Leadership in National GME Policy
APCCMPD Recommendation on Interviews for the 2022/2023 Recruitment Cycle
May 26, 2022
The Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD) consists of program leaders from Critical Care Medicine (CCM), Pulmonary Medicine, and Pulmonary and Critical Care Medicine (PCCM), and represents 96% of Accreditation Council for Graduate Medical Education (ACGME) accredited fellowships in these subspecialties. The APCCMPD’s mission is to foster excellence in training as well as to mentor future educators in pulmonary and critical care medicine. In addition, the APCCMPD provides a communication channel among fellowship programs and with stakeholder organizations.
As part of our mission, the APCCMPD takes a vested interest in all aspects of fellowship recruitment. In March 2022, the APCCMPD assembled an Interview Task Force to make recommendations for fellowship interviews for the 2022-2023 recruitment cycle. The Interview Task Force was composed of 11 volunteer APCCMPD members, representing training programs in both CCM and PCCM, with diverse geographic distribution, and program size. Task Force members included Program Directors, an Associate Program Director, two fellows-in-training, and a Program Coordinator to ensure broad representation.
APCCMPD Recommendations:
- The APCCMPD strongly recommend CCM, Pulmonary, and PCCM fellowship interviews be virtual-only for all applicants, including local applicants, in the 2022-2023 interview cycle.
- The APCCMPD strongly recommend against CCM, Pulmonary, and PCCM fellowship programs offering optional in-person (“second-look”) visits to applicants in 2022-2023.
Read the full recommendation here.
Resources for Your Program
To ensure that applicants understand the rationale for not offering in-person interviews or site visits the APCCMPD encourages you to place the following language and link on your Fellowship Program's websites where applicants will visit:
"In alignment with the Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD), our national professional society, and to ensure a uniform interview process that is equitable to all applicants, our fellowship interviews for applicants in 2022-2023 will be held exclusively virtually. We will not offer in-person site visits. The full recommendation is available here." [https://apccmpd.memberclicks.net/assets/Interviews/APCCMPD_Interview_Task_Force_Recommendation_22_23_Interviews.pdf]
Learn more about additional resources and APCCMPD Advocacy on Recruitment Issues.
APCCMPD Comments on ACGME Program Requirements for Graduate Medical Education Focused Revisions in Critical Care Medicine; Pulmonary Medicine, and Pulmonary Critical Care Medicine
February 22, 2022
The ACGME announce actions taken at the February ACGME Board of Directors Meeting. The Focused Revisions to the ACGME Program Requirements for Graduate Medical Education in Internal Medicine are effective July 1, 2022.
With feedback from the APCCMPD and the Internal Medicine fellowship community, the ACGME has harmonized of the requirements across nearly all of the Internal Medicine (IM) Subspecialities pertaining to Program Director dedicated time and support, Associate Program Director dedicated time and support; core faculty dedicated time and support; and Program Coordinator dedicated time and support. Review the focused revisions here: Critical Care Medicine; Pulmonary Medicine, and Pulmonary Critical Care Medicine.
October 17, 2021
The ACGME recently opened a call for review and comment on Focused Revisions to the ACGME Program Requirements for Graduate Medical Education in Critical Care Medicine; Pulmonary Medicine, and Pulmonary Critical Care Medicine. Learn more here.
With these focused revisions the ACGME proposed harmonization of the requirements across nearly all of the Internal Medicine (IM) Subspecialities pertaining to Program Director dedicated time and support, Associate Program Director dedicated time and support; core faculty dedicated time and support; and Program Coordinator dedicated time and support.
In response, APCCMPD BOD convened Program Director representatives from across the IM Subspecialities to respond to the proposed focused revisions. The leaders from these IM Subspecialities, including APCCMPD, drafted a joint letter to the ACGME supporting the ACGME’s effort in recognizing the dedicated time and support required to operationalize a Graduate Medical Education fellowship program. Each of the IM Subspecialties, also provided comment on the focused revisions proposed to their respective ACGME Program Requirements reflecting the nuances of their individual subspecialities. Read the Joint Letter.
Based on responses to surveys of the APCCMPD Membership, administered in September 2021, the APCCMPD BOD provide comments to the ACGME on the ACGME Program Requirements for Graduate Medical Education Focused Revisions in Critical Care Medicine; Pulmonary Medicine, and Pulmonary Critical Care Medicine. Review the APCCMPD comments to each of the ACGME Program Requirements for Graduate Medical Education Focused Revisions for Critical Care Medicine; Pulmonary Medicine; and Pulmonary Critical Care Medicine here.
The APCCMPD thanks our membership for your engagement to help shape national GME policy issues.
APCCMPD Responds to NRMP Survey- Syncing IM-Subspecialty and Pediatric Match Date
January 10, 2022
The NRMP announced the first combined Medicine and Pediatric Specialties Match will take place in 2022 for the 2023 appointment year with the following schedule: Learn More.
Match Registration Opens: August 24, 2022
Ranking Function Opens: September 28, 2022
Quota Change Deadline: November 2, 2022
Rank List Certification Deadline: November 16, 2022
Match Day: November 30, 2022
February 1, 2021
The Council of Pediatric Subspecialties, Alliance for Academic Internal Medicine, Association of Pediatric Program Directors, and the National Resident Matching Program surveyed Subspecialty Match Sponsors to assess Pediatric and Internal Medicine (IM) willingness to move their subspecialty match by 2 weeks in order to develop a combined match for residents pursuing Pediatrics or IM fellowships.
Learn more and read APCCMPD's Response
APCCMPD Provides Comment: Focused Revisions to the ACGME Institutional Requirements and a Proposed New Requirement for Neurocritical Care
August 11 and 25, 2021
The APCCMPD provided comment to the Accreditation Council on Graduate Medical Education (ACGME) during 2 recent open comment periods. Read the APCCMPD's comments on the focused revisions to the ACGME Institutional Requirements here; and to a proposed new requirement for Neurocritical Care here.
APCCMPD Requests ABIM to Remove PAC from the Training and Procedural Requirements in Pulmonary Disease and CCM
July 21, 2021
APCCMPD requested the placement of pulmonary artery balloon flotation catheters (PAC) be removed from the list of American Board of Internal Medicine (ABIM) Training and Procedural Requirements in the Pulmonary Disease and Critical Care Medicine Polices.
Given the changing landscape of our field and changes in our ACGME requirements the APCCMPD asked the ABIM to consider removing the requirement for PAC placement from the ABIM requirements. Learn more.
APCCMPD Recommendation on Interviews for the 2021/2022 Recruitment Cycle
May 28, 2021
The Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD) consists of program leaders from Critical Care Medicine (CCM), Pulmonary Medicine, and Pulmonary and Critical Care Medicine (PCCM), representing 96% of ACGME-accredited fellowships in these subspecialties. As part of our mission, the APCCMPD takes a vested interest in all aspects of fellowship recruitment. In May 2021, the APCCMPD assembled an Interview Task Force to make recommendations for fellowship interviews. As a community of CCM, Pulmonary, and PCCM programs, we feel it is critical to have a uniform interview process to ensure equity and embody trainee-centric approaches. The APCCMPD recommends to our community that CCM, Pulmonary, and PCCM fellowship interviews should be held exclusively virtually for all applicants in 2021-2022. Read the full recommendation here.
Resources for Your Program
To ensure that applicants understand the rationale for not offering in-person interviews or site visits the APCCMPD encourages you to place the following language and link on your Fellowship Program's websites where applicants will visit:
"In alignment with the Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD), our national professional society, and to ensure a uniform interview process that is equitable to all applicants, our fellowship interviews for applicants in 2021-2022 will be held exclusively virtually. We will not offer in-person site visits. The full recommendation is available here." [https://apccmpd.memberclicks.net/assets/Advocacy/APCCMPD_2021_Interview_Recommendations%205.27.21.pdf]
Learn more about APCCMPD Advocacy on Recruitment Issues.
APCCMPD Provides Comment to the ACGME on the Focused Revisions to the Common Program Requirements for Fellowship
March 25, 2021
The APCCMPD provided comment to the ACGME on their recent recent focused revisions to the Common Program Requirements for Fellowship. Read the APCCMPD Comments.
APCCMPD Applies to the NRMP for an IM-CCM Match
March 25, 2021
In January 2020, the Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD) Multi-society Uniform Match Policy Task Force convened a summit to discuss the advantages, barriers, concerns and possible ways forward toward developing a match for Internal Medicine-Critical Care Medicine (IM-CCM) fellowships. The discussion at the summit revealed a common desire to reduce candidate stress and to encourage a fair recruitment system that finds a good fit between program and candidate.
Subsequently, in December of 2020 the task force surveyed IM-CCM Program Directors to determine if 75% of the IM-CCM programs would agree to participating in the National Resident Matching Program (NRMP) allocating 75% of the total positions. The survey results indicated that the collective participation of IM-CCM fellowship programs would support these Match requirements allowing the APCCMPD to pursue and sponsor the IM-CCM participation in the Match. The NRMP has approved APCCMPD's application to sponsor IM-CCM in the NRMP match for the 2021 appointment year.
Important Upcoming Dates
- Electronic Residency Application System Opens- July 15, 2021 (anticipated)
- Match Opens- August 26, 2021
- Rank Order Lists Open- September 30, 2021
- Quota change deadline- November 4, 2021
- Rank Order Lists Due- November 18, 2021
- Match Day- December 2, 2021
APCCMPD Responds to NRMP Survey- Syncing IM-Subspecialty and Pediatric Match Date
February 1, 2021
The Council of Pediatric Subspecialties, Alliance for Academic Internal Medicine, Association of Pediatric Program Directors, and the National Resident Matching Program surveyed Subspecialty Match Sponsors to assess Pediatric and Internal Medicine (IM) willingness to move their subspecialty match by 2 weeks in order to develop a combined match for residents pursuing Pediatrics or IM fellowships.
Learn more and read APCCMPD's Response
APCCMPD Responds to a Proposed Rule in the Federal Register Regarding the Duration of Status for J-1 Visa Holders
October 23, 2020
A Proposed Rule by the Homeland Security Department on 09/25/2020 in the federal register that establishes a fixed time period (or Duration of Status) for which J-1 Visa holders can stay, as well as, a process for how the J-1 Visa holder could extend their visa. On October 23, 2020 the APCCMPD provided comment on this proposed rule, requesting the physician category of the J-1 visa classification be excluded from the proposed rule. The APCCMPD encourages our membership to submit comments as members of the public. The APCCMPD's comment letter can be found here. APCCMPD members may copy the content of this letter to use in their own comment letters.
APCCMPD Responds to ABIM's Call for Comments on Proposed Revisions to Procedural Requirements for Initial IM Certification
August 31, 2020
The APCCMPD responded to the ABIM's request of Sub-speciality Program Directors of whether residents should be trained in any procedures in particular before entering fellowship in your discipline. The APCCMPD developed their response based on a surveyed the APCCMPD membership, which was conducted in March of 2020. Learn more and read the APCCMPD's response.
APPCCMPD and Uniform Match Policy Taskforce Provide CCM Updates to Match and Application Cycle
June 10, 2020
Review a letter from the APCCMPD Board of Directors and the Uniform Match Policy Taskforce regarding follow-up steps to the Uniform Match Policy Summit, held in January 2002. The APCCMPD and Uniform Match Policy Taskforce also provide suggestions to support applicant fairness given the delayed opening of ERAS until August 12, 2020. We look forward to continuing to serve you.
Review the Letter
ERAS Announces Timeline for 2021 Fellowship Application Timeline
May 20, 2020
ERAS has announced that fellowship programs will gain access to ERAS on August 12, 2020. Learn more.
APCCMPD Recommends Virtual Interviews for Upcoming Application and Interview Season
May 15, 2020
Much uncertainty exists about how the COVID-19 Pandemic will impact this upcoming application and interview season. Shelter-in-place orders, travel bans, and work place/training demands of programs across the United States will undoubtedly change the ability of applicants to travel and of programs to host visitors.
As a community of Pulmonary, Critical Care, and Pulmonary-Critical Care Medicine Fellowship Programs, we coalesce around the belief that the safety and wellbeing of our staff, faculty, and trainees are of utmost importance. With this in mind, the APCCMPD Board of Directors recommends that all programs conduct all of their fellowship interviews virtually. Review the full recommendation.
AAIM Requests APCCMPD to comment on Proposal to ERAS & NRMP Modifying Fellowship Application Dates in Light of the COVID-19 Pandemic
Friday, April 17, 2020
AAIM requested APCCMPD's comment by April 22, 2020 on modifying 2020 application deadlines in light of the COVID-19 Pandemic. Given the short time to respond the APCCMPD Board of Directors convened a rapid survey of past Board Members and current board members including a fellow representative and programs affected drastically by the COVID-19 Pandemic in New York City. Review APCCMPD's Response.
APCCMPD Requests ACGME Postpone Fellowship Program Deadlines in Light of the COVID-19 Pandemic
Thursday, March 12, 2020
Postponement of Milestones 2.0 Implementation- During the APCCMPD 2020 Annual Virtual Conference attendees expressed their concern to ACGME regarding the upcoming July 2020 implementation of Milestones 2.0, while preparing and addressing the COVID-19 pandemic. In response to APCCMPD Member feedback, the ACGME agreed to postpone implementation until July 2021.
Friday, March 13, 2020
Annual Survey, 2020 Self-study Deadlines, and Site Visits in light of the COVID-19 Pandemic- On behalf of APCCMPD Members, the APCCMPD requested the ACGME postpone the annual survey; 2020 self-study deadlines; and site visits. The APCCMPD also requested the ACGME consider the current circumstances of the COVID-19 pandemic upon reviewing annual survey results. Consideration must be given to the lack of faculty and fellow development around the new survey and the likely impact the pandemic will have on trainee and faculty wellbeing and morale.
See email correspondence.
See ACGME's Response
APCCMPD Responds to ACGME's Revisions to the 2019 WebADS Annual Update
On August 13, 2019, the APCCMPD Board of Directors (BOD) initiated a dialog with the ACGME on the revisions to the 2019 annual WebADS update. On behalf of the APCCMPD membership, the APCCMPD BOD has ultimately provided recommendations to the ACGME that would improve the WebADS process.
August 13, 2019- Read APCCMPD's Letter
October 11, 2019- Read ACGME's Response
October 18, 2019- Read APCCMPD's Recommendations to Improve WebADS
Support for ABIM's co-sponsorship of the forthcoming ABMS NCC Certification Examination
On Tuesday, October 1, 2019 the APCCMPD led a collaboration along with the American Thoracic Society; CHEST; The Society of Critical Care Medicine; The Association of Pulmonary, Critical Care Division Chiefs; and The Alliance for Academic Internal Medicine to support American Board of Internal Medicine's (ABIM) co-sponsorship of the forthcoming American Board of Medical Specialties (ABMS) Neurocritical Care (NCC) Certification Examination. Learn More.
ACGME Call for Comments on Revised Program Requirements in Pulmonary Medicine and Critical Care Medicine
On September 26, 2019 the APCCMPD provided comment to the ACGME on their recent recent focused revisions to the Program Requirements for Graduate Medical Education in Pulmonary Disease and the Program Requirements for Graduate Medical Education in Critical Care Medicine.
September 26, 2019- Read APCCMPD's Response and Learn More
ACGME Call for Comments on Proposed Paradigm Shifts Needed for IM2035
The ACGME has begun to articulate their vision for IM2035 and is considering a paradigm shift to train and meet the future needs of internists. The APCCMPD has been invited to respond to a SWAT analysis on each of the 3 paradigm shifts being considered.
On August 29, 2019, after input from our membership the APCCMPD provided a responde to the ACGME. Read APCCMPD's responce.
APCCMPD Responds to Call for Comments on Proposed Changes to USMLE Score Report
On July 26, 2019, the APCCMPD responded to the proposed changes to the USMLE Score Report as outlined in a the Summary Report and Preliminary Recommendations from the Invitational Conference on USMLE Scoring (InCUS), March 11-12, 2019.
July 26, 2019- Learn More and Read APCCMPD's Response
APCCMPD Responds to ABIM's Call for Comments on Sequencing of CCM and Pulmonary Certification Examinations
On March 11, 2019, the ABIM requested comment on a proposed change to the sequence in which the Pulmonary Board Exam and the Critical Care Board Exam are offed to trainees.
ABIM proposes the following: Remove the requirement for having Pulmonary Disease certification prior to applying for admission to the Critical Care Medicine Examination. Allow trainees to take both the Pulmonary Disease and Critical Care Medicine Certification Examinations after their final year of combined training
April 18, 2019- Learn More and Read APCCMPD's Response
APCCMPD Responds to ABIM's Call for Comments on Proposed Revisions to Procedural Requirements for Initial IM Certification
In September of 2018 the ABIM requested input as to whether or not there should be procedural competencies required of all graduating residents to be eligible for initial certification in Internal Medicine. See the APCCMPD’s September 2018 response.
In follow-up, on March 12, 2019, the ABIM Internal Medicine Board made a recommendation about what the procedural competencies for Internal Medicine certification will be.
April 15, 2019- Learn More and Read APCCMPD's Response
ACGME Call for Comments on Revised Program Requirements in Pulmonary and Critical Care Medicine
On March 13, 2019 the APCCMPD provided comment to the ACGME on their recent recent focused revisions to the Program Requirements for Graduate Medical Education in Pulmonary Disease and Critical Care Medicine.
ACGME's revisions were in response to the September 9, 2018 join IM Subspecialty correspondence to the ACGME on the Program Requirements for Graduate Medical Education for all IM subspecialties.
March 13, 2019- Read APCCMPD's Response and Learn More
ACGME Call for Comments on a New Specialty in Neurocritical Care
On December 18, 2018 the APCCMPD provided comment to the ACGME on their recent proposal for form a new speciality in Neurocritical Care. Learn More.
December 18, 2019- Read APCCMPD's Response and Learn More
APCCMPD initiates an IM-sub speciality request for focused revisions to the Program Requirements in Graduate Medical Education for the Internal Medicine Subspecialties as they relate to protected time and salary support for Program Directors and Associate Program Directors.
The APCCMPD initiated a letter to the ACGME requesting focused revisions to the Program Requirements in Graduate Medical Education for the Internal Medicine Subspecialties as they relate to protected time and salary support for Program Directors and Associate Program Directors.
The APCCMPD invited Program Directors’ group to from all IM Subspecialties to provide comment and to join together with other Program Director organizations by signing a letter addressed to the Accreditation Council for Graduate Medical Education (ACGME) Internal Medicine Residency Review Committee (IM-RRC).
The final letter was sent on behalf of on behalf of the APCCMPD; American Association for the Study of Liver Diseases; American College of Cardiology; American College of Rheumatology; American Gastroenterological Association; American Geriatrics Society and Association of Directors of Geriatrics Academic Programs; Association of Program Directors in Endocrinology, Diabetes, and Metabolism; American Society of Hematology; American Society of Nephrology; American Society for Gastrointestinal Endoscopy; and Infectious Diseases Society of America.
September 4, 2018- Review the final letter and ACGME's Response
ABIM Internal Medicine Procedural Requirements and Their Communication
The American Board of Internal Medicine requested the APCCMPD’s input on their current Internal Medicine procedural requirements and how they are communicated. The APCCMPD BOD responded based on the results of an APCCMPD Member.
September 6, 2018- Read APCCMPD’s response to the ABIM
The APCCMPD sincerely thanks all member programs for their continued response to surveys that inform issues such as this and for their support of the organization. Together we shape the future of GME.
ACGME- Call for Comments- IM 2035- Internal Medicine Requirements within Proposed Common Program Requirements
The ACGME Resident Review Committee in Internal Medicine (IM-RRC) will soon begin a major revision of the Common Program Requirements for Internal Medicine. Unlike past revisions, the IM RRC requested a different approach, to include the scenario-based strategic planning executive summary. The review period closed on July 1, 2018 and asked for two things:
- Provide feedback on the insights and themes from IM2035
- While considering IM2013, review and provide the IM RRC comments on which current IM specialty requirements should be edited or removed, and what new requirements should be introduced.
July 1, 2018- Review the APCCMPD Comments
ACGME Call for Comments on the Common Program Requirements Sections I-V, Phase 2
The ACGME Board of Directors initiated this second and final phase of the Common Program Requirements Sections I-V review. To address inherent differences in specialty and subspecialty training, the Phase 2 Task Force developed two sets of Common Program Requirements - one specific to residency programs, and a separate set for fellowships. The fellowship version applies to all subspecialty programs, regardless of program length, and will replace the separate One-Year Common Program Requirements.
March 2018- APCCMPD Comments
ACGME Call for Comments on the Common Program Requirements Section VI
Section VI of the CPR addresses: Professionalism, Personal Responsibility, and Patient Safety; Transitions of Care, Alertness Management/Fatigue Mitigation; Supervision of Residents; and Clinical Responsibilities in areas of Teamwork and Resident Duty Hours.
December 2016- APCCMPD Comments
ACGME Call for Comments on Common Program Requirements I-V, Phase 1
November 2016- Issue Brief and Correspondence
Duty Hours
April 2009- Correspondence to Accreditation Council for Graduate Medical Education
February 2016 Letter
March 2016 Testimony Transcript
ABIM MOC Fee Credit Component of MOC for Fellows-in-Training
Issue Brief
June 2015- Correspondence with Alliance of Academic Internal Medicine
Modification of ACGME Requirement Regarding Additional Training Programs for PCCM and CCM Fellowship Programs
Issue Brief
APCCMPD Member Survey Response on Issue
September 2014- Correspondence to ACGME
May 2015- APCCMPD/CCSC Task Force Correspondence to ACGME
Full ACGME Response
Comments on Training Program Requirements
April 2010- Correspondence to Accreditation Council for Graduate Medical Education
Proposed Pathway to Certification in Emergency Medicine - Critical Care Medicine
December 2009- Correspondence to the American Board of Internal Medicine
Proposed Revisions to NRMP Internal Medicine Specialty Match Timeline
November 2009- Correspondence to the Alliance for Academic Internal Medicine
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