Specialty-specific References for DIOs: Expected …acgme.org/Portals/0/PDFs/Specialty-specific Requirement...Expected Time for Program Director Updated 7/2019 ©2019 Accreditation

Expected Time for Program Director Updated 7/2019 ©2019 Accreditation Council for Graduate Medical Education (ACGME) Page 1 of 31

Specialty-specific References for DIOs: Expected Time for Program Director

ACGME

Effective as of July 1, 2019

Common Program Requirements are in bold

Specialty Name Specialty-Specific Requirements Referencing “Expected Time for Program Director”

Allergy and Immunology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Anesthesiology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) Programs with more than 20 residents must provide a minimum of 40 percent protected time for the program director. (Core)

Adult Cardiothoracic Anesthesiology

II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Adult Cardiothoracic Anesthesiology Program Requirements]

Anesthesiology Critical Care Medicine


[The Review Committee’s specification will be included in an upcoming focused revision to the Anesthesiology Critical Care Medicine Program Requirements]

Obstetric Anesthesiology


II.A.2.a) This support must be at least 20 percent FTE for the administrative (non-clinical) aspects of the fellowship program. (Core)

Pediatric Anesthesiology


[The Review Committee’s specification will be included in an upcoming focused revision to the Pediatric Anesthesiology Program Requirements]



Regional Anesthesiology and Acute Pain Medicine


[The Review Committee’s specification will be included in an upcoming focused revision to the Regional Anesthesiology and Acute Pain Medicine Program Requirements]

Colon and Rectal Surgery II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) Salary support for the program director’s administrative time must be provided by the sponsoring institution, foundation or practice, depending on the institutional setting. (Core)

II.A.2.b) The program director must not be required to generate clinical or other income to provide this administrative support. (Detail)

Dermatology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) For programs with an approved resident complement of more than 12, the Sponsoring Institution and the program must support additional program leadership, including an associate program director. (Core)

II.A.2.a).(1) The appointed term of an interim director should not exceed six months. (Core)

II.A.2.a).(2) If the temporary absence is eight weeks or longer, the Review Committee must be notified via ADS. (Core)

II.A.2.a).(3) The interim director must be a full-time faculty member, with current certification by the American Board of Dermatology, or by the American Osteopathic Board of Dermatology, with at least three years of experience educating dermatology residents or fellows. (Core)

Micrographic Surgery and Dermatologic Oncology


[The Review Committee’s specification will be included in an upcoming focused revision to the Micrographic Surgery and Dermatologic Oncology Program Requirements]

Diagnostic Radiology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration



of the program. (Core)

II.A.2.a) The program director and, if applicable, the associate/assistant program director(s), must be provided appropriate protected time to fulfill the responsibilities essential to meeting the educational goals of the program. (Core) This protected time must total at least:

II.A.2.a).(1) 0.3 full-time equivalent (FTE) for programs approved for eight to 15 residents; (Core)

II.A.2.a).(2) 0.4 FTE for programs approved for 16 to 23 residents; (Core)






II.A.2.a).(8) 1.0 FTE for programs approved for 64 to 71 residents; and, (Core)

II.A.2.a).(9) 1.1 FTE for programs approved for 72 or more residents. (Core)

II.A.2.b) There must be support for at least one associate/assistant program director for programs with resident complements of 32 or more. (Core)

Abdominal Radiology


[The Review Committee’s specification will be included in an upcoming focused revision to the Abdominal Radiology Program Requirements]

Musculoskeletal Radiology


[The Review Committee’s specification will be included in an upcoming focused revision to the Musculoskeletal Radiology Program Requirements]

Neuroradiology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

II.A.2.a) The program director must be provided a minimum of 0.1 FTE for programs with one to five



fellows, and a minimum of 0.2 FTE for programs with greater than five fellows to administer and oversee the program. (Core)

Nuclear Radiology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Nuclear Radiology Program Requirements]

Pediatric Radiology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Pediatric Radiology Program Requirements]

Vascular Interventional Radiology


[The Review Committee’s specification will be included in an upcoming focused revision to the Vascular and Interventional Radiology Program Requirements]

Emergency Medicine II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The sponsoring institution and participating sites must provide salary support or protected time for each associate program director. (Core)

Emergency Medical Services


II.A.2.a) The sponsoring institution and participating sites must provide at least 25 percent salary support or equivalent protected time for program directors. (Detail)

Pediatric Emergency Medicine


II.A.2.a) Program leadership, including the program director and associate program director(s), must be provided with a minimum combined total of 20-35 percent FTE protected time for the administration of the program (not including scholarly activity), depending on the size of the program, as follows: (Core)

Program Size % FTE Required



0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Family Medicine II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The minimum amount of FTE support provided must be based on the size of the program as follows: (Core)

II.A.2.a).(1) The program director must devote a minimum of 0.5 FTE regardless of the size of the program. (Core)

II.A.2.a).(1).(a) For programs with up to 12 residents, there must be a minimum of 0.5 (50 percent) protected administrative time. (Core)

II.A.2.a).(1).(b) For programs with 13-24 residents, there must be a minimum of 0.6 (60 percent) protected administrative time. (Core)

II.A.2.a).(1).(c) For programs with 25-49 residents, there must be a minimum of 0.7 (70 percent) protected administrative time. (Core)

II.A.2.a).(1).(d) For programs with 50 or greater residents, there must be a minimum of 0.8 (80 percent) protected administrative time. (Core)

Internal Medicine II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) For internal medicine, the program director must be provided with the salary support required to devote at least 50 percent FTE (at least 20 hours per week) of non-clinical time for the administration of the program. (Core)

II.A.2.b) Support for Associate Program Directors

II.A.2.b).(1) The Sponsoring Institution and participating sites must provide a minimum amount of salary support for the required number of ABIM- or AOBIM-certified APDs based on approved resident positions. (Core)



II.A.2.b).(2) Each APD must be provided with adequate salary support to cover protected time for administration of the program. (Core)

II.A.2.b).(3) The minimum number of APDs and minimum aggregate FTE support for APDs is as follows: (Core)

Number of approved

resident positions

Minimum number of ABIM-

or AOBIM-certified APDs

Minimum Aggregate FTE

Salary Support for APD Duties

24-40 1 0.5

41-79 2 1.0

80-119 3 1.5

120-159 4 2.0

>159 5 2.5

Adult Congenital Heart Disease


II.A.2.a) The sponsoring institution must provide the program director with adequate support (depending on the size of the program, at least 25-50 percent of the program director’s salary, or protected time) for the administrative activities of the program. (Core)

Advanced Heart Failure/Transplant Cardiology


II.A.2.a) The sponsoring institution must provide the program director with adequate support for the administrative activities of the program. (Core)

II.A.2.b) The program director must not be required to generate clinical or other income to provide this administrative support. (Core)

II.A.2.c) It is suggested that this support be 25-50% of the program director's salary, or protected time, depending on the size of the program. (Detail)

Cardiovascular Disease


II.A.2.a) The program director must not be required to generate clinical or other income to provide this



administrative support. (Core)

II.A.2.b) This support should be 25-50% of the program director’s salary, or protected time, depending on the size of the program. (Detail)

Clinical Cardiac Electrophysiology


II.A.2.a) The program director must not be required to generate clinical or other income to provide this administrative support. (Core)

II.A.2.b) The Sponsoring Institution should provide the program director with adequate support (depending on the size of the program, at least 25-50 percent of the program director’s salary, or protected time) for the administrative activities of the program. (Detail)

Critical Care Medicine




Endocrinology, Diabetes and Metabolism




Gastroenterology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)





Hematology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)


II.A.2.b) This support must be in the range of 20 to 50 percent of the program director’s salary, or protected time, for administration of the program, depending on the size of the program. (Core)

Hematology and Medical Oncology




Infectious Disease II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)



Interventional Cardiology



II.A.2.b) It is suggested this support should be 25-50% of the program director’s salary, or protected time, depending on the size of the program. (Detail)

Medical Oncology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)


II.A.2.b) This support must be in the range of 20 to 50 percent of the program director’s salary, or



protected time, for administration of the program, depending on the size of the program. (Core)

Nephrology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)



Pulmonary Critical Care




Pulmonary Disease II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)



Rheumatology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)



Transplant Hepatology


II.A.2.a) The program director must not be required to generate clinical or other income to provide this



administrative support. (Core)

II.A.2.b) It is suggested this support should be 25-50% of the program director’s salary, or protected time, depending on the size of the program. (Detail)

Interventional Radiology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Medical Genetics and Genomics

II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Medical Biochemical Genetics


[The Review Committee’s specification will be included in an upcoming focused revision to the Medical Biochemical Genetics Program Requirements]

Neurological Surgery II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Neurology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The program director must be provided with an additional 1% FTE for each resident in the program. (Detail)

Child Neurology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The program director must be provided with an additional one percent per resident FTE for each resident in the program. (Detail)

Clinical Neurophysiology


II.A.2.a) This must include a minimum of 10 percent full-time equivalent (FTE) salary support and



protected time for the program director. (Core)

II.A.2.a).(1) For those programs with four or more fellows, this should include at least 15 percent FTE salary support. (Core)

Epilepsy II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

II.A.2.a) This support must include at least 10 percent salary support and protected time for the program director. (Core)

II.A.2.a).(1) For programs with four or more fellows, this support must include at least 15 percent salary support. (Core)

II.A.2.b) The Sponsoring Institution must provide salary support for a program coordinator to assist the program director in the administration of the program. (Core)

Neurodevelopmental Disabilities


II.A.2.a) At a minimum, the sponsoring institution must provide at least 20 percent full-time equivalent (FTE) time and funding support for the program director with an additional one percent per resident. (Core)

Vascular Neurology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

II.A.2.a) This must include at least 10 percent salary support and protected time for the program director. (Core)

II.A.2.a).(1) For programs with four or more fellows, this must include at least 15 percent salary support. (Core)

Nuclear Medicine II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Obstetrics and Gynecology


II.A.2.a) The program director must dedicate no less than 20 hours per week of his or her professional



effort to the administrative and educational activities of the Obstetrics and Gynecology educational program and receive institutional support for this time. (Core)

II.A.2.b) The program director must not be required to generate clinical or other income to finance this administrative time. (Core)

Gynecologic Oncology


II.A.2.a) The Sponsoring Institution and program must ensure that the program director has financial support for at least eight hours per week of protected time to conduct the educational and administrative aspects of the program. (Core)

Maternal-Fetal Medicine



Reproductive Endocrinology and Infertility



Ophthalmology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Ophthalmic Plastic and Reconstructive Surgery


[The Review Committee’s specification will be included in an upcoming focused revision to the Ophthalmic Plastic and Reconstructive Surgery Program Requirements]

Orthopaedic Surgery II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Adult Reconstructive II.A.2. The program director must be provided with support adequate for administration of the



Orthopaedic Surgery program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Adult Reconstructive Orthopaedic Surgery Program Requirements]

Foot and Ankle Orthopaedic Surgery


[The Review Committee’s specification will be included in an upcoming focused revision to the Foot and Ankle Orthopaedic Surgery Program Requirements]

Musculoskeletal Oncology


[The Review Committee’s specification will be included in an upcoming focused revision to the Musculoskeletal Oncology Program Requirements]

Orthopaedic Sports Medicine


[The Review Committee’s specification will be included in an upcoming focused revision to the Orthopaedic Sports Medicine Program Requirements]

Orthopaedic Trauma II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Orthopaedic Trauma Program Requirements]

Pediatric Orthopaedic Surgery


[The Review Committee’s specification will be included in an upcoming focused revision to the Pediatric Orthopaedic Surgery Program Requirements]

Surgery of the Spine II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Orthopaedic Surgery of the Spine Program Requirements]

Osteopathic II.A.2. At a minimum, the program director must be provided with the salary support required to



Neuromusculoskeletal Medicine

devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Otolaryngology – Head and Neck Surgery


Neurotology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Neurotology Program Requirements]

Pediatric Otolaryngology


[The Review Committee’s specification will be included in an upcoming focused revision to the Pediatric Otolaryngology Program Requirements]

Pathology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The Review Committee requires that the program director devote a minimum of 20 hours per week, averaged over four weeks, to the program, to include clinical work and research project work with residents, teaching, and residency-related administration. (Detail)

II.A.2.a).(1) Programs with more than 20 residents should have an associate program director to assist the program director with program administration and management. (Detail)

II.A.2.a).(1).(a) An associate program director should have at least two years of experience as an active faculty member in an ACGME- or AOA-accredited pathology residency program or a pathology residency located in Canada and accredited by the RCPSC. (Detail)

Blood Banking/Transfusion Medicine


[The Review Committee’s specification will be included in an upcoming focused revision to the Blood Banking/Transfusion Medicine Program Requirements]

Chemical Pathology II.A.2. The program director must be provided with support adequate for administration of the



program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Chemical Pathology Program Requirements]

Cytopathology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Cytopathology Program Requirements]

Forensic Pathology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Forensic Pathology Program Requirements]

Hematopathology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Hematopathology Program Requirements]

Medical Microbiology


[The Review Committee’s specification will be included in an upcoming focused revision to the Medical Microbiology Program Requirements]

Neuropathology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Neuropathology Program Requirements]

Pediatric Pathology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Pediatric Pathology Program Requirements]

Selective Pathology II.A.2. The program director must be provided with support adequate for administration of the



program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Selective Pathology Program Requirements]

Pediatrics II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The sponsoring institution and the program must support additional program leadership to include an associate program director(s), to assist the program director in effective administration of the program. (Core)

II.A.2.a).(1) The program leadership must not be required to generate clinical or other income for this support. (Core)

II.A.2.a).(2) The minimum amount of full-time equivalent (FTE) support provided must be based on the size of the program as follows: (Detail)

II.A.2.a).(2).(a) The program director must devote a minimum of 0.5 FTE regardless of the size of the program. (Detail)

II.A.2.a).(2).(a).(i) For programs with 12-30 residents, there must be a minimum of 0.75 combined FTE program director and associate program director. (Detail)

II.A.2.a).(2).(a).(ii) For programs with 31-60 residents, there must be a minimum of 1.0 combined FTE program director and associate program director. (Detail)

II.A.2.a).(2).(a).(iii) For programs with 61-90 residents, there must be a minimum of 1.25 combined FTE program director and associate program director. (Detail)

II.A.2.a).(2).(a).(iv) For programs with 91-120 residents, there must be a minimum of 1.5 combined FTE program director and associate program director. (Detail)

II.A.2.a).(2).(a).(v) For programs with more than 120 residents, there must be a minimum of 1.75 combined FTE program directors and associate program directors. (Detail)

Adolescent Medicine II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

II.A.2.a) Program leadership, including the program director and associate program director(s), must be provided with a minimum combined total of 20-35 percent FTE protected time for the administration



of the program (not including scholarly activity), depending on the size of the program, as follows: (Core)


0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Child Abuse II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)



0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Developmental-Behavioral Pediatrics




0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%



Pediatric Cardiology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)



0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Critical Care




0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Endocrinology




0-3 fellows 20%



4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Emergency Medicine




0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Gastroenterology




0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Hematology Oncology


II.A.2.a) Program leadership, including the program director and associate program director(s), must be provided with a minimum combined total of 20-35 percent FTE protected time for the administration



of the program (not including scholarly activity), depending on the size of the program, as follows: (Core)


0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Infectious Diseases




0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Neonatal-Perinatal




0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric II.A.2. The program director must be provided with support adequate for administration of the



Nephrology program based upon its size and configuration. (Core)



0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Pulmonology




0-3 fellows 20%

4-6 fellows 25%

7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Rheumatology




0-3 fellows 20%

4-6 fellows 25%



7-9 fellows 30%

≥ 10 fellows 35%

Pediatric Transplant Hepatology


II.A.2.a) The program director and associate program director(s), must be provided with a minimum combined total of 20 percent FTE protected time for the administration of the program (not including scholarly activity). (Core)

Physical Medicine and Rehabilitation


II.A.2.a) The program director must not be required to generate clinical or other income to provide this support. (Detail)

II.A.2.b) In addition to the required 20 percent FTE for the program director, an additional one percent FTE per resident should be provided for the program director and/or associate program director(s). (Detail)

Pediatric Rehabilitation Medicine


II.A.2.a) The program director must not be required to generate clinical or other income to provide this support. The support should be a minimum of 10 percent of the program director’s annual salary, depending on the size of the program. (Core)

Spinal Cord Injury Medicine


[The Review Committee’s specification will be included in an upcoming focused revision to the Spinal Cord Injury Medicine Program Requirements]

Plastic Surgery II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) Program directors must be provided protected time to oversee the administration of the program, which may take the form of direct salary support, or indirect salary support, such as release



from clinical activities. (Core)

II.A.2.a).(1) For programs with six or fewer residents, the program director must be provided a minimum of 15 percent FTE (at least six hours) support for the administration of the program. (Core)

II.A.2.a).(2) For programs with seven to 20 residents, the program director must be provided a minimum of 20 percent FTE (at least eight hours per week) support for the administration of the program. (Core)

II.A.2.a).(3) For programs with 21 or more residents, the program director must be provided with the salary support required to devote at least 25 percent FTE (at least 10 hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a).(4) For program directors with responsibility for integrated and independent plastic surgery programs, the requirement for salary support applies to the total number of residents in both programs. (Core)

Craniofacial Surgery II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Craniofacial Plastic Surgery Program Requirements]

Preventive Medicine II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Psychiatry II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The sponsoring institution must:

II.A.2.a).(1) provide at least 50 percent salary support and protected time of 50 percent FTE (at least 20 hours per week) for the program director dedicated to direct program administration and education; and, (Core)

II.A.2.a).(2) provide additional dedicated time and salary support either for the program director or for associate program directors, based on program size. (Core)

II.A.2.b) At a minimum, the following total hours per week must be provided for the program director or



combined program director and associate program director: (Core)

Residents Hours/Week

24-40 30

41-79 40

>80 40 + additional time* allocated for directing program (*10 additional hours for every 20 residents)

II.A.2.c) If the associate program director is used for this support, the associate program director must report directly to the program director. (Core)

Addiction Psychiatry II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

II.A.2.a) The program director must devote on average (over one month) at least 10 hours per week to the program with 1-2 fellows, or, 15 hours per week, to the program with 3 or more fellows. (Core)

Child and Adolescent Psychiatry


II.A.2.a) The sponsoring institution must provide at least 50 percent salary support, and protected time of 50 percent FTE (at least 20 hours per week) for the program director dedicated to program administration. (Core)

II.A.2.b) Programs with an approved fellow complement of 20 or more require 30 hours per week effort and/or the appointment of an associate program director. (Core)

Forensic Psychiatry II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)


Geriatric Psychiatry II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)


Consultation-Liaison II.A.2. The program director must be provided with support adequate for administration of the



Psychiatry program based upon its size and configuration. (Core)


Radiation Oncology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Surgery II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) The program director must be provided with a minimum of 30% protected time, which may take the form of direct or indirect salary support, such as release from clinical activities provided by the institution. (Core)

II.A.2.b) The program director should devote his or her principal effort to the program. (Detail)

II.A.2.c) The program director must appoint an associate program director for programs with more than 20 categorical residents. (Detail)

Complex General Surgical Oncology


[The Review Committee’s specification will be included in an upcoming focused revision to the Complex General Surgical Oncology Program Requirements]

Pediatric Surgery II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Pediatric Surgery Program Requirements]

Surgical Critical Care


II.A.2.a) The program director must be provided with a minimum of 10% protected time or direct salary support or indirect salary support, such as release from clinical activities. (Core)

Vascular Surgery - Integrated

II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration



of the program. (Core)

II.A.2.a) Program directors must devote at least 50 percent of his or her time to program management and administration. (Core)

Vascular Surgery - Independent


II.A.2.a) Program directors must devote at least 50 percent of his or her time to program management and administration. (Core)

Thoracic Surgery - Integrated


II.A.2.a) This must include at least 25 percent salary support for the program director which must include adequate protected time for the program director to accomplish the administrative duties of overseeing and managing the educational program; (Core)

II.A.2.b) There must be support for an associate program director for any program with 10 or more residents. (Core)

II.A.2.c) Program directors who oversee residency and fellowship programs with 10 or more trainees in both programs combined must appoint an associate program director. (Core)

Thoracic Surgery - Independent


II.A.2.a) This must include at least 25 percent salary support for the program director which must include adequate protected time for the program director to accomplish the administrative duties of overseeing and managing the educational program; (Core)

II.A.2.b) There must be support for an associate program director for any program with 10 or more residents. (Core)

II.A.2.c) Program directors who oversee residency and fellowship programs with 10 or more trainees in both programs combined must appoint an associate program director. (Core)

Congenital Cardiac Surgery


[The Review Committee’s specification will be included in an upcoming focused revision to the



Congenital Cardiac Surgery Program Requirements]

Urology II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

Pediatric Urology II.A.2. The program director must be provided with support adequate for administration of the program based upon its size and configuration. (Core)

[The Review Committee’s specification will be included in an upcoming focused revision to the Pediatric Urology Program Requirements]

Transitional Year II.A.2. At a minimum, the program director must be provided with the salary support required to devote 20 percent FTE (at least eight hours per week) of non-clinical time to the administration of the program. (Core)

II.A.2.a) For programs with fewer than 12 residents, the program director must be provided with an additional five percent salary support (at least two additional hours per week). (Core)

II.A.2.b) For programs with 12 to 15 residents, the program director must be provided with an additional 10 percent salary support (at least four additional hours per week). (Core)

II.A.2.c) For programs with 16 to 19 residents, the program director must be provided with an additional 15 percent salary support (at least six additional hours per week). (Core)

II.A.2.d) For programs with 20 or more residents, the program director must be provided with an additional 20 percent salary support (at least eight additional hours per week). (Core)

Multidisciplinary Subspecialty

Addiction Medicine

(subspecialty of Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Preventive Medicine, or


II.A.2.a) The Sponsoring Institution must provide the program director with a minimum of 0.2 full-time equivalent (FTE) protected time to carry out the educational, administrative, and leadership responsibilities of the fellowship. (Core)



Psychiatry)

Brain Injury Medicine

(subspecialty of Child Neurology, Neurology, Physical Medicine and Rehabilitation, or Psychiatry)


II.A.2.a) Support for the program director should be a minimum of 10 percent of the program director’s annual salary. (Core)

II.A.2.a).(1) The program director must not be required to generate clinical or other income to provide this support. (Core)

Clinical Informatics

(subspecialty of Anesthesiology, Radiology, Emergency Medicine, Family Medicine, Internal Medicine, Medical Genetics, Pathology, Pediatrics, or Preventive Medicine)


[The Review Committee’s specification will be included in an upcoming focused revision to the Clinical Informatics Program Requirements]

Dermatopathology

(subspecialty of Dermatology or Pathology)


[The Review Committee’s specification will be included in an upcoming focused revision to the Dermatopathology Program Requirements]

Endovascular Surgical Neuroradiology

(subspecialty of Child Neurology, Neurological Surgery, Neurology, or Radiology)


II.A.2.a) The program director must have adequate support from the institution and the radiology, neurological surgery, and child neurology or neurology departments to carry out the mission of the program. (Core)

Female Pelvic Medicine and Reconstructive




Surgery

(subspecialty of Obstetrics and Gynecology or Urology)

II.A.2.a) The program director must be provided with at least eight hours per week for the administrative activities of the female pelvic medicine and reconstructive surgery program. (Core)

Geriatric Medicine

(subspecialty of Family Medicine or Internal Medicine)


[The Review Committee’s specification will be included in an upcoming focused revision to the Geriatric Medicine Program Requirements]

Hand Surgery

(subspecialty of Orthopaedic Surgery, Plastic Surgery, or Surgery)


[The Review Committee’s specification will be included in the upcoming major revision to the Hand Surgery Program Requirements]

Hospice and Palliative Medicine

(subspecialty of Anesthesiology, Family Medicine, Internal Medicine, Pediatrics, Psychiatry, or Radiation Oncology)


II.A.2.a) The program director must have 20-50 percent protected time for the administrative activities of the program. (Core)

Internal Medicine-Pediatrics

(Combined program for Internal Medicine and Pediatrics)


II.A.2.a) The program director should receive support amounting to at least 50 percent of the program director’s salary. (Detail)

II.A.2.a).(1) The program director must not be required to generate clinical or other income to provide this administrative support. (Core)

II.A.2.b) Associate Program Directors

Associate program directors (APDs) are faculty members who assist the program director in



the administrative and clinical oversight of the educational program.

II.A.2.b).(1) Qualifications of APDs must include current certification in internal medicine or its subspecialties by the ABIM or AOBIM and/or current certification in general pediatrics or its subspecialties by the ABP or AOBP. (Core)

II.A.2.b).(2) The minimum amount of full-time equivalent (FTE) support provided for APDs must be based on the size of the program as follows: (Detail)

Number of Residents APD FTE

16-30 . 25

≥31 . 5

Medical Toxicology

(subspecialty of Emergency Medicine or Preventive Medicine)


[The Review Committee’s specification will be included in an upcoming focused revision to the Medical Toxicology Program Requirements]

Molecular Genetic Pathology

(subspecialty of Medical Genetics and Genomics or Pathology)


II.A.2.a) The program director must devote a minimum of 10 hours per week of his or her time, averaged over four weeks, to the administration of the fellowship program. (Core)

Neuromuscular Medicine

(subspecialty of Child Neurology, Neurology, or Physical Medicine and Rehabilitation)


II.A.2.a) A minimum of 10 percent salary support and protected time for the program director must be provided. (Core)

II.A.2.a).(1) For programs with four or more fellows, a minimum of 15 percent salary support and protected time for the program director should be provided. (Core)

Pain Medicine

(subspecialty of Anesthesiology, Child Neurology, Neurology, or Physical Medicine


II.A.2.a) Programs with one to two fellows must provide a minimum of 10 percent FTE protected time for the program director. (Core)

II.A.2.a).(1) Programs with more than two fellows must provide an additional one percent protected



and Rehabilitation) time for each additional fellow. (Core)

II.A.2.a).(2) This support may be shared by a program director and one or more associate directors. (Detail)

Sleep Medicine

(subspecialty of Child Neurology, Internal Medicine, Neurology, Pediatrics, or Psychiatry)



II.A.2.b) It is suggested this support be 25-50% of the program director's salary, or protected time, depending on the size of the program. (Detail)

Sports Medicine

(subspecialty of Emergency Medicine, Family Medicine, Pediatrics, or Physical Medicine and Rehabilitation)


[The Review Committee’s specification will be included in an upcoming focused revision to the Sports Medicine Program Requirements]

Undersea and Hyperbaric Medicine

(subspecialty of Emergency Medicine or Preventive Medicine)


II.A.2.a) This must be at least 10 percent salary support or protected time. (Core)

Documents

Specialty-specific References for DIOs: Expected …acgme.org/Portals/0/PDFs/Specialty-specific Requirement...Expected Time for Program Director Updated 7/2019 ©2019 Accreditation