Specialty-specific References for DIOs: Program Director Qualifications ACGME

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1 -specific References for DIOs: Program Director Qualifications ACGME Common Program Requirements are in BOLD Specialty Allergy and Immunology Anesthesiology II.A.3.b) current certification in the specialty by the American Board of Allergy and Immunology, or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.c).(1) The program director must have a valid unrestricted license to practice medicine in the jurisdiction where the program s institutional sponsor is located. (Detail) II.A.3.d) at least three years participation as a faculty member in an ACGME-accredited allergy and immunology program or qualifications acceptable to the Review Committee; and, (Detail) II.A.3.e) leadership qualities and sufficient time and effort devoted to the program to provide day-to-day continuity of leadership and to fulfill the responsibilities of meeting the educational goals of the program. (Detail) II.A.3.b) current certification in the specialty by the American Board of Anesthesiology, or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.d) licensure to practice medicine in the state where the institution that sponsors the program is located (certain federal programs are exempted); and, II.A.3.e) faculty experience, leadership, organizational and administrative qualifications, and the ability to function effectively within an institutional governance. The program director must have significant academic achievements in anesthesiology, such as publications, the development of educational programs, or the conduct of research Accreditation Council for Graduate Medical Education (ACGME) Page 1 of 29

2 Anesthesiology (effective: July 1, 2016) Adult Cardiothoracic Anesthesiology Anesthesiology Critical Care Medicine II.A.3.b) current certification in the specialty by the American Board of Anesthesiology, or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.d) faculty experience, leadership, organizational, and administrative qualifications; and, II.A.3.e) demonstrated ongoing academic achievements in anesthesiology, including publications, the development of educational programs, or the conduct of research. II.A.2.b) current certification in the subspecialty by the American Board of Anesthesiology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.d) current certification in anesthesiology by the American Board of Anesthesiology; II.A.2.e) current appointment as a member of the anesthesiology faculty; II.A.2.f) completion of a cardiothoracic anesthesiology fellowship, or at least three years of participation as a program director or faculty member in a clinical cardiothoracic anesthesiology fellowship, and certification in advanced peri-operative transesophageal echocardiography (TEE) by the National Board of Echocardiography (NBE); II.A.2.g) at least three years of post-fellowship experience in clinical cardiothoracic anesthesiology; and, II.A.2.h) demonstrated ongoing academic achievements appropriate to the subspecialty, including publications, the development of educational programs, or the conduct of research. II.A.2.b) current certification in the subspecialty by the American Board of Anesthesiology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.c).(1) The program director must have privileges to practice critical care medicine and procedures relevant to the practice of critical care medicine Accreditation Council for Graduate Medical Education (ACGME) Page 2 of 29

3 Obstetric Anesthesiology Pediatric Anesthesiology II.A.2.d) current appointment as a faculty member in the Department of Anesthesiology; II.A.2.e) demonstrated ongoing academic achievements with appropriate dissemination, including publications in peer-reviewed journals, the development of educational programs, or the conduct of research; and, II.A.2.f) post-residency or fellowship experience in the care of critically-ill patients. II.A.2.b) current certification in the subspecialty by the American Board of Anesthesiology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.d) current certification in Anesthesiology by the American Board of Anesthesiology; II.A.2.e) completion of an obstetric anesthesiology fellowship, or at least three years participation in a clinical obstetric anesthesiology fellowship as a faculty member; II.A.2.f) at least three years of post-residency experience in clinical obstetric anesthesiology; (Detail) II.A.2.g) current appointment as a member of the anesthesiology faculty; and, II.A.2.h) demonstrated ongoing academic achievements appropriate to the subspecialty, including at least one of the following: publications, the development of educational programs, or the conduct of research. II.A.2.b) current certification in the subspecialty by the American Board of Anesthesiology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.d) post-fellowship experience in pediatric anesthesiology; (Detail) II.A.2.e) current appointment as a member of the anesthesiology faculty at the primary clinical site; and, II.A.2.f) demonstrated ongoing academic achievements appropriate to pediatric anesthesiology, including publications, the development of educational programs, or the conduct of research Accreditation Council for Graduate Medical Education (ACGME) Page 3 of 29

4 Colon and Rectal Surgery Dermatology Micrographic Surgery and Dermatologic Oncology II.A.3.b) current certification in the specialty by the American Board of Colon and Rectal Surgery (ABCRS), or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.c).(1) This must include membership on the medical staff of either the sponsoring institution or a participating site. II.A.3.d) at least three years of clinical practice in colon and rectal surgery; and, II.A.3.e) at least three years of prior experience as a faculty member in either an ACGME-accredited general surgery or colon and rectal surgery program. II.A.3.b) current certification in the specialty by the American Board of Dermatology, or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) at least four years of experience, following residency or fellowship, in the care of dermatology patients, and at least three years as a teacher in an ACGME-accredited dermatology residency. II.A.2.b) current certification in the subspecialty by the American Board of Dermatology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.d) completion of an ACGME-accredited procedural dermatology or micrographic surgery and dermatologic oncology fellowship, an American College of Mohs Surgery-approved fellowship, or experience as a program director of a dermatologic surgery fellowship program for at least 10 years; II.A.2.e) at least five years of patient care experience as a dermatologist and dermatologic surgeon; II.A.2.f) at least three years of experience as a teacher in graduate medical education in dermatology and dermatologic surgery; and, 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 4 of 29

5 Diagnostic Radiology Abdominal Radiology Neuroradiology Pediatric Radiology II.A.2.g) an ongoing clinical practice in micrographic surgery and dermatologic oncology that includes personal performance of key aspects of micrographic surgery and dermatologic oncology as the fellow observes. II.A.3.a) II.A.3.b) II.A.3.c) requisite specialty expertise and documented educational and administrative experience current certification in the specialty by the American Board of Radiology, or specialty qualifications that are acceptable to the Review Committee; and, current medical licensure and appropriate medical staff appointment. II.A.2.a) II.A.2.b) II.A.2.c) II.A.2.d) requisite specialty expertise and documented educational and administrative experience current certification in the subspecialty by the American Board of Radiology, or subspecialty qualifications that are current medical licensure and appropriate medical staff appointment; post-residency experience in the subspecialty area, including fellowship training, or five years of experience in the subspecialty for those subspecialties in which no certification is offered; and, II.A.2.e) experience as an educator and supervisor of fellows in abdominal radiology. II.A.2.b) current certification in the subspecialty by the American Board of Radiology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b) current certification in the subspecialty by the American Board of Radiology, or subspecialty qualifications that are II.A.2.c) current medical licensure and appropriate medical staff appointment; II.A.2.d) current subspecialty certification; II.A.2.e) post-residency experience in the subspecialty area, including fellowship training; and, 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 5 of 29

6 Nuclear Radiology II.A.2.f) possession of the Certificate of Added Qualifications. II.A.2.a) II.A.2.b) II.A.2.b).(1) requisite specialty expertise and documented educational and administrative experience current certification in the subspecialty by the American Board of Radiology, or subspecialty qualifications that are In lieu of subspecialty certification by the American Board of Radiology, the Review Committee only accepts current certification by the American Board of Nuclear Medicine. II.A.2.c) current medical licensure and appropriate medical staff appointment; II.A.2.d) post-residency experience in nuclear radiology, including fellowship education. Musculoskeletal Radiology II.A.2.b) current certification in the subspecialty by the American Board of Radiology, or subspecialty qualifications that are II.A.2.c) current medical licensure and appropriate medical staff appointment; and, II.A.2.d) post-residency experience in the subspecialty area, including fellowship training, or five years of practice experience in the subspecialty for those subspecialties in which no certification is offered. Vascular Interventional Radiology II.A.2.b) current certification in the subspecialty by the American Board of Radiology, or subspecialty qualifications that are II.A.2.b).(1) The program director must be certified by the American Board of Radiology in Diagnostic Radiology or Radiology and have subspecialty certification (CAQ) in Vascular and Interventional Radiology from the American Board of Radiology, or possess qualifications judged to be acceptable by the RRC. II.A.2.c) current medical licensure and appropriate medical staff appointment; and, II.A.2.d) post-residency experience in the vascular and interventional radiology, including fellowship education Accreditation Council for Graduate Medical Education (ACGME) Page 6 of 29

7 Emergency Medicine Emergency Medical Services Pediatric Emergency Medicine II.A.3.b) II.A.3.c) II.A.3.d) current certification in the specialty by the American Board of Emergency Medicine, or specialty qualifications that are current medical licensure and appropriate medical staff appointment; and, at least three years experience as a core faculty member in an ACGME-accredited emergency medicine program. (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Emergency Medicine, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.c) current medical licensure and appropriate medical staff appointment; II.A.2.d) at least three years experience as a core physician faculty member in an ACGME-accredited emergency medicine program or emergency medical services program; (Detail) II.A.2.e) continuation in his or her position for a length of time adequate to maintain continuity of leadership and program stability; and, (Detail) II.A.2.f) current clinical activity in emergency medical services. II.A.3.b) current certification in the subspecialty by the American Board of Medical Specialties in Pediatric Emergency Medicine, or subspecialty qualifications that are acceptable to the Review Committee; II.A.3.c) current medical licensure and appropriate medical staff appointment; II.A.3.d) three years experience as a clinician, teacher, and administrator in pediatric emergency medicine; and, II.A.3.e) a record of ongoing involvement in scholarly activities, including peer review publications, and mentoring (i.e., guiding fellows in the acquisition of competence in the clinical, teaching, research and advocacy skills pertinent to the discipline) Accreditation Council for Graduate Medical Education (ACGME) Page 7 of 29

8 Family Medicine Internal Medicine Internal Medicine Subspecialties II.A.3.b) current certification in the specialty by the American Board of Family Medicine, or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) a minimum of five years of clinical experience in family medicine, with two years as a core faculty member in an ACGME-accredited family medicine residency program. II.A.3.a).(1) which includes at least five years of participation as an active faculty member in an ACGME-accredited internal medicine residency program, and (Detail) II.A.3.a).(2) at least three years of graduate medical education administrative experience prior to appointment. (Detail) II.A.3.b) current certification in the specialty by the American Board of Internal Medicine, or specialty qualifications that are acceptable to the Review Committee; and, The Review Committee only accepts current Board certification in internal medicine. II.A.3.a).(1) The program director must have at least five years of participation as an active faculty member in an ACGME-accredited internal medicine residency or [name of subspecialty] fellowship. (Detail) II.A.3.b) current certification in the subspecialty by the American Board of Internal Medicine (ABIM), or subspecialty qualifications that are acceptable to the Review Committee; and, The Review Committee only accepts current ABIM certification in [name of subspecialty] Accreditation Council for Graduate Medical Education (ACGME) Page 8 of 29

9 Internal Medicine One-year Subspecialties Hematology and Medical Oncology Pulmonary Critical Care II.A.2.a).(1) The program director must have at least five years of participation as an active faculty member in an ACGME-accredited internal medicine cardiovascular disease fellowship or [name of sub-subspecialty] fellowship. (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Internal Medicine (ABIM), or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b).(1) The Review Committee only accepts current ABIM certification in [name of subsubspecialty]. II.A.3.a).(1) The program director must have at least five years of participation as an active faculty member in an ACGME-accredited internal medicine residency, or hematology or medical oncology fellowship. (Detail) II.A.3.b) current certification in the subspecialty by the American Board of Internal Medicine (ABIM), or subspecialty qualifications that are acceptable to the Review Committee; and, The Review Committee only accepts current ABIM certification in hematology or medical oncology. II.A.3.b).(2) If the program director does not have appropriate credentials in both subspecialties, an appropriately-credentialed and full-time Key Clinical Faculty (KCF) member must be identified as responsible for the education program in the second specific area. II.A.3.a).(1) The program director must have at least five years of participation as an active faculty member in an ACGME-accredited internal medicine residency, or pulmonary disease or critical care medicine fellowship. (Detail) II.A.3.b) current certification in the subspecialty by the American Board of Internal Medicine (ABIM), or subspecialty qualifications that are acceptable to the Review Committee; and, The Review Committee only accepts current ABIM certification in pulmonary disease or 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 9 of 29

10 Transplant Hepatology critical care medicine. If the program director does not have appropriate credentials in both subspecialties, an appropriately-credentialed and full-time Key Clinical Faculty (KCF) member must be identified as responsible for the education program in the second specific area. II.A.2.a).(1) The program director must have at least five years of participation as an active faculty member in an ACGME-accredited internal medicine residency, or gastroenterology or transplant hepatology fellowship. (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Internal Medicine (ABIM), or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b).(1) The Review Committee only accepts current ABIM certification in transplant hepatology. Interventional Radiology II.A.3.b) current certification in the specialty by the American Board of Radiology, or specialty qualifications that are The program director must have certification by the American Board of Radiology (ABR) in interventional radiology/diagnostic radiology, or in diagnostic radiology with subspecialty certification in vascular and interventional radiology. II.A.3.c) current medical licensure and appropriate medical staff appointment; II.A.3.d) commitment of at least 80 percent of his or her clinical time in the specialty and to the administrative and educational activities of the interventional radiology program; II.A.3.e) at least three years of participation as an active faculty member in an ACGME-accredited diagnostic radiology residency, interventional radiology residency, or vascular and interventional radiology fellowship program; and, II.A.3.f) current appointment as a full-time faculty member. (Detail) 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 10 of 29

11 Medical Genetics Medical Genetics and Genomics (effective: July 1, 2016) Medical Biochemical Genetics II.A.3.b) current certification in the specialty by the American Board of Medical Genetics, or specialty qualifications that are acceptable to the Review Committee; and, The Review Committee accepts only current ABMG certification in clinical genetics. II.A.3.b).(2) The program director must meet the requirements for Maintenance of Certification in clinical genetics through the ABMG. (Detail) II.A.3.c).(1) The program director must have a full-time faculty appointment. (Detail) II.A.3.d) at least four years of experience as an attending genetics faculty member following completion of all graduate medical education. II.A.3.b) current certification in the specialty by the American Board of Medical Genetics and Genomics, or specialty qualifications that are acceptable to the Review Committee; and, The Review Committee accepts only current ABMGG certification in clinical genetics. II.A.3.b).(2) The program director must meet the requirements for Maintenance of Certification in clinical genetics through the ABMGG. (Detail) II.A.3.c).(1) The program director must have a full-time faculty appointment. (Detail) II.A.3.d) at least four years of experience as an attending genetics faculty member following completion of all graduate medical education. II.A.2.b) current certification in the subspecialty by the American Board of Medical Genetics, or subspecialty qualifications that are acceptable to the Review Committee; and, 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 11 of 29

12 Neurological Surgery Neurology Child Neurology Clinical Neurophysiology Epilepsy Vascular Neurology Neurodevelopmental Disabilities Nuclear Medicine II.A.3.b) current certification in the specialty by the American Board of Neurological Surgery (ABNS), or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the specialty by the American Board of Psychiatry and Neurology (ABPN), or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the subspecialty by the American Board of Psychiatry and Neurology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the subspecialty by the American Board of Psychiatry and Neurology or the American Board of Pediatrics, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the specialty by the American Board of Nuclear Medicine, or specialty qualifications that are Other acceptable qualifications are certification by the American Board of Radiology with subspecialty certification in Nuclear Radiology Accreditation Council for Graduate Medical Education (ACGME) Page 12 of 29

13 Obstetrics and Gynecology.(a) The program director must be an authorized user for 10CFR , 290, and 390, including 392, 394, and 396. II.A.3.b).(2) II.A.3.c) II.A.3.c).(1) II.A.3.d) II.A.3.e) The program director should actively participate in Maintenance of Certification. current medical licensure and appropriate medical staff appointment; The program director must have a full-time appointment. broad knowledge of, experience with, and commitment to general nuclear medicine/molecular imaging; and, having served as a nuclear medicine faculty member for at least three years in an ACGMEaccredited nuclear medicine residency program preceding appointment as the program director. II.A.3.a) II.A.3.b) II.A.3.c) II.A.3.c).(1) II.A.3.e) requisite specialty expertise and documented educational and administrative experience current certification in the specialty by the American Board of Obstetrics and Gynecology (ABOG), or specialty qualifications that are current medical licensure and appropriate medical staff appointment; and, The program director should be a member of the staff of the sponsoring institution or a major participating site. (Detail) a minimum five years of clinical experience in obstetrics or gynecology after completion of a residency in obstetrics and gynecology Accreditation Council for Graduate Medical Education (ACGME) Page 13 of 29

14 Gynecologic Oncology Ophthalmology II.A.3.b) current certification in the subspecialty by the American Board of Obstetrics and Gynecology, or subspecialty qualifications that are acceptable to the Review Committee; II.A.3.d) five years of experience as a gynecologic oncologist following completion of a gynecologic oncology fellowship; II.A.3.e) active engagement in the care of patients in the subspecialty; and, II.A.3.f) demonstration of clinical and scholarly expertise in gynecologic oncology by publication of a minimum of one original research or review article in peer-reviewed journals within the past three years and at least one of the following within the past three years: II.A.3.f).(1) peer-reviewed funding; (Detail) II.A.3.f).(2) presentation at regional or national professional and scientific society meetings; or, (Detail) II.A.3.f).(3) participation on committees of national professional, scientific or educational organizations. (Detail) II.A.3.b) current certification in the specialty by the American Board of Ophthalmology, or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.c).(1) The program director must be a member of the staff at the primary clinical site. II.A.3.d) at least three years of experience in the specialty following completion of his or her residency education and excluding any year(s) of fellowship education Accreditation Council for Graduate Medical Education (ACGME) Page 14 of 29

15 Ophthalmic Plastic and Reconstructive Surgery Orthopaedic Surgery Orthopaedic Surgery (effective: July 1, 2016) II.A.3.a) II.A.3.b) II.A.3.c) II.A.3.d) II.A.3.e) requisite specialty expertise and documented educational and administrative experience current certification in the subspecialty by the American Board of Ophthalmology, or subspecialty qualifications that are acceptable to the Review Committee; and, current medical licensure and appropriate medical staff appointment. at least five years clinical experience in ophthalmic plastic and reconstructive surgery, including successful completion of ophthalmic plastic and reconstructive surgery fellowship education, and at least three years of clinical experience in ophthalmic plastic and reconstructive surgery following the fellowship; a clinical practice consisting predominantly of ophthalmic plastic and reconstructive surgery; and, II.A.3.f) engagement in ongoing research in the area of ophthalmic plastic and reconstructive surgery as demonstrated by regular publications in peer-reviewed journals and/or presentations of research material at national meetings. II.A.3.b) current certification in the specialty by the American Board of Orthopaedic Surgery (ABOS), or specialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the specialty by the American Board of Orthopaedic Surgery (ABOS), or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; II.A.3.d) a minimum of four years of clinical practice in the specialty post-residency/fellowship; II.A.3.e) a minimum of two years of experience as an associate program director of an ACGMEaccredited orthopaedic surgery program, or three years of participation as an active faculty member in an ACGME-accredited orthopaedic surgery program; and, II.A.3.f) evidence of periodic updates of knowledge and skills to discharge the roles and responsibilities for teaching, supervision, and formal evaluation of residents. (Detail) 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 15 of 29

16 Orthopaedic Surgery Subspecialties II.A.2.b) current certification in the subspecialty by the American Board of Orthopaedic Surgery, or subspecialty qualifications that are acceptable to the Review Committee; and, Osteopathic Neuromusculoskeletal Medicine II.A.3.b) current certification in the specialty by the American Osteopathic Board of Neuromusculoskeletal Medicine (AOBNMM) or its predecessor, the American Osteopathic Board of Special Proficiency in Osteopathic Manipulative Medicine (AOBSPOMM), or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) a minimum of three years of post-residency clinical practice with teaching experience in osteopathic neuromusculoskeletal medicine. Otolaryngology II.A.3.b) current certification in the specialty by the American Board of Otolaryngology (ABOto), or specialty qualifications that are The Review Committee accepts only ABOto certification. II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) evidence of periodic updates of knowledge and skills to discharge the roles and responsibilities for teaching, supervision, and formal evaluation of residents. (Detail) Neurotology II.A.3.b) current certification in the subspecialty by the American Board of Otolaryngology, or subspecialty qualifications that are acceptable to the Review Committee; and, The Review Committee only accepts certification in neurotology by the American Board of Otolaryngology Accreditation Council for Graduate Medical Education (ACGME) Page 16 of 29

17 Pediatric Otolaryngology Pathology Blood Banking/Transfusion Medicine Cytopathology Forensic Pathology Hematology Neuropathology Pediatric Pathology II.A.2.b) II.A.2.b).(1) II.A.2.b).(2) II.A.2.c) current certification in the subspecialty by the American Board of Otolaryngology (ABOto), or subspecialty qualifications that are acceptable to the Review Committee; and, The Review Committee only accepts ABOto certification in otolaryngology. The program director should have also completed a pediatric otolaryngology fellowship. current medical licensure and appropriate medical staff appointment. II.A.3.b) current certification in the specialty by the American Board of Pathology, or specialty qualifications that are acceptable to the Review Committee; and, The program director must have current certification in anatomic and/or clinical pathology. II.A.3.b).(2) If the program director is not certified in both anatomic and clinical pathology, there should be an associate program director with certification in the complementary specialty area. (Detail) II.A.3.d) at least five years of participation as an active faculty member in an ACGME-accredited pathology residency program or a pathology residency located in Canada and accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC). II.A.2.b) current certification in the subspecialty by the American Board of Pathology (ABP), or subspecialty qualifications that are II.A.2.b).(1) If the program director is not certified in the subspecialty by the ABP, at least one fulltime faculty member must be certified in the subspecialty. II.A.2.d) current medical licensure and appropriate medical staff appointment; and, II.A.2.e) at least three years of active participation as a specialist in [the subspecialty] following completion of all graduate medical education. (Detail) 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 17 of 29

18 Chemical Pathology Medical Microbiology Selective Pathology II.A.2.b) current certification in the subspecialty by the American Board of Pathology (ABP), or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b).(1) A program director who is not currently certified in chemical pathology by the ABP must be certified in a specialty by the American Board of Medical Specialties (ABMS), and must be a recognized leader in the subspecialty. II.A.2.d) current medical licensure and appropriate medical staff appointment. II.A.2.e) at least five years of active participation as a specialist in clinical chemistry following completion of all graduate medical education, (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Pathology (ABP), or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b).(1) A program director who is not currently certified in the subspecialty of medical microbiology by the American Board of Medical Microbiology, must also be certified in a specialty by the American Board of Medical Specialties (ABMS), and must be a recognized leader in the subspecialty. (Detail) II.A.2.d) current medical licensure and appropriate medical staff appointment. II.A.2.e) at least five years of active participation as a specialist in medical microbiology following completion of all graduate medical education. (Detail) II.A.2.b) current certification in the specialty by the American Board of Pathology, or specialty qualifications that are II.A.2.b).(1) The program director must have current certification in anatomic pathology only, clinical pathology only, or combined anatomic pathology and clinical pathology, by the American Board of Pathology. II.A.2.c) current medical licensure and appropriate medical staff appointment; and, II.A.2.d) following completion of the most recent graduate medical education, which should include completion of a fellowship in the identified area of the selective pathology program, at least three 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 18 of 29

19 Pediatrics Pediatric Subspecialties Pediatric Emergency Medicine years of active participation as a specialist in: II.A.2.d).(1) Track A: surgical pathology. (Detail) II.A.2.d).(2) Track B: the identified area of focused anatomic pathology. (Detail) II.A.2.d).(3) Track C: the identified area of focused clinical pathology. (Detail) II.A.3.b) current certification in the specialty by the American Board of Pediatrics (ABP), or specialty qualifications that are acceptable to the Review Committee; and, The program director should meet the requirements for Maintenance of Certification in pediatrics or a subspecialty of pediatrics through the ABP. II.A.3.b) current certification in the subspecialty by the American Board of Pediatrics, or subspecialty qualifications that are Qualifications other than subspecialty certification by the American Board of Pediatrics will be considered only in exceptional circumstances. Qualifications would include subspecialty training in the subspecialty area, active participation in national societies, evidence of on-going scholarship documented by contributions to the peer-reviewed literature in the subspecialty, and presentations at national meetings in the subspecialty. (Detail) II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) a record of ongoing involvement in scholarly activities, including peer review publications, and mentoring (i.e., guiding fellows in the acquisition of competence in the clinical, teaching, research and advocacy skills pertinent to the discipline). (Detail) VIII.A. Program Director The program director must be a member of the core teaching faculty, be American Board of Medical Specialties board certified in pediatric emergency medicine, and have three years of experience as a clinician, teacher, and administrator in pediatric emergency medicine Accreditation Council for Graduate Medical Education (ACGME) Page 19 of 29

20 Pediatric Transplant Hepatology Physical Medicine and Rehab Pediatric Rehabilitation Medicine II.A.2.b) current certification in the subspecialty by the American Board of Pediatrics, or subspecialty qualifications that are II.A.2.b).(1) Qualifications other than subspecialty certification by the American Board of Pediatrics will be considered only in exceptional circumstances. (Detail) II.A.2.b).(2) Qualifications would include subspecialty education in the subspecialty area, active participation in national societies, evidence of on-going scholarship documented by contributions to the peer-reviewed literature in the subspecialty, and presentations at national meetings in the subspecialty. (Detail) II.A.2.c) current medical licensure and appropriate medical staff appointment; and, II.A.2.d) a record of ongoing involvement in scholarly activities, including peer review publications, and mentoring (i.e., guiding fellows in the acquisition of competence in the clinical, teaching, research and advocacy skills pertinent to the discipline). (Detail) II.A.3.b) current certification in the specialty by the American Board of Physical Medicine and Rehabilitation, or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) at least four years of recent, post-residency experience in active clinical practice in physical medicine and rehabilitation and as a faculty member in an ACGME-accredited physical medicine and rehabilitation program. (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Physical Medicine and Rehabilitation, or subspecialty qualifications that are acceptable to the Review Committee; and, 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 20 of 29

21 Spinal Cord Injury Medicine II.A.2.b) current certification in the subspecialty by the American Board of Physical Medicine and Rehabilitation, or subspecialty qualifications that are acceptable to the Review Committee; and, Plastic Surgery II.A.3.b) current certification in the specialty by the American Board of Plastic Surgery, or specialty qualifications that are acceptable to the Review Committee; and, Craniofacial Plastic Surgery II.A.2.b) current certification in the subspecialty by the American Board of Plastic Surgery, or subspecialty qualifications that are II.A.2.c) current medical licensure and appropriate medical staff appointment; and, II.A.2.d) requisite clinical experience in craniofacial surgery acceptable to the Review Committee. (Detail) Preventive Medicine II.A.3.b) current certification in the specialty by the American Board of Preventive Medicine, or specialty qualifications that are acceptable to the Review Committee; and, Psychiatry II.A.3.b) current certification in the specialty by the American Board of Psychiatry and Neurology (ABPN), or specialty qualifications that are acceptable to the Review Committee; and, 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 21 of 29

22 Psychiatry Subspecialties Child and Adolescent Psychiatry Radiation Oncology Surgery II.A.2.b) current certification in the subspecialty by the American Board of Psychiatry and Neurology (ABPN), or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b).(1) The Review Committee accepts only ABPN certification in the subspecialty. II.A.3.b) current certification in the subspecialty by the American Board of Psychiatry and Neurology (ABPN), or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the specialty by the American Board of Radiology, or specialty qualifications that are acceptable to the Review Committee; and, The program director must actively participate in Maintenance of Certification in radiation oncology through the American Board of Radiology. II.A.3.b) current certification in the specialty by the American Board of Surgery, or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; II.A.3.d) unrestricted credentials at the primary clinical site/sponsoring institution, and license to practice medicine in the state where the sponsoring institution is located; and, (Detail) II.A.3.e) scholarly activity in at least one of the areas of scholarly activity delineated in Section II.B.5 of this document. (Detail) 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 22 of 29

23 Complex General Surgical Oncology Pediatric Surgery Surgical Critical Care II.A.2.b) current certification in the subspecialty by the American Board of Surgery or subspecialty qualifications that are II.A.2.c) current medical licensure and appropriate medical staff appointment; II.A.2.d) successful completion of a surgical oncology program sponsored by the Society of Surgical Oncology or a complex general surgical oncology program accredited by the ACGME; and, II.A.2.e) scholarly activity in the areas delineated in Section II.B.7 of this document. (Detail) II.A.3.b) current certification in the subspecialty by the American Board of Surgery, or subspecialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; II.A.3.d) licensure to practice medicine in a state where the sponsoring institution is located; and, (Detail) II.A.3.e) demonstrated scholarly activity in at least one of the areas listed in section II.B.5.b). II.A.2.b) current certification in the subspecialty by the American Board of Surgery or subspecialty qualifications that are II.A.2.c) current medical licensure and appropriate medical staff appointment; and, II.A.2.c).(1) This must include unrestricted credentials at the primary clinical site. II.A.2.c).(2) The program director should possess licensure to practice medicine in the state where the primary clinical site is located. II.A.2.d) faculty appointment in good standing at the primary clinical site. (Detail) 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 23 of 29

24 Vascular Surgery Thoracic Surgery Urology Congenital Cardiac Thoracic Surgery II.A.3.b) current certification in the subspecialty by the American Board of Surgery, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the specialty by the American Board of Thoracic Surgery, or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; II.A.3.d) documented experience educating thoracic surgery residents and membership (in good standing) in the Thoracic Surgery Directors Association; and, (Detail) II.A.3.e) documentation of formal faculty development activities in education and teaching, such as participation at local and national program director workshops and other educational activities. (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Thoracic Surgery, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the specialty by the American Board of Urology, or specialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) documented clinical and scholarly expertise in urology Accreditation Council for Graduate Medical Education (ACGME) Page 24 of 29

25 Pediatric Urology II.A.2.b) current certification in the subspecialty by the American Board of U, or subspecialty qualifications that are acceptable to the Review Committee; and, Transitional Year II.A.3.b) current certification in the specialty by the American Board of Medical Specialties, or specialty qualifications that are acceptable to the Review Committee; and, Internal Medicine-Pediatrics IV.D.1 This program director must be certified by both the American Board of Internal Medicine and the American Board of Pediatrics, or possess qualifications that are judged to be acceptable by the Review Committees. Multidisciplinary Subspecialties Brain Injury Medicine (subspecialty of Neurology, Physical Medicine and Rehabilitation, or II.A.2.b) current certification in the subspecialty by the American Board of Physical Medicine and Psychiatry) Rehabilitation or the American Board of Psychiatry and Neurology, or specialty qualifications that are acceptable to the Review Committee; and, Clinical Informatics (subspecialty of Anesthesiology, Diagnostic Radiology, Emergency Medicine, Family Medicine, Internal Medicine, Medical Genetics and Genomics, Pathology, Pediatrics, or Preventive Medicine) II.A.3.a) II.A.3.b) II.A.3.c) II.A.3.d) II.A.3.e) requisite specialty expertise and documented educational and administrative experience current certification in the subspecialty of clinical informatics by a member board of the American Board of Medical Specialties, or subspecialty qualifications that are acceptable to the Review Committee; current medical licensure and appropriate medical staff appointment; at least three years of experience in clinical informatics; and, experience in clinical informatics education Accreditation Council for Graduate Medical Education (ACGME) Page 25 of 29

26 Dermatopathology (subspecialty of Dermatology or Pathology) Endovascular Surgical Neuroradiology (subspecialty of Neurological Surgery, Neurology, or Diagnostic Radiology) Female Pelvic Medicine and Reconstructive Surgery (subspecialty of Obstetrics and Gynecology or Urology) II.A.2.b) current certification in the subspecialty by the American Board of Dermatology or Pathology, or subspecialty qualifications that are acceptable to the Review Committee; II.A.2.c) current medical licensure and appropriate medical staff appointment; and, II.A.2.d) at least three years of post-fellowship experience in resident or fellow education. II.A.2.b) current certification in the subspecialty by the American Board of Radiology, the American Board of Neurological Surgery, or the American Board of Psychiatry and Neurology, or subspecialty qualifications that are II.A.2.c) current medical licensure and appropriate medical staff appointment; II.A.2.d) special expertise in endovascular surgical neuroradiology techniques; II.A.2.d).(1) The program director must concentrate at least 50% of his or her practice in endovascular surgical neuroradiology therapy. II.A.2.e) appointment by and responsibility to the program director of the core program; and, II.A.2.f) appointment to the teaching staff in the departments of radiology, neurological surgery, and neurology. II.A.3.b) current certification in the subspecialty by the American Board of Obstetrics and Gynecology or the American Board of Urology, or subspecialty qualifications that are II.A.3.c) current medical licensure and appropriate medical staff appointment; II.A.3.d) completion of a female pelvic medicine and reconstructive surgery fellowship at least five years prior to appointment as the program director; and, II.A.3.e) documented clinical and scholarly expertise in female pelvic medicine and reconstructive surgery Accreditation Council for Graduate Medical Education (ACGME) Page 26 of 29

27 Geriatric Medicine (subspecialty of Family Medicine or Internal Medicine) Hand Surgery (subspecialty of Orthopaedic Surgery, Plastic Surgery, or Surgery) Hospice and Palliative Medicine (subspecialty of Anesthesiology, Family Medicine, Internal Medicine, Pediatrics, Psychiatry, or Radiation Oncology) II.A.2.a).(1) The program director must have at least five years of participation as an active faculty member in an ACGME-accredited family medicine or internal medicine residency or geriatric medicine fellowship. (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Internal Medicine (ABIM), American Board of Family Medicine (ABFM), or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b).(1) The Review Committee only accepts current ABIM or ABFM certification in geriatric medicine. II.A.2.b) current certification in the subspecialty by the American Board of Orthopaedic Surgery, the American Board of Plastic Surgery, or the American Board of Surgery, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b) current certification in the subspecialty by the American Board of Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry and Neurology, Radiology, or Surgery, or subspecialty qualifications that are II.A.2.c) current medical licensure and appropriate medical staff appointment; II.A.2.d) current certification by the American Board of Medical Specialties in one of the primary specialties listed above; II.A.2.e) an active clinical practice in hospice and palliative medicine; II.A.2.f) a record of ongoing involvement in education and scholarly activities, which includes mentoring fellows (i.e., guiding fellows in the acquisition of competence in the clinical, teaching, research and advocacy skills pertinent to the discipline), serving as a clinical supervisor in an inpatient or outpatient setting, developing curricula, and/or participating in didactic activities; and, 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 27 of 29

28 Medical Toxicology (subspecialty of Emergency Medicine or Preventive Medicine) Molecular Genetic Pathology (subspecialty of Medical Genetics and Genomics or Pathology) Neuromuscular Medicine (subspecialty of Neurology or Physical Medicine and Rehabilitation) Pain Medicine (subspecialty of Anesthesiology, Neurology, or Physical Medicine and Rehabilitation) II.A.2.g) having served a minimum of two years in a clinical practice of hospice and palliative medicine. II.A.3.b) current certification in the subspecialty by the American Board of Emergency Medicine, the American Board of Pediatrics, or the American Board of Preventive Medicine, or subspecialty qualifications that are II.A.3.d) at least three years experience as a core physician faculty member in an ACGME-accredited emergency medicine, pediatrics, preventive medicine, or medical toxicology program; (Detail) II.A.3.e) current clinical activity in medical toxicology; II.A.3.f) active involvement in scholarly activity; and, II.A.3.g) appropriate medical school faculty appointment. II.A.2.b) current certification in the subspecialty by the American Board of Medical Genetics (in clinical medical genetics) or the American Board of Pathology, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b) current certification in the subspecialty by the American Board of Psychiatry and Neurology or the American Board of Physical Medicine and Rehabilitation, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.3.b) current certification in the subspecialty by the American Board of Medical Specialties, or subspecialty qualifications that are 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 28 of 29

29 Sleep Medicine (subspecialty of Internal Medicine, Neurology, Pediatrics, or Psychiatry) Sports Medicine (subspecialty of Emergency Medicine, Family Medicine, Pediatrics, or Physical Medicine and Rehabilitation) Undersea and Hyperbaric Medicine (subspecialty of Emergency Medicine or Preventive Medicine) II.A.3.c) current medical licensure and appropriate medical staff appointment; and, II.A.3.d) subspecialty certification in pain medicine with both certificates recognized by the American Board of Medical Specialties, or qualifications that are acceptable to the sponsoring Review Committee. II.A.2.a).(1) The program director should continue in his or her position for a length of time adequate to maintain continuity of leadership and program stability. (Detail) II.A.2.a).(2) The program director must have at least three years of participation as an active faculty member in an ACGME-accredited education program. (Detail) II.A.2.b) current certification in the subspecialty by the American Board of Family Medicine, Internal Medicine, Neurology, Otolaryngology, Pediatrics, or Psychiatry, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b) current certification in the subspecialty by the American Board of Emergency Medicine, Family Medicine, Internal Medicine, Pediatrics, or Physical Medicine and Rehabilitation or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.b) current certification in the subspecialty by the American Board of Emergency Medicine or the American Board of Preventive Medicine, or subspecialty qualifications that are acceptable to the Review Committee; and, II.A.2.c).(1) The program director must have licensure to practice medicine in the state where the institution that sponsors the program is located. (Certain federal programs are exempted.) 2015 Accreditation Council for Graduate Medical Education (ACGME) Page 29 of 29

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