NEW! Intealth Issues Guidance on New US Entry Restrictions Affecting International Medical Graduates
In response to a Presidential Proclamation issued on June 4, 2025, Intealth has released guidance for graduate medical education (GME) institutions and international medical graduates (IMGs) that may be affected by the new entry restrictions.
CLOSING THIS WEEK! #ACGME2026 Call for Sessions
Ready to take the stage at the 2026 ACGME Annual Educational Conference? Now is the chance for individuals to share their expertise with the GME community. Submit a session proposal today!
Accepted sessions will be presented Thursday, February 19 through Saturday, February 21, 2026, in San Diego, California. Click the links below for more information:
The submission portal will close Thursday, June 12, at 5:00 p.m. Central for Concurrent Sessions and the Coordinator Forum Full-Day Course.
The submission portal will close Tuesday, June 10, at 5:00 p.m. Central for the Osteopathic Recognition Full-Day Course.
Questions?
Annual Educational Conference: acgmeconference@acgme.org
Coordinator Forum Full-Day Course: coordinatorforum@acgme.org
Osteopathic Recognition Full-Day Course: SingleGME@acgme.org
Review and Comment: Proposed Program Requirements
The following Program Requirements and accompanying Impact Statements are posted for review and comment, here:
WEDNESDAY! Comment Deadline: June 11, 2025
Urology
NEXT WEEK! Comment Deadline: June 18, 2025
Transplant Nephrology
NEW! Gynecologic Oncology Case Log Update
The Review Committee for Obstetrics and Gynecology would like to inform the community that procedural minimums have now been set for gynecologic oncology fellowships. The Accreditation Data System (ADS) will be updated by August 1, 2025, and the new minimums will be in effect immediately. However, the new procedural minimums will not be enforced until review of the 2027 graduate data to give programs time to acclimate. While it is not anticipated that programs will have difficulty meeting the new minimums, any challenges should be addressed in the Major Changes and Other Updates section of the ADS Annual Update.
After August 1, 2025, programs are advised to review the updated Case Log Instructions: Gynecologic Oncology document, available on the Documents and Resources page of the Obstetrics and Gynecology section of the ACGME website.
NEW! Reproductive Endocrinology and Infertility Case Log Update
The Review Committee for Obstetrics and Gynecology would like to inform the community that procedural minimums have now been set for reproductive endocrinology and infertility fellowships. ADS will be updated by August 1, 2025, and the new minimums will be in effect immediately. However, the new procedural minimums will not be enforced until review of the 2027 graduate data to give programs time to acclimate. While it is not anticipated that programs will have difficulty meeting the new minimums, any challenges should be addressed in the Major Changes and Other Updates section of the ADS Annual Update.
After August 1, 2025, programs are advised to review the updated Case Log Information: Reproductive Endocrinology and Infertility document, available on the Documents and Resources page of the Obstetrics and Gynecology section of the ACGME website.
TOMORROW! Upcoming Major Revision of Program Requirements for Ophthalmic Plastic and Reconstructive Surgery
The Review Committee for Ophthalmology 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 Ophthalmology section of the website.
Updated Case Log Calculations for Adult Cardiothoracic Anesthesiology
The Review Committee for Anesthesiology has updated the Case Log category calculations for adult cardiothoracic anesthesiology. It was determined that some cases were not properly calculating under the “Cardiac Surgery with CPB” and/or “Cardiac Surgery with or without CPB” categories. The Review Committee advises programs to run end-of-year Case Log reports again prior to conducting any Clinical Competency Committee meetings.
Upcoming changes to the Case Log minimum requirements will not go into effect until the 2025-2026 academic year.
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.
Orthopaedic Procedure Log Update
A reminder to programs that the procedural minimums for orthopaedic surgery were updated in ADS in mid-January with an effective date of July 1, 2025. As programs are also aware, this is an evolution from the previous case minimums that will continue over the next several years.
Implementation Timeline – Areas for Improvement (AFIs) and Citations:
- July 2025 graduates (current PGY-5 residents) – Review Committee will not cite programs for missed graduating resident minimums.
- July 2026 graduates (current PGY-4 residents) – Review Committee will not cite programs for missed graduating resident minimums but may issue AFIs at its January 2027 Review Committee meeting.
- July 2027 graduates (current PGY-3 residents) – Review Committee will begin issuing citations for missed minimums to programs at the January 2028 Review Committee meeting.
Since January, the Review Committee has made several corrections to CPT codes based on feedback from programs and residents. A real-time list of CPT codes and tracked categories is available in ADS: select the Case Logs menu tab, click on “Download Reports” from the drop-down menu, and select “Tracked Codes” from the left column of the screen from the report list.
Virtual Program Meetings
To schedule a virtual one-on-one meeting with the Review Committee staff, email Accreditation Administrator Stephanie Lose.
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.
Upcoming Major Revision of the Osteopathic Recognition Requirements
The Osteopathic Recognition Committee will soon begin work on the 10-year major revision of the Osteopathic Recognition Requirements. To inform the next set of Recognition Requirements, a series of activities designed to gather relevant information is planned.
As this work begins, the ACGME seeks current Directors of Osteopathic Education (DOEs) and/or current program directors from programs with Osteopathic Recognition who are interested in participating in a one-on-one, one-hour interview to provide their perspective on the future of Osteopathic Recognition.
The ACGME is also seeking current DOEs and/or program directors from programs with Osteopathic Recognition who are interested in participating in the Osteopathic Recognition Stakeholder Summit, scheduled to take place in person in Chicago in 2026 (date TBA).
NEW! Medically Underserved Areas and Populations (MUA/P) Interest Group
Next Session: July 15, 1:00-2:00 p.m. Central
Topic: Partnerships in Underserved GME: I/T/U Organizations
(I/T/U organizations are Indian Health Service (IHS), tribal health services, and Urban Indian Organizations)
(I/T/U organizations are Indian Health Service (IHS), tribal health services, and Urban Indian Organizations)
These Zoom calls are for GME community members involved in addressing the needs of MUA/Ps, which are places or communities with groups of people who have unmet health or health care needs. The group meets on the third Tuesday of each month and is open to the entire GME community.
UPDATED! 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.
ADS and Case Log System Downtime due to Academic Year Rollover
ADS and Case Logs will be unavailable beginning Friday, June 27 from 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. June 28, the ACGME's data systems will reflect Academic Year 2025-2026, and all residents and fellows will have an unconfirmed status.
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.
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.
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.
Clinician Educator Journal Club
Next Session: June 19, 12:00-1:00 p.m. Central
Speakers: Katherine A. Moreau, PhD and Kaylee Eady, PhD
This group meets online on the third Thursday of each month to discuss journal articles and timely topics in medical education. Participants should read the article ahead of time and come with questions.
ACGME Seeks Resident/Fellow Members
The following Review Committees seek nominations for resident members. Terms begin July 1, 2026, and end June 30, 2028.
Anesthesiology
Details: Additional information is available under Documents and Resources in the Anesthesiology section of the ACGME website.
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! Becoming an Osteopathic Physician Learning Path
The ACGME is excited to announce the launch of the new Becoming an Osteopathic Physician Learning Path in Learn at ACGME.
This new online offering is a linear, self-paced learning experience meant for individuals in all GME roles who wish to expand their knowledge of the path and requirements for becoming an osteopathic physician.
The learning path is available at no cost to the GME community through the ACGME’s online learning portal, Learn at ACGME.
Enhancing Well-Being: Managing Toxic Perfectionism and Other Problematic Mindsets Video Workshop for Coordinators
This 90-minute workshop is designed to equip coordinators with skills and strategies to enhance their satisfaction with work, life, and self. The workshop is divided into three segments, each focusing on different aspects of personal well-being.
Videos can be viewed individually; no login is required.
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.
SAVE THE DATE! Spring 2026 Course
March 29-April 3, 2026
Email facultydevelopment@acgme.org with questions or to be notified when registration opens for the spring 2026 course.
Leadership Skills Training Program for Chief Residents
All sessions are full; click the button to join the wait list. Another session may be added if there is enough demand.
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.
Email questions to Bethanie Alden, MPA.
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 Article of the Week
Examining Resident Burnout Through the Lens of Self-Determination Theory: The Role of General Causality Orientations
Adam Neufeld, MSc, MD, CCFP; Greg Malin, MD, PhD; Oksana Babenko, PhD; Cesar Orsini, BDS, MEd, SFHEA, RETF, DHPE
Burnout continues to plague GME, and theory-informed approaches are needed. In Self-Determination Theory, general causality orientations—autonomy, control, and impersonal—represent individual differences in self-determination that can be socialized and primed within environments. The authors of this study investigated how general causality orientation relates to resident burnout.