Specialty-specific References for DIOs: Expected Time for Coordinator

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Allergy and Immunology Anesthesiology Adult Cardiothoracic Anesthesiology Anesthesiology Critical Care Obstetric Anesthesiology Anesthesiology Regional Anesthesiology and Acute Pain Specialty-specific References for DIOs: Expected Time for Coordinator ACGME Common Program Requirements are in bold Colon and Rectal Surgery II.C.1. The program must have a program coordinator with at least 10% of his or her time dedicated to the program. (Core) II.C.1.a) Programs with more than one resident per year should provide an additional 5% of program coordinator time per additional resident. Therefore, if there is one resident per year, at least 10% of the program coordinator s time must be dedicated to the program. If there are two residents per year, at least 15% of the program coordinator s time must be dedicated to the program. If there are three residents per year, at least 20% of the program coordinator s time must be dedicated to the program. If there are four residents per year, at least 25% of the program coordinator s time must be dedicated to the program. If there are five residents per year, at least 30% of the program coordinator s time must be dedicated to the program. (Detail) Dermatology 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 1 of 15

Micrographic Surgery and Dermatologic Oncology Diagnostic Radiology Abdominal Radiology Musculoskeletal Radiology Neuroradiology Nuclear Radiology I.A.3. The programs must have a dedicated residency program coordinator who must be provided sufficient time and support to fulfill the responsibilities essential to meeting the educational goals and administrative duties of the program. (Core) This support must be provided as follows: I.A.3.a) Programs approved for eight to24 residents must have at least 1.0 FTE program coordinator support. (Core) I.A.3.b) Programs approved for 25 to39 residents must have at least 1.50 FTE program coordinator support. (Core) I.A.3.c) Programs approved for 40 or more residents must have at least 2.0 FTE program coordinator support. (Core) II.C.1. Programs must have a dedicated radiology residency program coordinator. This person must have sufficient time to fulfill the responsibilities essential in meeting the educational goals and administrative requirements of the program. (Core) II.C.1. The program coordinator must devote sufficient time to support the administration and educational conduct of the program. (Core) II.C.1. The program coordinator must devote sufficient time to support the administration and educational conduct of the program. (Core) II.C.1. There must be a program coordinator who devotes sufficient time to support the administration and educational conduct of the program. (Core) Radiology II.C.1. The program coordinator must devote sufficient time to support the administration and educational conduct of the program. (Core) Vascular Interventional Radiology II.C.1. There must be a program coordinator who devotes sufficient time to support the administration and educational conduct of the program. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 2 of 15

Emergency Emergency Medical Services Emergency Family Internal Adult Congenital Heart Disease Advanced Heart Failure/Transplant Cardiology II.C.1. At a minimum, there must be at least one program coordinator dedicated solely to the residency program administration and additional support personnel at resident complements according to the following parameters: (Core) II.C.1.a) Programs with fewer than 31 residents must have at least one FTE program coordinator. (Core) II.C.1.b) Programs with 31-45 residents must have at least 1.5 FTE support personnel including at least one FTE program coordinator. (Core) II.C.1.c) Programs with 46-60 or more residents must have at least 2.0 FTE support personnel including at least one FTE program coordinator. (Core) II.C.1.d) Programs with 61-75 or more residents must have at least 2.5 FTE support personnel including at least one FTE program coordinator. (Core) II.C.1.e) Programs with 76 or more residents must have at least 3.0 FTE support personnel including at least one FTE program coordinator. (Core) I.A.1.c) The sponsoring institution and participating sites must provide support at least 20 percent salary support for a program coordinator(s). (Detail) I.A.1.d) The sponsoring institution and participating sites must provide other support personnel required for operation of the program. (Detail) II.C.1. At a minimum, there must be at least one 0.2 FTE program coordinator dedicated solely to the fellowship program administration. (Core) I.A.4.b) The sponsoring institution and participating sites must provide support for a full-time residency coordinator and other support personnel required for the operation of the program. (Detail) II.C.1. The program must have a program coordinator. (Core) I.A.2.e) The sponsoring institution and participating sites must provide support for program administrator(s) and other support 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 3 of 15

Cardiovascular Disease Clinical Cardiac Electrophysiology Critical Care Endocrinology, Diabetes and Metabolism Gastroenterology Hematology Hematology and Medical Oncology Infectious Disease Interventional Cardiology Medical Oncology Nephrology Pulmonary Critical Care Pulmonary Disease Rheumatology Transplant Hepatology Interventional Radiology I.A.3. The program must have a dedicated residency program coordinator who must be provided sufficient time and support to fulfill the responsibilities essential to meeting the educational goals and administrative duties requirements of the program. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 4 of 15

For integrated programs, there must be support for a program coordinator as follows: (Core) Medical Genetics and Genomics Medical Biochemical Genetics Neurological Surgery Neurology Child Neurology Clinical Neurophysiology Epilepsy I.A.3.a) Programs approved for 1-5 residents must have at least 0.2 FTE program coordinator support. (Core) I.A.3.b) Programs approved for 6-10 residents must have at least 0.4 FTE program coordinator support. (Core) I.A.3.c) Programs approved for 11-15 residents must have at least 0.6 FTE program coordinator support. (Core) I.A.3.d) Programs approved for 16-20 residents must have at least 0.8 FTE program coordinator support. (core) I.A.3.e) Programs approved for more than 20 residents must have at least 1.0 FTE program coordinator support. (Core) II.C.1. The program must have a dedicated program coordinator. (Core) II.C.1.a) The program coordinator must be provided sufficient time to fulfill the responsibilities essential to meeting the educational goals and administrative requirements of the program. (Core) II.C.2. There must be a dedicated program coordinator to assist the program director in effectively fulfilling the administrative requirements of the program. (Detail) II.C.1. There must be a designated program coordinator with financial support from the sponsoring institution. (Core) I.A.2. The sponsoring institution must provide adequate time and funding for a program coordinator who will assist the program director in the administration of the program. (Core) I.A.4. The sponsoring institution must provide financial support for a program coordinator to assist the program director in the administration of the program. (Core) I.A.4. The sponsoring institution must provide financial support for a program coordinator to assist the program director in the administration of the program. (Core) I.A.2. The sponsoring institution must provide salary support for a program coordinator to assist the program director in the administration of the program. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 5 of 15

Neurodevelopmental Disabilities I.A.4. The sponsoring institution must provide financial support for a program coordinator to assist the program director in the administration of the program. (Core) Vascular Neurology I.A.4. The Sponsoring Institution must provide financial support for a program coordinator to assist the program director in the administration of the program. (Core) Nuclear Obstetrics and Gynecology Gynecologic Oncology Maternal-Fetal Reproductive Endocrinology and Infertility Ophthalmology Ophthalmic Plastic and Recon Surgery Orthopaedic Surgery I.C.1. There must be a designated program coordinator to assist the program director in effectively fulfilling the administrative requirements of the program. (Core) I.A.3. At a minimum, a full-time program coordinator is required for all programs, and should receive full financial support from the institution. (Detail) I.A.1.e) The Sponsoring Institution should ensure each fellowship has a program coordinator who receives financial support for time spent assisting with administrative aspects of the program. (Detail) I.A.3. The Sponsoring Institution and the program should ensure the fellowship has a program coordinator who receives financial support for time spent assisting with administrative aspects of the program. (Detail) I.A.3. The Sponsoring Institution and the program should ensure the fellowship has a program coordinator who receives financial support for time spent assisting with administrative aspects of the program. (Detail) Adult Reconstructive Orthopaedic Surgery Foot and Ankle Orthopaedic Surgery Musculoskeletal II.C.1. There should be institutional support for a full-time equivalent orthopaedic surgery program coordinator designated specifically for orthopaedic surgical education. (Core) II.C.1.a) Programs with more than 20 residents should be provided with additional administrative support. (Detail) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 6 of 15

Oncology Orthopaedic Sports Orthopaedic Trauma Orthopaedic Surgery Surgery of the Spine Osteopathic Neuromusculoskeletal Otolaryngology Pathology Neurotology Otolaryngology Blood Banking/Transfusion I.A.2. The sponsoring institution must provide salary support for a residency coordinator dedicated to the educational and administrative needs of the program. (Core) II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the Chemical Pathology II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the Cytopathology Forensic Pathology Hematopathology II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 7 of 15

s Medical Microbiology Neuropathology II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the Pathology II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the Selective Pathology II.C.1. There must be a program coordinator and qualified laboratory technical personnel to support the I.A.1. The sponsoring institution and the program must support additional program leadership to include an associate program director(s), a liaison(s), and a residency coordinator(s) to assist the program director in effective administration of the program. (Core) I.A.1.a) The program leadership must not be required to generate clinical or other income for this support. (Core) I.A.1.b) The minimum amount of full-time equivalent (FTE) support provided must be based on the size of the program as follows: (Detail) I.A.1.b).(1) The program director must devote a minimum of 0.5 FTE regardless of the size of the program. (Detail) I.A.1.b).(1).(a) For programs with 12-30 residents, there must be a minimum of 0.75 combined FTE program director and associate program director, 1.0 FTE liaison, and 1.0 FTE residency coordinator. (Detail) I.A.1.b).(1).(b) For programs with 31-60 residents, there must be a minimum of 1.0 combined FTE program director and associate program director, 2.0 FTE liaisons, and 1.5 FTE residency coordinators. (Detail) I.A.1.b).(1).(c) For programs with 61-90 residents, there must be a minimum of 1.25 combined FTE program director and associate program director, 2.0 FTE liaisons, and 2.0 FTE residency coordinators. (Detail) I.A.1.b).(1).(d) For programs with 91-120 residents, there must be a minimum of 1.5 combined FTE program director and associate program director, 3.0 FTE liaisons, and 3.0 FTE residency coordinators. (Detail) I.A.1.b).(1).(e) For programs with more than 120 residents, there must be a minimum of 1.75 combined FTE program directors and associate program directors, 3.0 FTE liaisons, and 3.5 FTE residency 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 8 of 15

coordinators. (Detail) Adolescent Child Abuse Developmental- Behavioral Cardiology Critical Care Endocrinology Emergency Gastroenterology Hematology Oncology Infectious Diseases Neonatal- Perinatal Nephrology Pulmonology 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 9 of 15

Rheumatology Transplant Hepatology Physical and Rehabilitation Rehabilitation Spinal Cord Injury Plastic Surgery II.C.1. There must be a residency coordinator who assists the program director, and performs managerial duties related to planning, directing, and coordinating academic and operational activities of the program. (Core) Craniofacial Surgery Preventive Psychiatry II.C.1. There must be institutional support for a program coordinator, as follows: (Core) II.C.1.a) 0.5 full-time equivalent for programs with up to six residents; and, (Core) II.C.1.b) 1.0 full-time equivalent for programs with more than six residents. (Core) II.C.1.c) Programs with more than 20 residents must be provided with additional administrative personnel. (Core) I.A.2. There must be a residency coordinator who has adequate time and institutional support, based on program size and complexity, to support the program. (Core) Addiction Psychiatry II.C.4. There must be a designated program coordinator. (Core) Child and Adolescent Psychiatry I.A.2. There must be a residency coordinator who has adequate time and institutional support, based on program size and complexity, to support the program. (Core) Forensic Psychiatry II.C.4. There must be a designated program coordinator. (Core) Geriatric Psychiatry II.C.4. There must be a designated program coordinator. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 10 of 15

Consultation-Liaison Psychiatry Radiation Oncology Surgery Complex General Surgical Oncology Surgery Surgical Critical Care Vascular Surgery Thoracic Surgery Urology Congenital Cardiac Surgery Urology Transitional Year II.C.4. There must be a designated program coordinator. (Core) II.C.1. There must be a full-time surgery program coordinator designated specifically for surgical education. (Core) II.C.1.a) Programs with more than 20 residents should be provided with additional administrative personnel. (Core) II.C.1. The sponsoring institution must provide adequate support for a residency coordinator who is dedicated to the thoracic surgery program. (Core) II.C.1.a) Residency coordinators who manage a single thoracic surgery program, multiple thoracic surgery programs, or other specialty programs (e.g., surgery, plastic surgery) with 20 or more residents/fellows in all programs combined must be provided additional administrative support. (Core) Multidisciplinary Subspecialty Addiction Anesthesiology, 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 11 of 15

Emergency, Family, Internal, Obstetrics and Gynecology, s, Preventive, or Psychiatry) Brain Injury Child Neurology, Neurology, Physical and Rehabilitation, or Psychiatry) Clinical Informatics Anesthesiology, Radiology, Emergency, Family, Internal, Medical Genetics and Genomics, Pathology, s, or Preventive ) Dermatopathology Dermatology or Pathology) Endovascular Surgical Neuroradiology Child II.C.1. Administrative support must include a program coordinator to provide adequate administrative and technological support to the fellowship. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 12 of 15

Neurology, Neurological Surgery, Neurology, or Radiology) Female Pelvic and Reconstructive Surgery Obstetrics and Gynecology or Urology) Geriatric Family or Internal ) Hand Surgery Orthopaedic Surgery, Plastic Surgery, or Surgery) Hospice and Palliative Anesthesiology, Family, Internal, s, Psychiatry, or Radiation Oncology) Internal - s (Combined program for Internal and II.C.1. The program must provide support for a program coordinator(s) and other support personnel required for operation of the program. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 13 of 15

s) Medical Toxicology Emergency or Preventive ) Molecular Genetic Pathology Medical Genetics and Genomics or Pathology) Neuromuscular Child Neurology, Neurology, or Physical and Rehabilitation) Pain Anesthesiology, Child Neurology, Neurology, or Physical and Rehabilitation) Sleep Child Neurology, Internal, Neurology, s, or Psychiatry) Sports II.C.1. There must be at least one 0.2 FTE program coordinator dedicated solely to fellowship program administration. (Core) II.C.1 Programs must have a designated program coordinator who is provided sufficient time to fulfill the responsibilities essential to meeting the educational goals and administrative requirements of the program. (Core) I.A.4. The sponsoring institution must provide salary support for a program coordinator to assist the program director in the administration of the program. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 14 of 15

Emergency, Family, s, or Physical and Rehabilitation) Undersea and Hyperbaric Emergency or Preventive ) II.C.1. There must be at least one 0.2 FTE program coordinator dedicated to the fellowship program s administration. (Core) 2018 Accreditation Council for Graduate Medical Education (ACGME) Page 15 of 15