group web page, including the Coordinator Advisory Group charge, information about the nomination process, and a link to the nomination submission portal.
Completed nomination materials are due August 15, 2025.
Email questions to coordadvgroup@acgme.org.
Actions Taken at the Board of Directors June 2025 Meeting
At its June meeting, the Board of Directors approved the following:
Major revision of the Program Requirements for Graduate Medical Education in Ophthalmology, effective July 1, 2026. The Requirements are available under the “Program Requirements Effective 7/1/2026” heading on the Program Requirements and FAQs and Applications page of the Ophthalmology section of the ACGME website.
Major revision of the Program Requirements for Graduate Medical Education in Combined Internal Medicine-Pediatrics, effective July 1, 2026. The Requirements are available under the “Program Requirements Effective 7/1/2026” heading on the Program Requirements and FAQs and Applications page of the Internal Medicine and Pediatrics sections of the ACGME website.
Modification to the Program Requirements for Graduate Medical Education in Hospice and Palliative Medicine, effective July 1, 2025. The Requirements are available under the “Program Requirements Effective 7/1/2025” heading on the Program Requirements and FAQs and Applications page of the Anesthesiology, Family Medicine, Internal Medicine, Pediatrics, Psychiatry, and Radiation Oncology sections of the ACGME website.
Modification to the Institutional Requirements, effective July 1, 2025. The Requirements are available under the “Reformatted Institutional Requirements Effective 7/1/2025” heading on the Institutional Application and Requirements page of the ACGME website.
Modification to the Osteopathic Recognition Requirements, effective July 1, 2025. The Requirements are available under the “Reformatted Recognition Requirements Effective 7/1/2025” heading on the Osteopathic Recognition page of the ACGME website.
As shared last month, in response to concerns from multiple constituents in several states and from federal Sponsoring Institutions about their ability to comply with specific ACGME requirements in light of state or federal laws, the Executive Committee of the ACGME Board of Directors suspended enforcement of Common Program Requirement I.C., Institutional Requirement III.B.8., and related specialty-/subspecialty-specific requirements. At its June meeting, the Board of Directors approved the decision of the Executive Committee to continue the suspended enforcement of these requirements indefinitely.
ACGME Seeks Resident/Fellow Members
The following Review Committees seek nominations for resident members. Terms begin July 1, 2026, and end June 30, 2028.
NEW! Otolaryngology – Head and Neck Surgery
Details: Additional information is available on the Documents and Resources page of the Otolaryngology – Head and Neck Surgery section of the ACGME website.
Contact: Jennifer Luna
Deadline: August 25, 2025
Anesthesiology
Details: Additional information is available under Documents and Resources in the Anesthesiology section of the ACGME website. Contact: Deneen McCall Deadline: August 22, 2025
Family Medicine
Details: Additional information is available under Documents and Resources in the Family Medicine section of the ACGME website.
Contact: Sandra Benitez
Deadline: August 1, 2025
Medical Genetics and Genomics
Details: Additional information is available on the Documents and Resources page of the Medical Genetics and Genomics section of the ACGME website.
Contact: Rebecca Fessler
Deadline: July 31, 2025
Neurological Surgery
Details: Additional information is available on the Documents and Resources page of the Neurological Surgery section of the ACGME website.
Contact: Jennifer Luna
Deadline: August 1, 2025
Nuclear Medicine
Details: Additional information is available under Documents and Resources in the Nuclear Medicine section of the ACGME website.
Contact: Bianca Andino
Deadline: November 1, 2025
Obstetrics and Gynecology
Details: Additional information is available on the Documents and Resources page of the Obstetrics and Gynecology section of the ACGME website.
Contact: Shellie Bardgett
Deadline: July 25, 2025
Ophthalmology
Details: Additional information is available on the Documents and Resources page of the Ophthalmology section of the ACGME website.
Contact: Shellie Bardgett
Deadline: July 25, 2025
Plastic Surgery
Details: Additional information is available on the Documents and Resources page of the Plastic Surgery section of the ACGME website.
Contact: Aimee Morales
Deadline: August 15, 2025
Radiation Oncology
Details: Additional information is available on the Documents and Resources page of the Radiation Oncology section of the ACGME website.
Contact: Deneen McCall
Deadline: August 22, 2025
Institutional Review Committee (IRC) Nominations Open
The IRC seeks two new designated institutional official (DIO) members. Candidates must be current or previous DIOs and they may self-nominate or be nominated by individuals or organizations. The new committee members' terms will begin July 1, 2026, and end June 30, 2032.
Details: Additional information, including the nomination form, is available on the Institutional Review Committee page of the ACGME website.
Deadline: September 15, 2025
Contact: irc@acgme.org
NEW SESSION! Leadership Skills Training Program for Chief Residents
Session: August 13-15, 2025
Logistics: A hotel room block at a discounted rate has been reserved at Loews near the ACGME office. Registrants will be sent the hotel link as soon as it is available.
This three-day program in Chicago provides a transitional experience into the role of chief resident. It introduces concepts to enhance individual effectiveness in a leadership role and is open to chief residents from all medical and surgical specialties.
FRIDAY! Developing Faculty Competencies in Assessment
Participants learn how to build effective assessment programs for their residency or fellowship, with topics including assessment methods, feedback, direct observation, Clinical Competency Committees, and more. The course is being held in a split format July 23-25 and October 15-17 (registrants attend on all session dates). Registration closes June 27. Email facultydevelopment@acgme.org with questions or to be notified when registration opens for the spring 2026 course.
Self-Empowerment Workshop for Coordinators
Session: July 14-July 22Details: This seven-day online workshop includes one interactive, live session on July 17 from 12:00-1:30 p.m. Central. Participants must begin Day 1 on July 14. Learn practical strategies for acting as a leader in the coordinator role, successful networking, overcoming challenges to professionalism, promoting achievements, and effectively navigating complex interpersonal situations. This free workshop is repeated monthly. Email questions to virtualevents@acgme.org.
Faculty Development Hubs
The ACGME collaborates with institutions and organizations in the US and abroad to offer scaled, tailored versions of its Developing Faculty Competencies in Assessment course. See below for open courses and visit the Faculty Development Hubs web page for more information.
Cleveland Clinic Abu Dhabi (in person; Abu Dhabi, United Arab Emirates)
Michigan State University College of Osteopathic Medicine (virtual; Lansing, Michigan)
Stanford University (virtual; Stanford, California)
Vanderbilt University Medical Center (in person; Nashville, Tennessee)
Yale University (hybrid; New Haven, Connecticut)
NEW! Journal of Graduate Medical Education Articles of the Week
A Practical Guide to Writing Effective Needs Assessments in Graduate Medical Education Mallory Davis, MD, MPH; Sally A. Santen, MD, PhD; Benjamin Kinnear, MD, MEd; Jaime Jordan, MD, MA; Michael Gottlieb, MD; Anthony R. Artino Jr., PhD
This editorial examines two broad approaches to needs assessments: (1) reviewing existing artifacts, such as literature and existing data; and (2) gathering and analyzing new data through such methods as surveys and interpersonal interactions. Listen to the audio version of this article here.
A National Longitudinal Study of Wellness Curricula in US Family Medicine Residency Programs and Association With Early Career Physician Burnout
Anastasia J. Coutinho, MD, MHS; Amanda K.H. Weidner, MPH; Peter F. Cronholm, MD, MSCE
This national study of family medicine graduates assessed burnout three years after graduation and found no association with amount or type of wellness curricula reported by program directors in 2018. Working more than 60 hours weekly as a PGY-1, however, and current practice site (hospital/HMO or community health center) were associated with increased burnout.
Transforming Annual Program Evaluation Reviews: AI-Driven Efficiency and Consistency at a Large Institution
Olivia Frederiksen; Hadar Duman, MHI
As one of JGME’s New Ideas introducing novel interventions or assessments, this initiative at the University of Washington’s GME Office showed how an AI-enhanced review process cut review time of Annual Program Evaluations from approximately 100 hours to 40 hours, reduced inconsistencies, and identified nuanced issues that could have been overlooked in a fully manual review.