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June 2016 Single GME Accreditation System Update

June 15, 2016

Key Updates

More Programs Receive Osteopathic Recognition
On May 16-18, 2016 the ACGME Osteopathic Principles Committee (OPC) met and reviewed several applications for Osteopathic Recognition. The OPC approved an additional 18 programs with the Osteopathic Recognition designation. To date, 45 programs in total have applied for osteopathic recognition, 37 were reviewed so far and 36 received initial recognition. The next meeting of the OPC is in September 8-10, 2016. View report of programs that have applied for osteopathic recognition.

ONMM RC Approves First ONMM Program
The Osteopathic Neuromusculoskeletal Review Committee (ONMM RC) reviewed and approved its first ONMM program, the MSUCOM Statewide Campus System Program, during the RC meeting held on June 2, 2016. Two other ONMM programs have applied for ACGME accreditation but have yet to be reviewed.  

AOA Statement on Emergency Medicine Programs
Below is the clarification from the AOA on the differences between applying for a three-year vs. a four-year emergency program under the ACGME:

Emergency Medicine is currently a four-year training program under the American Osteopathic Association (AOA), while The Accreditation Council for Graduate Medical Education (ACGME) Emergency Medicine training programs are either 3 or 4 years.  Under already established rules, the Centers for Medicare and Medicaid Services (CMS) will pay for medical training required for certification.  The American Board of Emergency Medicine requires three years of Emergency Medicine residency to take their certification exam.  CMS will not reimburse ACGME at 100% for the fourth year because it is not necessary for certification.  CMS pays for ½ of the training costs for the fourth year of ACGME Emergency Medicine training.  

According to the rules of the American Osteopathic Board of Emergency Medicine (AOBEM), four years of Emergency Medicine residency are a necessary requirement to be eligible to be AOBEM certified.  CMS will pay full price for the fourth year of an Osteopathic Emergency Medicine Residency program because the fourth year is necessary to be certified in Osteopathic Medicine.   

The reason that the fourth year is necessary for Osteopathic Board Certification is as follows:

Trainees must learn to incorporate an osteopathic structural examination and osteopathic manipulative treatment into the care of the emergency department patient, when appropriate. This requires first developing an understanding of the initial assessment of the patient (triage), followed by routine emergency care, taking into consideration the osteopathic philosophy as well as the osteopathic approach to structure and function. As osteopathic skills are skills that build upon each other, similar to milestone achievements, a trainee must have achieved a certain level of competence to be able to safely, reliably, and expediently incorporate the osteopathic techniques.  

ACGME Otolaryngology RC to Incorporate AOA Board Pass Rate
The ACGME Review Committee (RC) for Otolaryngology is the first RC to propose focused revisions to incorporate AOA board pass rates within its program requirements. The ACGME has made it clear in several FAQs that all RCs will eventually integrate AOA board pass rates within their program requirements. View the impact statement and program requirements for Otolaryngology. 

ACGME Request for Review and Comment

The following ACGME specialties have posted impact statements and requirements for focused revisions that are currently open for review and comment. Comments should be submitted using the Review and Comment Form:

Update on Applications as of June 16, 2016

There are currently 183 programs that have submitted applications for ACGME accreditation. Programs that have received initial accreditation are in the following specialties: anesthesiology, emergency medicine, dermatology, diagnostic radiology, orthopedic surgery, OB/GYN, internal medicine, family medicine, pediatrics, osteopathic neuromusculoskeletal medicine,neurology, and urology. One program in general surgery has received initial accreditation contingent upon institutional accreditation. 


Table 1. Status of SAS Applications as of June 16, 2016




Osteopathic Recognition

Total Applications




Total Reviewed




Total Initial Accreditation




Total Initial Accreditation Contingent





View report of all programs that have applied for ACGME accreditation under the single GME accreditation system. 

View list of sponsors that applied for accreditation under the single accreditation system.


Informational Webinar for Students on SAS
AACOM will host the next webinar for students on navigating the single accreditation system on Wednesday, June 29, 2016, at 7:30 PM ET. The webinar will focus on entering fourth year osteopathic medical students but will be available to all students, faculty advisors and others interested in the single accreditation system. This webinar will feature Lorenzo Pence, DO, Senior Vice President, Osteopathic Accreditation at ACGME and Boyd Buser, DO, AOA President-Elect. Register for the webinar.

AOA Annual Business Meeting July 17-24
The AOA will hold its 96th Annual Business Meeting July 17-24 in Chicago, IL at the Chicago Marriott Downtown Magnificent Mile. Registration is required for the 2016 Annual Business Meeting. Register Now.

Call for Sessions: 2017 ACGME Annual Educational Conference
The ACGME invites session proposals for the 2017 Annual Educational Conference, scheduled for March 9-12 at Rosen Shingle Creek in Orlando, FL. Proposals should be designed to educate designated institutional officials (DIOs), program directors, coordinators, and others involved in graduate medical education (GME). The deadline to submit a session proposal is Friday, June 17, 2016. Learn more.

ACGME Publishes ‘Milestones Guidebook’
The ACGME recently published its Milestones Guidebook, which provides practical suggestions for the effective use of milestones, an overview of the philosophy and theory underlying the ACGME Milestones, and much more. View the Milestones Guidebook.