Program Application Information

Under the terms of the agreement (Memorandum of Understanding) among the ACGME, the AOA, and AACOM, all AOA-approved programs must become ACGME-accredited by June 30, 2020, when the AOA has agreed to cease accreditation of graduate medical education programs. In order for AOA-approved programs to become ACGME-accredited, they must submit a new program accreditation application. AOA-approved programs that submit an accreditation application between July 1, 2015 and June 30, 2020, under the terms of the agreement receive pre-accreditation status upon submission of complete application. More information regarding this pre-accreditation status can be found on the Program Pre-accreditation page.

To initiate an accreditation application, the program’s Sponsoring Institution must already be ACGME-accredited or hold pre-accreditation status. Learn more about Sponsoring Institution accreditation here.

Step 1: Locate and read the ACGME Program Requirement document and associated FAQs for the applicable specialty.

Each specialty and subspecialty accredited by the ACGME has its own set of Program Requirements and an associated FAQs document. These documents are posted on the Program Requirements and FAQs and Applications page of the specialty section of the website. The Review Committee typically oversees a core specialty and all associated subspecialties of that core specialty.

The specialty web pages offer a number of resources for new and existing programs, including recent Review Committee presentations when available, and other communications. This document will help to navigate specialty web pages to locate the resources prepared by the Review Committees for programs in their covered specialty and subspecialty areas.

Step 2: Locate the contact information for the ACGME Review Committee Executive Director for the applicable specialty and/or subspecialty and keep it accessible.

Locate the Executive Director’s contact information here or in the top right-hand corner of the specialty section of the website. More information can be found in this guide.

The Review Committee Executive Director is the primary resource for programs as questions arise during the application process. Routine communication with the Executive Director is essential to successfully navigating application development and submission.

Step 3: Gather the information needed to prepare and complete the application.

There are two parts to the application: the common application, which is housed in the Accreditation Data System (ADS), and the specialty-specific application—a Word document the program must complete and upload into ADS. All information necessary to complete the program application must be either entered directly or uploaded into ADS. Systematically gathering this information will allow for smooth entry of application information in ADS.

Instructions on how to Download the Specialty-Specific Application Questions
Faculty CV Information Collection Table
Faculty Scholarly Activity Collection Table (last 5 years)

Program Letters of Agreements (PLA) Information

Attachment Documents

Step 4: Complete the program application in ADS after it has been initiated in the system by the designated institutional official (DIO) of the Sponsoring Institution.

Each ACGME-accredited program must be associated with an ACGME-accredited Sponsoring Institution. The DIO of the ACGME-accredited Sponsoring Institution must initiate the program application in ADS.

Once the DIO has initiated the application, entered basic information about the program, and identified the program director; the program director will receive an e-mail with ADS login information. It is expected that the program director will complete the application and prepare it for submission.

Step 5: Submit the Application.

Once the program director has entered all necessary information, he or she should review the application and ask other faculty members, program directors, and administrators to review it for completeness, clarity, and accuracy.

After the application has gone through a thorough review process, the program director must submit the application, which will be routed in ADS to the DIO. Program coordinators cannot submit new applications. The DIO is responsible for the final step in the submission of the application to the ACGME. Once the DIO has submitted the program application by electronically signing it in ADS, it cannot be changed, altered, or amended. Upon submission of the application, the program will immediately receive a status of pre-accreditation. At this point in the process, ACGME staff members will begin processing the application for review by the Review Committee. More information about programs in pre-accreditation status can be found on the Program Pre-accreditation page.

Application Resources

The resources below are organized according to each step in the application process, as broken down in the ADS application.

Step 0: Initiate the Application

Step 1: Program Director

Step 2: Program Information

Update basic information about the program, such as the address and program director’s contact information, and enter the program’s participating sites.

Step 3: Personnel

    • Coordinator/Chair
    • Enter at least one program coordinator (max 3). If desired, a co-program director and/or.
        • Faculty
        • Enter physician and non-physician faculty members and their abbreviated CV. Review instructions for further information.
            • Faculty Scholarly Activity

            Step 4: Residents

            Enter the number of resident positions being requested.

            Step 5: Application Questions

              • Duty Hour, Patient Safety, and Learning Environment
              • Overall Evaluation Methods
                  Additional Program Questions

              Step 6: Application Attachments

                1. Specialty-specific Application Questions
                2. Block Diagram

                Guide to the Construction of the Block Diagram

                1. Program Letters of Agreement
                1. Policy for Clinical and Educational Work Hours
                2. Policy for Supervision of Residents/Fellows
                3. Policy for Resident/Fellow and Faculty Member Well-being
                4. Goals and Objectives
                5. Forms Used for Resident/Fellow Evaluation of Program
                6. Forms Used for Faculty Evaluation of Program
                7. Forms Used for Evaluation of Faculty Member
                8. Multi-source Evaluation of Resident/Fellow
                9. Semiannual and Final Evaluations

                Step 7: Review Application

                Step 8: Verify and Submit Application to DIO

                After clicking "Verify Application and Submit to DIO" button in the header, the completed application will be sent to the DIO for review and final submission. After verification, the DIO will electronically submit the application to the ACGME. Program coordinators cannot submit new applications.

                Once the DIO has submitted the program application to the ACGME for final review, it cannot be changed, altered, or amended.

                Other Resources:

                Information regarding the ACGME program accreditation fee schedule can be found here. There are no fees associated with Osteopathic Recognition.


                The ACGME Bylaws and the ACGME Manual of Policies and Procedures can be found here.