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December 4, 2013

Graduate Medical Education, 2012-2013

Author Affiliations
  • 1Department of Data Acquisition Services, American Medical Association, Chicago, Illinois
JAMA. 2013;310(21):2328-2346. doi:10.1001/jama.2013.278364

The American Medical Association (AMA) and the Association of American Medical Colleges (AAMC) jointly sponsor and administer the National GME Census through GME Track, an Internet-based AAMC product, and also maintain a database of information on training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) and of the residents and fellows in them. From May until December 2012, all directors of programs accredited by the ACGME were asked to complete the program survey component of the census on GME Track. Information on the educational characteristics of the training programs is added to FREIDA Online, an Internet-based public information source on GME programs that is available to medical students and resident physicians.

In September 2012 we surveyed program directors about their active, transferred, and graduated residents and fellows for academic year 2012-2013. We provided program directors with lists of residents and fellows from the current database and asked the directors to confirm or modify the training status of trainees who were present in their programs the prior year; add new physicians to their program who were not already in our database; and confirm, edit, or add demographic information on all trainees. This demographic information includes sex, birthdate, country of birth, citizenship status, and race/ethnicity.

We surveyed 9384 active programs, of which 8943 (95.3%) completed the program survey and 8200 (87.4%) confirmed the status of all their active physicians-in-training, accounting for 109 755 (95.3%) of active trainees. An additional 89 programs (0.9%) confirmed some but not all of their trainees (2431 trainees, 2.1%), 236 confirmed that they did not have any trainees (2.5%), 271 programs (2.9%) confirmed the status of nonactive trainees (graduates and transfers), but did not have any currently active trainees, and 588 programs (6.3%) did not confirm the status of any physician training in the program (including 389 programs that apparently did not have any active trainees). A total of 95.9% of all physicians in our database had their status confirmed (eg, active, graduated, transferred, withdrawn). Physicians whose status was not confirmed were “advanced” into the next year of training (n = 2924 [2.5% of active residents]) or “graduated” based on expected graduation date (n = 1812 [4.6% of graduated residents and fellows]). In total, we estimate that there were 115 111 active residents in ACGME-accredited programs during the 2012-2013 academic year. The following tables (Table 1, Table 2, Table 3, Table 4, Table 5, Table 6, Table 7, Table 8, Table 9, and Table 10) contain data from these surveys.

Open the PDF file to view Graduate Medical Education, 2012-2013, Table 1 through Table 10:

Table 1. ACGME-Accredited and Combined Specialty GME Programs and Resident Physicians According to Medical School of Graduation and Specialty and Subspecialty, 2007-2012

Table 2. Resident Physicians on Duty in ACGME-Accredited and in Combined Specialty GME Programs December 31, 2012

Table 3. Total Number of Resident Physicians and Resident Physicians in Program Year 1 Positions and in Graduate Year 1 Positions on Duty December 31, 2012, in ACGME-Accredited Programs and in Combined Specialty Programs

Table 4. Programs and Resident Physicians on Duty December 31, 2012, by Number per 100 000 and by Region and State

Table 5. Citizenship Status of International Medical Graduates With No Prior US Graduate Medical Education (GME) in the First Year of GME on Duty December 31, 2012a

Table 6. Race and Hispanic Ethnic Origin of Resident Physicians on Duty December 31, 2012, by Type of Medical School From Which They Graduateda

Table 7. Citizenship/Visa Status of All Resident Physicians and International Medical Graduates (IMGs) on Duty in ACGME-Accredited and in Combined Specialty Programs, December 31, 2012

Table 8. Race and Ethnic Origin of Resident Physicians in ACGME-Accredited and in Combined Specialty Graduate Medical Education (GME) Programs on Duty December 31, 2012, by Specialtya

Table 9. Resident Physicians Who Completed a Graduate Medical Education (GME) Program or Preliminary Year During 2011-2012a

Table 10. Total Program Size and Number of First-Year Positions Available in ACGME-Accredited and in Combined Specialty Programs for the Next Academic Year (2013-2014) as Projected by Program Directors

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Article Information

Corresponding Author: Sarah E. Brotherton, PhD, Department of Data Acquisition Services, American Medical Association, 330 N Wabash Ave, Ste 39300, Chicago, IL 60611-5885 (sarah.brotherton@ama-assn.org).

Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

Funding/Support: This research was funded solely by the American Medical Association, which employs Dr Brotherton and Ms Etzel.