Graduate Medical Education

Graduate Medical Education Policies and Procedures

Policy on Application for New Program Sponsorship

As the Sponsoring Institution for ACGME-accredited programs, the University has a fiduciary interest in ensuring that sponsored programs are of high quality and are appropriately resourced. When faculty wish to establish a new GME program within the institution, a proposal must be prepared, an internal review will be performed, and the proposed program will be reviewed by the GME Committee. The process for this review is detailed in the following paragraphs.

Guidelines for Establishing a New Program

One faculty member will serve as the Program Director for the proposed program. There must be an apparent need and rationale for establishing a new program, a well-defined administrative structure, and a written program curriculum. If ACGME accreditation is available, the program is to be accredited. The Program Director will complete the Request for New Program Form and a Program Information Form (PIF). There must be documented source of funding for all training and accreditation costs (including application) for a minimum of five (5) years from the projected starting date.

The ACGME accreditation process involves submission of an application for a new program to the appropriate Residency Review Committee (RRC) for review; this review will occur at a regularly scheduled RRC meeting (meeting dates are listed on the ACGME website The Program Director should note dates for the RRC meetings, and should plan for the institutional review process to require 60-90 days.

Process for Obtaining Approval

  1. Program Director contacts the Designated Institutional Official to inform of intent to establish a new GME program. The DIO will discuss the plans with the Program Director and his/her chair, and will schedule a date for an internal review of the proposal.
  2. Program Director completes the Request for New Program Form and Program Information Form (PIF) and submits these documents to the DIO.
  3. An internal review is conducted according to the written institutional protocol.
  4. A report of the internal review is presented to the GME Committee for endorsement. Upon GME Committee approval, the PIF may be submitted to the appropriate ACGME Residency Review Committee (RRC), along with the application fee.

New Program Forms

•  Request for Sponsorship of New GME Program (Microsoft Word .doc file)

•  Program Information Form (PIF) -


Approved by GMEC: 5/23/2014