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February 12, 2025

ACGME Releases Proposed Changes to EM Program Requirements

The Accreditation Council for Graduate Medical Education (ACGME) has released new proposed emergency medicine program requirements and rationale for the updates. The public comment period is open now through May 1, 2025.

Watch the ACGME webinar to learn more about the proposed changes.

Share Your Comments with the ACGME
Click here to submit your comments directly to the ACGME.

Key proposed changes include:

  1. Length of training – recommended at 48 months for all programs
  2. Curricular building blocks
    1. Rotations
      1. Increased EM time overall
      2. Added requirement for low-resource ED, low acuity setting
      3. Increased Critical Care and Pediatric time
      4. Added time for obstetrics, toxicology and addiction medicine, administration and EMS
    2. Structured Experiences
      1. Acute Psychiatric Emergencies
      2. Airway Management
      3. Non-Laboratory Diagnostics (Ultrasound Procedural/Diagnostic and EKG/Radiology Interpretation
      4. Observation Medicine
      5. Ophthalmology
      6. Perform Sensitive Exams
      7. Primary Decision Maker in Multidisciplinary Teams
      8. Telemedicine
      9. Transfers and Transitions of CareCurricular building blocks.
  3. Resource requirements (volume of patients, critical care patients and faculty)
  4. Procedural requirements
  5. Scholarly requirements
  6. Didactics

ACEP Makes Sure Your Voice is Heard

ACEP has participated in the process from the start to make sure your voice is heard.

Help shape ACEP comments and share any questions about the process or the guidelines by emailing ACEP's president, Dr. Alison Haddock.

The ACGME developed these proposed program requirements based on data collected and feedback from stakeholders including program directors, residents, and the larger EM community. These requirements are designed to equip trainees with the knowledge and skills to practice for the next 25 years.

Once finalized, the requirements would be effective no earlier than July of 2027. Residents who start in July of 2026 would complete their training under the old requirements.

For more information, read the ACGME FAQ. Additional resources and the comment submission form can be found here.

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