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October 19, 2026

October 19, 2026
TWO WEEKS! Deadline Approaching! Download Reports by October 31

As a reminder, effective October 31, 2026, Resident/Fellow Survey, Faculty Survey, and Milestones PDF reports in the Accreditation Data System (ADS) that are more than five years old will no longer be available in ADS. This update is part of an organization-wide data retention initiative that aligns with enhancements in ACGME Cloud Analytics.

To retain access to these historical reports, institutions and programs should download and save them before October 31, 2026.

Going forward, ACGME Cloud Analytics will serve as the source for survey data, offering flexible, self-service reporting capabilities and ongoing access to future survey results, enabling users to analyze trends over time without a five-year look-back limit. Users will be able to explore data through interactive dashboards, apply advanced filters, analyze trends, benchmark results, and export reports directly from ACGME Cloud Analytics. Stay tuned for updates as these enhancements are released!

Learn more in the ACGME Cloud Support Information Hub.

Email questions to Cloud@acgme.org.

Actions Taken at the September Meeting

At its September meeting, the Board of Directors approved the following:

MAJOR REVISION: INSTITUTIONAL REQUIREMENTS

Major revision to the Institutional Requirements, effective July 1, 2027. The Requirements are available under the “Institutional Requirements Effective 7/1/2027” heading on the Institutional Requirements and Applications page of the ACGME website.

INTERIM REVISION: NUTRITION REQUIREMENTS

Interim revisions to nutrition requirements in the following specialties and subspecialties, effective July 1, 2027. The Requirements are available under the “Program Requirements Effective 7/1/2027” heading on the Program Requirements and FAQs and Applications page of the respective specialty section of the ACGME website.

  • Addiction Medicine
  • Allergy and Immunology
  • Anesthesiology
  • Brain Injury Medicine
  • Child Neurology
  • Complex Family Planning
  • Dermatology
  • Emergency Medicine
  • Gynecologic Oncology
  • Hospice and Palliative Medicine
  • Internal Medicine
  • Maternal-Fetal Medicine
  • Micrographic Surgery and Dermatologic Oncology
  • Neurodevelopmental Disabilities
  • Neurology
  • Nuclear Medicine
  • Obstetrics and Gynecology
  • Ophthalmology
  • Osteopathic Neuromusculoskeletal Medicine
  • Otolaryngology – Head and Neck Surgery
  • Pediatric Dermatology
  • Pediatric Rehabilitation Medicine
  • Pediatrics
  • Pediatric Urology
  • Psychiatry
  • Physical Medicine and Rehabilitation
  • Radiation Oncology
  • Reproductive Endocrinology and Infertility
  • Spinal Cord Injury
  • Sports Medicine
  • Thoracic Surgery (Independent)
  • Thoracic Surgery (Integrated)
  • Transitional Year
  • Urogynecology and Reconstructive Pelvic Surgery
  • Urology
  • Vascular Surgery (Integrated and Independent)
NEW! Clinician Educator Journal Club

Next Session: November 19, 12:00-1:00 p.m. Central

Article: Round34: Attending-Moderated Tabletop Gameplay to Enhance Resident Team Dynamics During Inpatient Rounds

Speakers: Saquib Baig, MD and Vincent Chan, MD

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.

Continuing medical education (CME) is available for attending these meetings. View CME information on the Registration page.

Missed a session? View on-demand recordings of past meetings. (Note: A free Learn at ACGME account is required to access the recordings.)

Send registration questions to virtualevents@acgme.org.

Register for Journal Club

TODAY! ACGME LINC

Topic: Sponsoring Institution Updates

Date and Time: Monday, October 19, 5:00-6:00 p.m. Central

Audience: All members of the graduate medical education (GME) community are invited to attend

ACGME LINC [Listening, Information, News, Collaboration] is an opportunity for the GME community to interact with the ACGME, hear from ACGME representatives, and receive updates and information on ACGME activities. Registration is available on a first-come, first-served basis.

Miss a previous session? View recordings of past sessions in Learn at ACGME. (Note: A free account is required to access these recordings.)

View upcoming topics and session dates on the ACGME LINC page of the ACGME website.

Provide Feedback

Complete a brief survey to share feedback on the overall experience with ACGME LINC sessions and help inform future programming.

Email questions to outreach@acgme.org.

Register for October Session

FRIDAY! NST Office Hours

Session: October 23, 1:00-2:00 p.m. Central

Details: Register Here

Director of Sponsoring Institutions Projects Katharina Wang will host office hours to provide GME community members with an informal opportunity to ask questions about the recognition of Sponsoring Institutions with NST programs for physicians with J-1 visas.

2026 Milestones National Report

The 2026 Milestones National Report is now available through ACGME Cloud | Analytics – Explore Public Data.

This 11th edition of this report presents national Milestones data in aggregate form for July 1, 2025-June 30, 2026. The ACGME produces this report for every academic year so program leaders can compare national-level data in their specialties and subspecialties directly to their own program data. Now provided in ACGME Cloud | Analytics, this year’s report includes a filter that allows users to apply a condition across the entire dashboard. It provides a quick and easy way to filter the information displayed in other visualizations within the report.

Visit the Milestones section of the ACGME website for additional resources and tools, including the Milestones Guidebook, FAQs, and the Milestones Guidebook for Residents and Fellows.

Accreditation Site Visit Office Hours

Session: November 20, 12:00-1:00 p.m. Central

Zoom Link: Click here to register

These office hours provide an informal opportunity to ask questions about accreditation site visits. Accreditation Field Representatives and other Field Activities staff members will be available to answer questions.

Email questions to Director, Field Activities Operations Andrea Chow.

NEW! Transplant Nephrology Milestones Survey

A draft of the Transplant Nephrology Milestones is available for review and comment. The Work Group also created a Supplemental Guide to enhance understanding of the Milestones, which will go into effect July 2027.

Transplant Nephrology Draft Milestones

Transplant Nephrology Draft Supplemental Guide

Survey Deadline: November 15, 2026

Email questions to milestones@acgme.org.

Start the Survey

Proposed Program Requirements

The following proposed Program Requirements revisions below are posted for review and comment. The ACGME invites comments from the community prior to finalizing these requirements.

THURSDAY! Comment Deadline: October 22, 2026

Common Program Requirements (Residency)

Common Program Requirements (Post-Doctoral Education Program)

TWO WEEKS! Comment Deadline: November 4, 2026

Diagnostic Radiology

Interventional Radiology

Note: Stakeholders are encouraged to review both the proposed Requirements and the accompanying Rationale and Impact Statement, as these documents are intended to be considered together and provide a more complete understanding of the proposed revisions, including the reasons for the changes and their anticipated impact.

Subspecialty Proposal

As part of the ongoing effort to encourage participation of the GME community and the public in the process of reviewing potential new specialties or subspecialties for accreditation, the ACGME offers a 45-day comment period to the community of interest regarding proposed new specialties and subspecialties. Information about the subspecialty currently under consideration and the accompanying proposal are available for review here.

Comment Deadline: November 20, 2026

Disaster Medicine (Emergency Medicine)

NEW! Session Schedule Now Available

Ignite passion and innovation for GME at the ACGME’s premier learning event! Over three days, the conference will deliver groundbreaking and forward-thinking content, bold ideas, fresh perspectives, and many networking opportunities. Connect with learners, leaders, educators, and visionaries from across the GME community and be part of the conversation shaping the future of medical education.

View Session Schedule

Registration opens soon!

Sign up below to receive updates, and explore the Program Guide to learn more about the conference.

Sign Up for Notifications

NEW! Review Committee for Otolaryngology – Head and Neck Surgery Office Hours

Date and Time: November 20-21

Location: Hyatt Regency in Phoenix, Arizona

Program leaders can meet with the Review Committee Executive Director and Chair during the 2026 Combined Meeting of the Society of University Otolaryngologists Head & Neck Surgeons, Association of Academic Departments of Otolaryngology Head & Neck Surgery, and Otolaryngology Program Directors Organization.

Appointments will be held on a first-come, first-served basis.

Email Deanna Eallonardo with questions or to schedule an appointment.

TUESDAY! October Rural and Underserved GME Interest Group

Date and Time: October 20, 1:00-2:00 p.m. Central

Topic: Emergency Medicine GME in Rural and Underserved Areas

These Zoom calls are generally on the third Tuesday of each month and are open to the entire GME community. Recordings of past sessions are available in the Rural and Underserved GME Resource Center in Learn at ACGME. (Note: A free Learn at ACGME account is required to access the recordings.)

CME is available for attending these meetings. See Registration page for details.

Email questions to underserved@acgme.org.

Register for October Interest Group

NEW! Simulated Program Review Self-Paced Course

Step inside a simulated Review Committee meeting in this self-paced course based on a popular Annual Educational Conference presentation. Participate in an interactive mock program review, examining program data and comparing decisions with the committee's reasoning.

Participants will come away with practical ways to strengthen their own programs.

Earn up to 2 CME credits.

Access the course in Learn at ACGME. (Note: A free account is required to access this course.)

Email questions to learn@acgme.org.

NEW! Practice Workshop Microlearning Module

The Faculty Development Toolkit, available in Learn at ACGME, includes a variety of easy-to-access microlearning modules.

The Practice Workshop microlearning provides an opportunity to practice observing and synthesizing observations into a rating or a judgment of the learner’s ability.

Earn up to 0.50 CME credits.

Email questions to facultydevelopment@acgme.org.

Developing Faculty Competencies in Assessment Course

Register soon! Spots in the November 2026 session of the Developing Faculty Competencies in Assessment are filling up.

Key Information:

  • Chicago, Illinois
  • November 8-13
  • Learn to build effective assessment programs; apply outcomes- and competency-based education principles; use data to support learners; deliver effective feedback; and more!

Learn More and Register

TWO WEEKS! ACGME Seeks Resident/Fellow Members

The following Review Committees seek nominations for their next resident member. Nominees must be enrolled in an ACGME-accredited residency or fellowship program at the time of the appointment and may not serve more than one year beyond completion of that program. Terms begin July 1, 2027 and end June 30, 2029. Programs are encouraged to share these opportunities with residents and fellows.

EMERGENCY MEDICINE

Details: Additional information is available under Documents and Resources in the Emergency Medicine section of the ACGME website.

Contact: Bianca Andino

Deadline: November 2, 2026

TWO WEEKS! ACGME Seeks Public Member

The following Review Committee seeks its next public member for a six-year terms beginning July 1, 2027. Public members share the perspective of the public, foster public accountability, enrich the work of the Review Committee through outside expertise, and create transparency.

Learn more about the public member role on the ACGME website. To learn more about current openings, email accreditation@acgme.org.

RADIOLOGY

Details: Additional information is available under Documents and Resources in the Radiology section of the ACGME website.

Contact: Bianca Andino

Deadline: November 2, 2026

NEW! Articles of the Week

To Authors: Verify and Read Your References!

Gail M. Sullivan, MD, MPH; Deborah Simpson, PhD

In this Editorial, JGME editors urge authors to check all references before submitting their manuscript to avoid AI-hallucinated citations and possible manuscript rejection.

The State of the Transitional Year: Results From a National Survey of Program Directors

John C. Christensen, MD, ML; Sydney LeGuyader, MD; Sarah E. Linson, MD; Dave S. Collingridge, PhD; AnnaLeah Eliason, MD; J.P. Leshock, MD; Jesse Steadman, MD; Julie McCausland, MD, MS; Mary Warden, MD

This study employed a cross-sectional survey design to collect data from ACGME-accredited transitional year programs across the US with the primary objective to assess program characteristics, curriculum structure, and administrative support within these unique one-year programs.