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The American Medical Association (AMA) and the Association of American Medical Colleges (AAMC) sponsor and administer the National GME Census through GME Track, an internet-based AAMC product, and jointly 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 2020, all directors of ACGME-accredited programs 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, the AMA Residency & Fellowship Database, a public resource on GME programs that is available to medical students, residents, and fellows. Starting in late July 2020, program directors were surveyed about their active, transferred, and graduated residents and fellows for academic year 2020-2021. Program directors were provided with lists of residents and fellows from the current database and were asked to (1) confirm or modify the training status of trainees who were present in their programs the prior year; (2) add new physicians to their program who were not already in our database; and (3) confirm, edit, or add demographic information on all trainees. This demographic information includes sex, birthdate, country of birth, citizenship status, race, and Hispanic ethnicity. Race and Hispanic ethnicity for residents and fellows who had provided such information through various AAMC applications (eg, the Electronic Residency Application Service) was carried forward from those applications and included in the census.
We surveyed 12 249 active programs, of which 11 746 (95.9%) completed the program survey and 10 704 (87.4%) confirmed the status of all of their active physicians-in-training, accounting for 142 766 (98.8%) of active trainees. An additional 39 programs (0.3%) confirmed some but not all of their trainees (1038 trainees, 0.7%), 538 confirmed that they did not have any trainees (4.4%), 568 programs (4.6%) confirmed the status of nonactive trainees (graduates and transfers), but did not have any currently active trainees, and 400 programs (3.3%) did not confirm the status of any physician training in the program (including 345 programs that apparently did not have any active trainees). A total of 98.2% 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 = 701 [0.5% of active residents]) or “graduated” based on expected graduation date (n = 1229 [2.6% of graduated residents and fellows]). In total, we estimate that there were 144 543 active residents in ACGME-accredited programs during the 2020-2021 academic year.
Open the PDF file to view tables for Graduate Medical Eduction, 2020-2021.
Accepted for Publication: July 27, 2021.
Corresponding Author: Sarah E. Brotherton, PhD, Department of Data Acquisition Services, American Medical Association, 330 N Wabash, Ste 39300, Chicago, IL 60611-5885 (firstname.lastname@example.org).
Conflict of Interest Disclosures: None reported.
Funding/Support: This research was funded solely by the American Medical Association, which employs Dr Brotherton and Ms Etzel.
Brotherton SE, Etzel SI. Graduate Medical Education, 2020-2021. JAMA. 2021;326(11):1088–1110. doi:10.1001/jama.2021.13501
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