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APPENDIX

Graduate Medical Education, 2013-2014
Sarah E. Brotherton, PhD; Sylvia I. Etzel

he 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 2013, all directors of training 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 August 2013 we surveyed program directors about their active, transferred, and graduated residents and fellows for academic year 2013-2014. We provided program directors with lists of residents and fellows from the current database and asked 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 9613 active programs, of which 9180 (95.5%) completed the program survey and 8487 (88.3%) confirmed the status of all of their active physicians in training, accounting for

T

111 992 (95.4%) of active trainees. An additional 161 programs (1.7%) confirmed some but not all of their trainees (3101 trainees, 2.6%), 267 programs confirmed that they did not have any trainees (2.8%), 313 programs (3.2%) confirmed the status of nonactive trainees (graduates and transfers) but did not have any currently active trainees, and 385 programs (4.0%) did not confirm the status of any physician training in the program (including 301 programs that apparently did not have any active trainees). A total of 95.5% of all physicians in our database had their status confirmed (eg, active, graduated, transferred, withdrawn).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 = 2333 [2.0% of active residents]) or “graduated” based on expected graduation date (n = 1468 [3.7% of graduated residents and fellows]). In total, we estimate that there were 117 427 active residents in ACGME-accredited programs during the 2013-2014 academic year. The following tables contain data from these surveys.
Author Affiliations: Department of Data Acquisition Services, American Medical Association, Chicago, Illinois. Corresponding Author: Sarah E. Brotherton, PhD, Department of Data Acquisition Services, American Medical Association, 330 N Wabash, Ste 39300, Chicago, IL 60611 (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.

Table 1. ACGME-Accredited and Combined Specialty GME Programs and Resident Physicians According to Medical School of Graduation and Specialty and Subspecialty, 2008-2013
No (%)a No. of programs No. of residents Total Graduate year 1 (GY1)b GY1 residents with no prior GME Medical school of graduation US allopathic medical school graduate International medical graduate Doctor of osteopathy Canadian Unknown or other Specialties Programs Residents Subspecialties Programs Residents 2008-2009 8694 108 176 25 848 24 560 71 119 (65.7) 29 488 (27.3) 7237 (6.7) 326 (0.3) 6 (<0.1) 4100 (47.2) 90 907 (84.0) 4594 (52.8) 17 269 (16.0) 2009-2010 8873 109 840 26 219 25 075 71 871 (65.4) 30 068 (27.4) 7628 (6.9) 273 (0.2) 0 4128 (46.5) 91 963 (83.7) 4745 (53.5) 17 877 (16.3) 2010-2011 8967 111 586 26 386 25 292 72 840 (65.3) 30 441 (27.3) 8066 (7.2) 239 (0.2) 0 4131 (46.1) 93 153 (83.5) 4836 (53.9) 18 433 (16.5) 2011-2012 9111 113 427 26 263 25 538 74 328 (65.6) 30 300 (26.7) 8615 (7.6) 184 (0.2) 0 4152 (45.6) 94 486 (83.3) 4959 (54.4) 18 941 (16.7) 2012-2013 9384 115 111 26 018 25 229 74 963 (65.1) 30 741 (26.7) 9229 (8.0) 178 (0.2) 0 4207 (44.8) 94 990 (82.5) 5180 (55.2) 20 121 (17.5) 2013-2014 9613 117 427 26 649 25 991 77 118 (65.7) 30 397 (25.9) 9727 (8.3) 174 (0.1) 11 (<0.1) 4239 (44.1) 96 580 (82.2) 5374 (55.9) 20 847 (17.8)

Abbreviations: ACGME, Accreditation Council for Graduate Medical Education; GME, graduate medical education. a Unless otherwise indicated. b The first year of education beyond medical school for which prior GME is not required.

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Appendix

Graduate Medical Education, 2013-2014

Table 2. Resident Physicians on Duty December 31, 2013, in ACGME-Accredited and in Combined Specialty GME Programs
Total No. of Programsa Specialty/Subspecialty Allergy and immunology Anesthesiology Adult cardiothoracic anesthesiology Critical care medicine Obstetric anesthesiology Pediatric anesthesiology Colon and rectal surgery Dermatology Dermatopathology Procedural dermatology Emergency medicine Emergency medical services Medical toxicology Pediatric emergency medicine Sports medicine Undersea and hyperbaric medicine Family medicine Geriatric medicine Sports medicine Hospice and palliative medicinec Internal medicine Advanced heart failure and transplant cardiology Cardiovascular disease Clinical cardiac electrophysiology Critical care medicine Endocrinology, diabetes, and metabolism Gastroenterology Geriatric medicine Hematology Hematology and oncology Infectious disease Interventional cardiology Nephrology Oncology Pulmonary disease Pulmonary disease and critical care medicine Rheumatology Transplant hepatology Medical genetics Medical biochemical genetics Molecular genetic pathology Neurological surgery Endovascular surgical neuroradiology Neurology Child neurology Clinical neurophysiology Endovascular surgical neuroradiology Neurodevelopmental disabilities Neuromuscular medicine Vascular neurology Nuclear medicine Obstetrics and gynecology Female pelvic medicine and reconstructive surgery Ophthalmology Ophthalmic plastic and reconstructive surgery 74 133 59 55 26 51 55 115 54 62 163 30 26 21 5 6 469 41 121 95 390 57 191 104 34 134 161 105 3 136 148 142 147 11 20 141 113 41 47 11 36 104 2 130 73 97 2 9 39 80 48 242 44 116 5 No. (%) of Resident Physiciansb USMDs IMGs 60 (19.7) 671 (11.8) 24 (14.3) 24 (17.3) 3 (10.0) 7 (3.8) 21 (25.3) 51 (4.3) 10 (12.7) 2 (3.3) 330 (5.9) 3 (11.5) 6 (11.1) 16 (18.6) 3 (37.5) 3 (42.9) 3467 (34.4) 26 (50.0) 30 (17.9) 46 (25.8) 9514 (41.4) 30 (49.2) 1078 (41.5) 70 (42.2) 116 (56.6) 343 (53.9) 447 (31.5) 175 (65.5) 9 (26.5) 663 (42.3) 357 (45.0) 130 (45.8) 630 (68.0) 56 (63.6) 70 (92.1) 678 (45.4) 205 (48.0) 12 (38.7) 34 (42.0) 3 (60.0) 16 (33.3) 114 (9.0) 0 822 (37.2) 99 (29.8) 110 (45.5) 1 (50.0) 1 (6.7) 20 (35.7) 45 (44.1) 65 (63.7) 670 (13.6) 13 (15.1) 77 (5.8) 0

Total 304 (0.3) 5668 (4.9) 168 (0.1) 139 (0.1) 30 (<0.1) 186 (0.2) 83 (0.1) 1184 (1.0) 79 (0.1) 61 (0.1) 5631 (4.8) 26 (<0.1) 54 (<0.1) 86 (0.1) 8 (<0.1) 7 (<0.1) 10 077 (8.6) 52 (<0.1) 168 (0.1) 178 (0.2) 22 971 (19.7) 61 (0.1) 2598 (2.2) 166 (0.1) 205 (0.2) 636 (0.5) 1418 (1.2) 267 (0.2) 34 (<0.1) 1566 (1.3) 794 (0.7) 284 (0.2) 926 (0.8) 88 (0.1) 76 (0.1) 1494 (1.3)

Female

Canadians 0 2 (<0.1) 4 (2.4) 0 1 (3.3) 4 (2.2) 2 (2.4) 0 2 (2.5) 3 (4.9) 2 (<0.1) 0 1 (1.9) 0 0 0 3 (<0.1) 0 0 0 15 (0.1) 2 (3.3) 6 (0.2) 4 (2.4) 1 (0.5) 1 (0.2) 1 (0.1) 2 (0.7) 1 (2.9) 2 (0.1) 2 (0.3) 2 (0.7) 2 (0.2) 1 (1.1) 0 4 (0.3) 1 (0.2) 0 0 1 (20.0) 2 (4.2) 0 0 1 (<0.1) 0 3 (1.2) 0 0 1 (1.8) 1 (1.0) 1 (1.0) 1 (<0.1) 0 2 (0.2) 0

Osteopathic 19 (6.3) 543 (9.6) 15 (8.9) 9 (6.5) 0 11 (5.9) 2 (2.4) 9 (0.8) 2 (2.5) 0 657 (11.7) 1 (3.8) 12 (22.2) 12 (14.0) 1 (12.5) 0 1925 (19.1) 7 (13.5) 38 (22.6) 31 (17.4) 1722 (7.5) 2 (3.3) 104 (4.0) 8 (4.8) 19 (9.3) 30 (4.7) 71 (5.0) 13 (4.9) 0 78 (5.0) 39 (4.9) 8 (2.8) 43 (4.6) 3 (3.4) 2 (2.6) 104 (7.0) 41 (9.6) 1 (3.2) 1 (1.2) 0 1 (2.1) 6 (0.5) 0 187 (8.5) 15 (4.5) 19 (7.9) 0 0 5 (8.9) 6 (5.9) 6 (5.9) 510 (10.3) 6 (7.0) 22 (1.7) 0 (continued)

200 (65.8) 225 (74.0) 2040 (36.0) 4450 (78.5) 41 (24.4) 125 (74.4) 50 (36.0) 106 (76.3) 21 (70.0) 26 (86.7) 113 (60.8) 164 (88.2) 32 (38.6) 58 (69.9) 758 (64.0) 1124 (94.9) 36 (45.6) 65 (82.3) 31 (50.8) 56 (91.8) 2107 (37.4) 4642 (82.4) 6 (23.1) 22 (84.6) 27 (50.0) 35 (64.8) 60 (69.8) 58 (67.4) 1 (12.5) 4 (50.0) 3 (42.9) 4 (57.1) 5558 (55.2) 4682 (46.5) 38 (73.1) 19 (36.5) 47 (28.0) 100 (59.5) 129 (72.5) 101 (56.7) 9984 (43.5) 11 714 (51.0) 20 (32.8) 27 (44.3) 560 (21.6) 19 (11.4) 62 (30.2) 432 (67.9) 501 (35.3) 166 (62.2) 16 (47.1) 760 (48.5) 396 (49.9) 25 (8.8) 366 (39.5) 41 (46.6) 13 (17.1) 495 (33.1) 1410 (54.3) 84 (50.6) 69 (33.7) 262 (41.2) 899 (63.4) 77 (28.8) 24 (70.6) 823 (52.6) 396 (49.9) 144 (50.7) 251 (27.1) 28 (31.8) 4 (5.3) 708 (47.4) 180 (42.2) 18 (58.1) 46 (56.8) 1 (20.0) 29 (60.4) 1152 (90.6) 3 (100.0) 1197 (54.2) 218 (65.7) 110 (45.5) 1 (50.0) 14 (93.3) 30 (53.6) 50 (49.0) 30 (29.4) 3760 (76.1) 67 (77.9) 1222 (92.4) 6 (100.0)

427 (0.4) 253 (59.3) 31 (<0.1) 13 (41.9) 81 (0.1) 50 (61.7) 5 (<0.1) 3 (60.0) 48 (<0.1) 20 (41.7) 1272 (1.1) 202 (15.9) 3 (<0.1) 0 2207 (1.9) 986 (44.7) 332 (0.3) 219 (66.0) 242 (0.2) 123 (50.8) 2 (<0.1) 0 15 (<0.1) 13 (86.7) 56 (<0.1) 36 (64.3) 102 (0.1) 30 (29.4) 102 (0.1) 39 (38.2) 4942 (4.2) 4079 (82.5) 86 (0.1) 66 (76.7) 1323 (1.1) 6 (<0.1) 591 (44.7) 1 (16.7)

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Appendix

Table 2. Resident Physicians on Duty December 31, 2013, in ACGME-Accredited and in Combined Specialty GME Programs (continued)
Total No. of Programsa Specialty/Subspecialty Orthopedic surgery Adult reconstructive orthopedics Foot and ankle orthopedics Hand surgery Musculoskeletal oncology Orthopedic sports medicine Orthopedic surgery of the spine Orthopedic trauma Pediatric orthopedics Otolaryngology Neurotology Pediatric otolaryngology Pain medicined Pathology-anatomic and clinical Blood banking/transfusion medicine Chemical pathology Cytopathology Forensic pathology Hematology Medical microbiology Neuropathology Pediatric pathology Selective pathology Pediatrics Adolescent medicine Child abuse pediatrics Developmental-behavioral pediatrics Neonatal-perinatal medicine Pediatric cardiology Pediatric critical care medicine Pediatric emergency medicine Pediatric endocrinology Pediatric gastroenterology Pediatric hematology/oncology Pediatric infectious diseases Pediatric nephrology Pediatric pulmonology Pediatric rheumatology Pediatric sports medicine Pediatric transplant hepatology Physical medicine and rehabilitation Pediatric rehabilitation medicine Spinal cord injury medicine Sports medicine Plastic surgery Craniofacial surgery Hand surgery Plastic surgery-integratede Preventive medicine Medical toxicology Undersea and hyperbaric medicine Psychiatry Addiction psychiatry Child and adolescent psychiatry Forensic psychiatry Geriatric psychiatry Psychosomatic medicine 155 22 7 65 11 96 18 10 26 106 19 20 97 142 48 2 93 35 84 13 33 27 77 201 28 25 35 97 56 64 51 69 57 67 61 45 52 34 14 6 77 17 18 13 71 8 16 58 74 2 2 188 45 123 39 56 54 No. (%) of Resident Physiciansb Total 3529 (3.0) 31 (<0.1) 12 (<0.1) 131 (0.1) 13 (<0.1) 171 (0.1) 34 (<0.1) 16 (<0.1) 38 (<0.1) 1454 (1.2) 26 (<0.1) 29 (<0.1) Female 483 (13.7) 0 1 (8.3) 26 (19.8) 3 (23.1) 17 (9.9) 3 (8.8) 3 (18.8) 14 (36.8) 499 (34.3) 8 (30.8) 16 (55.2) USMDs 3423 (97.0) 14 (45.2) 9 (75.0) 122 (93.1) 8 (61.5) 147 (86.0) 19 (55.9) 10 (62.5) 26 (68.4) 1426 (98.1) 23 (88.5) 24 (82.8) 200 (68.0) 1283 (56.4) 30 (61.2) 1 (100.0) 72 (53.3) 21 (56.8) 71 (53.4) 7 (58.3) 22 (52.4) 9 (52.9) 71 (47.0) 5746 (67.4) 55 (76.4) 27 (84.4) 62 (61.4) 372 (56.0) 280 (66.7) 256 (60.2) 256 (72.5) 141 (56.2) 163 (58.8) 295 (65.0) 109 (61.6) 58 (52.3) 88 (55.3) 47 (67.1) 17 (77.3) 6 (100.0) 609 (52.4) 12 (63.2) 10 (55.6) 26 (59.1) 311 (82.5) 5 (71.4) 17 (85.0) 476 (96.2) 174 (71.9) 1 (100.0) 0 2769 (56.3) 37 (60.7) 432 (52.9) 44 (68.8) 34 (54.0) 41 (53.9) IMGs 72 (2.0) 13 (41.9) 2 (16.7) 6 (4.6) 4 (30.8) 9 (5.3) 10 (29.4) 3 (18.8) 11 (28.9) 22 (1.5) 1 (3.8) 2 (6.9) 62 (21.1) 810 (35.6) 15 (30.6) 0 50 (37.0) 8 (21.6) 53 (39.8) 5 (41.7) 18 (42.9) 8 (47.1) 68 (45.0) 1867 (21.9) 10 (13.9) 3 (9.4) 29 (28.7) 239 (36.0) 110 (26.2) 130 (30.6) 59 (16.7) 90 (35.9) 96 (34.7) 129 (28.4) 56 (31.6) 50 (45.0) 62 (39.0) 15 (21.4) 2 (9.1) 0 222 (19.1) 0 6 (33.3) 4 (9.1) 58 (15.4) 2 (28.6) 1 (5.0) 16 (3.2) 50 (20.7) 0 1 (25.0) 1581 (32.2) 20 (32.8) 296 (36.2) 16 (25.0) 20 (31.7) 27 (35.5) Canadians 0 0 1 (8.3) 1 (0.8) 0 5 (2.9) 1 (2.9) 2 (12.5) 1 (2.6) 1 (0.1) 2 (7.7) 2 (6.9) 0 2 (0.1) 0 0 1 (0.7) 2 (5.4) 1 (0.8) 0 1 (2.4) 0 3 (2.0) 5 (0.1) 1 (1.4) 0 0 2 (0.3) 4 (1.0) 0 2 (0.6) 0 3 (1.1) 0 2 (1.1) 0 1 (0.6) 0 0 0 1 (0.1) 0 0 0 2 (0.5) 0 2 (10.0) 0 1 (0.4) 0 0 2 (<0.1) 0 0 0 0 3 (3.9) Osteopathic 34 (1.0) 4 (12.9) 0 2 (1.5) 1 (7.7) 10 (5.8) 4 (11.8) 1 (6.3) 0 5 (0.3) 0 1 (3.4) 32 (10.9) 181 (8.0) 4 (8.2) 0 12 (8.9) 6 (16.2) 8 (6.0) 0 1 (2.4) 0 9 (6.0) 911 (10.7) 6 (8.3) 2 (6.3) 10 (9.9) 51 (7.7) 26 (6.2) 39 (9.2) 36 (10.2) 20 (8.0) 15 (5.4) 30 (6.6) 10 (5.6) 3 (2.7) 8 (5.0) 8 (11.4) 3 (13.6) 0 330 (28.4) 7 (36.8) 2 (11.1) 14 (31.8) 6 (1.6) 0 0 3 (0.6) 17 (7.0) 0 3 (75.0) 565 (11.5) 4 (6.6) 89 (10.9) 4 (6.3) 9 (14.3) 5 (6.6) (continued)

294 (0.3) 54 (18.4) 2276 (1.9) 1231 (54.1) 49 (<0.1) 24 (49.0) 1 (<0.1) 0 135 (0.1) 85 (63.0) 37 (<0.1) 19 (51.4) 133 (0.1) 74 (55.6) 12 (<0.1) 4 (33.3) 42 (<0.1) 25 (59.5) 17 (<0.1) 11 (64.7) 151 (0.1) 80 (53.0) 8529 (7.3) 6233 (73.1) 72 (0.1) 62 (86.1) 32 (<0.1) 30 (93.8) 101 (0.1) 81 (80.2) 664 (0.6) 428 (64.5) 420 (0.4) 201 (47.9) 425 (0.4) 250 (58.8) 353 (0.3) 238 (67.4) 251 (0.2) 196 (78.1) 277 (0.2) 181 (65.3) 454 (0.4) 297 (65.4) 177 (0.2) 125 (70.6) 111 (0.1) 72 (64.9) 159 (0.1) 100 (62.9) 70 (0.1) 52 (74.3) 22 (<0.1) 10 (45.5) 6 (<0.1) 1162 (1.0) 19 (<0.1) 18 (<0.1) 44 (<0.1) 377 (0.3) 7 (<0.1) 20 (<0.1) 495 (0.4) 6 (100.0) 446 (38.4) 12 (63.2) 8 (44.4) 26 (59.1) 93 (24.7) 2 (28.6) 3 (15.0) 190 (38.4)

242 (0.2) 132 (54.5) 1 (<0.1) 0 4 (<0.1) 1 (25.0) 4917 (4.2) 2666 (54.2) 61 (0.1) 26 (42.6) 817 (0.7) 490 (60.0) 64 (0.1) 25 (39.1) 63 (0.1) 76 (0.1) 43 (68.3) 36 (47.4)

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Appendix

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Table 2. Resident Physicians on Duty December 31, 2013, in ACGME-Accredited and in Combined Specialty GME Programs (continued)
Total No. of Programsa Specialty/Subspecialty Radiation oncology Radiology-diagnostic Abdominal radiology Endovascular surgical neuroradiology Musculoskeletal radiology Neuroradiology Nuclear radiology Pediatric radiology Vascular and interventional radiology Sleep medicinef Surgery-general Complex general surgical oncology Hand surgery Pediatric surgery Surgical critical care Vascular surgery Vascular surgery-integratede Thoracic surgery Congenital cardiac surgery Thoracic surgery-integratede Urology Female pelvic medicine and reconstructive surgery Pediatric urology Transitional year Combined Specialties Diagnostic radiology/nuclear medicine Emergency medicine/family medicine Family medicine/preventive medicine Internal medicine/anesthesiology Internal medicine/dermatology Internal medicine/emergency medicine Internal medicine/emergency medicine/critical care medicine Internal medicine/family medicine Internal medicine/medical genetics Internal medicine/neurology Internal medicine/pediatrics Internal medicine/preventive medicine Internal medicine/psychiatry Pediatrics/anesthesiology Pediatrics/emergency medicine Pediatrics/medical genetics Pediatrics/physical medicine and rehabilitation Pediatrics/psychiatry/child and adolescent psychiatry Psychiatry/family medicine Psychiatry/neurology Total 88 185 11 3 14 85 20 47 92 79 254 18 1 44 110 106 47 65 12 23 123 9 28 108 1 2 2 3 8 13 3 2 4 2 80 5 12 6 4 16 4 10 5 6 9613 No. (%) of Resident Physiciansb Total 686 (0.6) 4471 (3.8) 39 (<0.1) 6 (<0.1) 29 (<0.1) 270 (0.2) 17 (<0.1) 87 (0.1) 220 (0.2) 126 (0.1) 7890 (6.8) 93 (0.1) 8 (<0.1) 78 (0.1) 212 (0.2) 237 (0.2) 182 (0.2) 207 (0.2) 8 (<0.1) 90 (0.1) 1189 (1.0) 11 (<0.1) 36 (<0.1) 1010 (0.9) 0 19 (<0.1) 16 (<0.1) 2 (<0.1) 38 (<0.1) 112 (0.1) 14 (<0.1) Female 197 (28.7) 1218 (27.2) 10 (25.6) 1 (16.7) 9 (31.0) 68 (25.2) 3 (17.6) 41 (47.1) 21 (9.5) 54 (42.9) 2962 (37.5) 36 (38.7) 2 (25.0) 26 (33.3) 92 (43.4) 69 (29.1) 67 (36.8) 39 (18.8) 1 (12.5) 21 (23.3) 270 (22.7) 9 (81.8) 20 (55.6) 350 (34.7) 0 8 (42.1) 7 (43.8) 0 21 (55.3) 40 (35.7) 4 (28.6) USMDs 660 (96.2) 3878 (86.7) 24 (61.5) 4 (66.7) 22 (75.9) 189 (70.0) 12 (70.6) 68 (78.2) 186 (84.5) 34 (27.0) 6319 (80.1) 68 (73.1) 6 (75.0) 73 (93.6) 159 (75.0) 171 (72.2) 162 (89.0) 144 (69.6) 6 (75.0) 78 (86.7) 1119 (94.1) 10 (90.9) 34 (94.4) 880 (87.1) 0 11 (57.9) 10 (62.5) 1 (50.0) 38 (100.0) 94 (83.9) 12 (85.7) IMGs 15 (2.2) 358 (8.0) 9 (23.1) 2 (33.3) 4 (13.8) 64 (23.7) 5 (29.4) 14 (16.1) 20 (9.1) 77 (61.1) 1312 (16.6) 20 (21.5) 0 4 (5.1) 30 (14.2) 54 (22.8) 17 (9.3) 48 (23.2) 2 (25.0) 10 (11.1) 55 (4.6) 1 (9.1) 0 67 (6.6) 0 5 (26.3) 4 (25.0) 1 (50.0) 0 8 (7.1) 1 (7.1) Canadians 0 3 (0.1) 5 (12.8) 0 2 (6.9) 3 (1.1) 0 0 0 0 5 (0.1) 3 (3.2) 0 0 3 (1.4) 1 (0.4) 0 4 (1.9) 0 0 0 0 2 (5.6) 0 0 0 0 0 0 0 0 Osteopathic 11 (1.6) 232 (5.2) 1 (2.6) 0 1 (3.4) 14 (5.2) 0 5 (5.7) 14 (6.4) 15 (11.9) 252 (3.2) 2 (2.2) 2 (25.0) 1 (1.3) 20 (9.4) 11 (4.6) 3 (1.6) 11 (5.3) 0 2 (2.2) 15 (1.3) 0 0 63 (6.2) 0 3 (15.8) 2 (12.5) 0 0 10 (8.9) 1 (7.1) 2 (13.3) 0 1 (16.7) 98 (6.8) 1 (3.6) 4 (4.8) 0 1 (2.9) 0 1 (6.3) 6 (7.0) 3 (6.5) 2 (11.1) 9727 (8.3)

15 (<0.1) 7 (46.7) 8 (53.3) 5 (33.3) 0 2 (<0.1) 1 (50.0) 2 (100.0) 0 0 6 (<0.1) 0 5 (83.3) 0 0 1441 (1.2) 856 (59.4) 1208 (83.8) 133 (9.2) 2 (0.1) 28 (<0.1) 11 (39.3) 12 (42.9) 15 (53.6) 0 84 (0.1) 37 (44.0) 56 (66.7) 24 (28.6) 0 16 (<0.1) 10 (62.5) 16 (100.0) 0 0 35 (<0.1) 19 (54.3) 30 (85.7) 4 (11.4) 0 35 (<0.1) 27 (77.1) 30 (85.7) 5 (14.3) 0 16 (<0.1) 10 (62.5) 15 (93.8) 0 0 86 (0.1) 62 (72.1) 72 (83.7) 8 (9.3) 0 46 (<0.1) 32 (69.6) 42 (91.3) 1 (2.2) 0 18 (<0.1) 8 (44.4) 16 (88.9) 0 0 117 427 (100.0) 54 065 (46.0) 77 118 (65.7) 30 397 (25.9) 174 (0.1)
c

Abbreviations: ACGME, Accreditation Council for Graduate Medical Education; GME, graduate medical education; IMGs, international medical graduates; USMDs, US allopathic medical graduates.
a

Total number of US GME programs accredited by the ACGME and combined specialty programs as of December 31, 2013, surveyed by National GME Census during 2013. Includes resident physicians on duty as of December 31, 2013, reported through the 2013 National GME Census. A total of 84 programs (0.9%) did not provide updated information on residents by March 1, 2014. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated.

Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiation oncology, or surgery. Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry. Integrated programs differ from subspecialty programs in that they include core surgical education. Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

d

b

e

f

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Appendix

Table 3. Total Number of Resident Physicians and Those in Program Year 1 and Graduate Year 1 Positions on Duty December 31, 2013, in ACGME-Accredited and Combined Specialty Programs
No. of Residents in Program Year 1 Positionsb 138 1266 166 137 30 185 83 368 77 59 1774 23 27 38 8 7 3382 50 166 175 8812 61 840 136 121 299 458 256 13 520 363 272 437 38 37 511 205 31 36 5 48 199 3 637 107 239 2 4 No. of Residents in Graduate Year 1 Positionsc With Prior US GME 0 47 0 0 0 0 0 0 0 0 74 0 0 0 0 0 110 0 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 8 0 18 0 0 0 0 Without Prior US GME 0 939 0 0 0 0 0 11 0 0 1705 0 0 0 0 0 3272 0 0 0 8687 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 0 256 4 0 0 0 (continued)

Total No. of Residentsa Specialty/Subspecialty Allergy and immunology Anesthesiology Adult cardiothoracic anesthesiology Critical care medicine Obstetric anesthesiology Pediatric anesthesiology Colon and rectal surgery Dermatology Dermatopathology Procedural dermatology Emergency medicine Emergency medical services Medical toxicology Pediatric emergency medicine Sports medicine Undersea and hyperbaric medicine Family medicine Geriatric medicine Sports medicine Hospice and palliative medicined Internal medicine Advanced heart failure and transplant cardiology Cardiovascular disease Clinical cardiac electrophysiology Critical care medicine Endocrinology, diabetes, and metabolism Gastroenterology Geriatric medicine Hematology Hematology and oncology Infectious disease Interventional cardiology Nephrology Oncology Pulmonary disease Pulmonary disease and critical care medicine Rheumatology Transplant hepatology Medical genetics Medical biochemical genetics Molecular genetic pathology Neurological surgery Endovascular surgical neuroradiology Neurology Child neurology Clinical neurophysiology Endovascular surgical neuroradiology Neurodevelopmental disabilities 304 5668 168 139 30 186 83 1184 79 61 5631 26 54 86 8 7 10 077 52 168 178 22 971 61 2598 166 205 636 1418 267 34 1566 794 284 926 88 76 1494 427 31 81 5 48 1272 3 2207 332 242 2 15

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Table 3. Total Number of Resident Physicians and Those in Program Year 1 and Graduate Year 1 Positions on Duty December 31, 2013, in ACGME-Accredited and Combined Specialty Programs (continued)
No. of Residents in Program Year 1 Positionsb No. of Residents in Graduate Year 1 Positionsc With Prior US GME Without Prior US GME

Total No. of Residentsa Specialty/Subspecialty Neurology (continued) Neuromuscular medicine Vascular neurology Nuclear medicine Obstetrics and gynecology Female pelvic medicine and reconstructive surgery Ophthalmology Ophthalmic plastic and reconstructive surgery Orthopedic surgery Adult reconstructive orthopedics Foot and ankle orthopedics Hand surgery Musculoskeletal oncology Orthopedic sports medicine Orthopedic surgery of the spine Orthopedic trauma Pediatric orthopedics Otolaryngology Neurotology Pediatric otolaryngology Pain medicinee Pathology-anatomic and clinical Blood banking/transfusion medicine Chemical pathology Cytopathology Forensic pathology Hematology Medical microbiology Neuropathology Pediatric pathology Selective pathology Pediatrics Adolescent medicine Child abuse pediatrics Developmental-behavioral pediatrics Neonatal-perinatal medicine Pediatric cardiology Pediatric critical care medicine Pediatric emergency medicine Pediatric endocrinology Pediatric gastroenterology Pediatric hematology/oncology Pediatric infectious diseases Pediatric nephrology Pediatric pulmonology Pediatric rheumatology Pediatric sports medicine Pediatric transplant hepatology 56 102 102 4942 86 1323 6 3529 31 12 131 13 171 34 16 38 1454 26 29 294 2276 49 1 135 37 133 12 42 17 151 8529 72 32 101 664 420 425 353 251 277 454 177 111 159 70 22 6

56 100 42 1256 29 441 3 703 31 12 130 13 170 33 16 38 277 14 26 292 597 47 1 134 37 129 12 20 16 150 2827 23 12 38 220 140 146 125 87 93 157 56 31 55 23 19 6

0 0 0 26 0 0 0 28 0 0 0 0 0 0 0 0 6 0 0 0 43 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 1230 0 1 0 674 0 0 0 0 0 0 0 0 271 0 0 0 554 0 0 0 0 0 0 0 0 0 2787 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (continued)

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Appendix

Table 3. Total Number of Resident Physicians and Those in Program Year 1 and Graduate Year 1 Positions on Duty December 31, 2013, in ACGME-Accredited and Combined Specialty Programs (continued)
No. of Residents in Program Year 1 Positionsb 294 12 18 21 113 7 20 109 105 1 4 1329 59 390 63 62 75 169 1110 38 6 29 249 16 87 216 126 2346 46 8 40 193 115 48 86 8 26 264 5 19 1010 No. of Residents in Graduate Year 1 Positionsc With Prior US GME 2 0 0 0 0 0 0 4 1 0 0 29 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 41 0 0 0 0 0 4 0 0 3 0 0 0 3 Without Prior US GME 70 0 0 0 2 0 0 105 0 0 0 1300 0 0 0 0 0 3 63 0 0 0 0 0 0 0 0 2305 0 0 0 0 0 44 0 0 23 10 0 0 1007

Total No. of Residentsa Specialty/Subspecialty Physical medicine and rehabilitation Pediatric rehabilitation medicine Spinal cord injury medicine Sports medicine Plastic surgery Craniofacial surgery Hand surgery Plastic surgery-integratedf Preventive medicine Medical toxicology Undersea and hyperbaric medicine Psychiatry Addiction psychiatry Child and adolescent psychiatry Forensic psychiatry Geriatric psychiatry Psychosomatic medicine Radiation oncology Radiology-diagnostic Abdominal radiology Endovascular surgical neuroradiology Musculoskeletal radiology Neuroradiology Nuclear radiology Pediatric radiology Vascular and interventional radiology Sleep medicineg Surgery-general Complex general surgical oncology Hand surgery Pediatric surgery Surgical critical care Vascular surgery Vascular surgery-integratedf Thoracic surgery Congenital cardiac surgery Thoracic surgery-integratedf Urology Female pelvic medicine and reconstructive surgery Pediatric urology Transitional year Combined Specialties Emergency medicine/family medicine Family medicine/preventive medicine Internal medicine/anesthesiology Internal medicine/dermatology Internal medicine/emergency medicine Internal medicine/emergency medicine/critical care medicine 19 16 2 38 112 14 1162 19 18 44 377 7 20 495 242 1 4 4917 61 817 64 63 76 686 4471 39 6 29 270 17 87 220 126 7890 93 8 78 212 237 182 207 8 90 1189 11 36 1010

4 6 0 8 28 0

0 0 0 1 0 0

4 6 0 7 28 0 (continued)

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Table 3. Total Number of Resident Physicians and Those in Program Year 1 and Graduate Year 1 Positions on Duty December 31, 2013, in ACGME-Accredited and Combined Specialty Programs (continued)
No. of Residents in Program Year 1 Positionsb 4 1 1 357 7 13 6 7 6 3 18 11 2 41 156 No. of Residents in Graduate Year 1 Positionsc With Prior US GME 0 0 0 2 0 1 0 0 0 0 1 0 0 658 Without Prior US GME 4 1 1 355 7 12 6 7 6 3 17 11 2 25 991

Total No. of Residentsa Combined Specialties Internal medicine/family medicine Internal medicine/medical genetics Internal medicine/neurology Internal medicine/pediatrics Internal medicine/preventive medicine Internal medicine/psychiatry Pediatrics/anesthesiology Pediatrics/emergency medicine Pediatrics/medical genetics Pediatrics/physical medicine and rehabilitation Pediatrics/psychiatry/child and adolescent psychiatry Psychiatry/family medicine Psychiatry/neurology Total Abbreviations: ACGME, Accreditation Council for Graduate Medical Education; GME, graduate medical education.
a d

15 2 6 1441 28 84 16 35 35 16 86 46 18 117 427

Includes resident physicians on duty as of December 31, 2013, reported through the 2013 National GME Census. A total of 84 programs (0.9%) did not provide updated information on residents by March 1, 2014. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated. Program year 1 refers to the first year of training within a specific program; this may not correspond to the graduate year. Graduate year 1 refers to positions available the first year after completing medical school; approximately 2.5% of resident physicians in graduate year 1 positions have had some prior US GME.

Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiation oncology, or surgery. Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry. Integrated programs differ from subspecialty programs in that they include core surgical education. Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

e

f

b

g

c

Table 4. Programs and Resident Physicians on Duty December 31, 2013, by Region and State
No. of Resident Physicians per 100 000a 66 62 25 83 31 74 47 65 32 82 62 43 47 22 50 51 33 37 27 27 2013 State Population in 1000sb 14 619 3596 1328 6693 1323 1052 627 41 324 8899 19 651 12 774 46 662 12 882 6571 9896 11 571 5743 20 886 3090 2894 No. (%) Programsc 771 (8.0) 178 (1.9) 25 (0.3) 419 (4.4) 46 (0.5) 67 (0.7) 36 (0.4) 1952 (20.3) 203 (2.1) 1128 (11.7) 621 (6.5) 1652 (17.2) 455 (4.7) 112 (1.2) 390 (4.1) 511 (5.3) 184 (1.9) 653 (6.8) 88 (0.9) 58 (0.6) Resident Physiciansd 9612 (8.2) 2232 (1.9) 331 (0.3) 5570 (4.7) 405 (0.3) 778 (0.7) 296 (0.3) 26 802 (22.8) 2842 (2.4) 16 033 (13.7) 7927 (6.8) 20 263 (17.3) 6072 (5.2) 1422 (1.2) 4948 (4.2) 5950 (5.1) 1871 (1.6) 7634 (6.5) 846 (0.7) 783 (0.7) (continued)

Region and State New England Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont Middle Atlantic New Jersey New York Pennsylvania East North Central Illinois Indiana Michigan Ohio Wisconsin West North Central Iowa Kansas

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Table 4. Programs and Resident Physicians on Duty December 31, 2013, by Region and State (continued)
No. of Resident Physicians per 100 000a 42 45 39 18 16 29 28 271 19 22 45 32 26 26 38 29 27 26 19 36 29 26 44 22 28 20 25 24 6 4 11 27 26 7 26 5 27 26 23 26 21 36.7 2013 State Population in 1000sb 5420 6044 1869 723 845 61 784 926 646 19 553 9992 5929 9848 4775 8260 1854 18 716 4834 4395 2991 6496 37 884 2959 4625 3851 26 448 22 881 6627 5268 1612 1015 2790 2085 2901 583 51 373 735 38 333 1404 3930 6971 3615 319 744 No. (%) Programsc 197 (2.1) 230 (2.4) 62 (0.6) 7 (0.1) 11 (0.1) 1615 (16.8) 24 (0.2) 176 (1.8) 358 (3.7) 180 (1.9) 218 (2.3) 275 (2.9) 103 (1.1) 217 (2.3) 64 (0.7) 477 (5.0) 115 (1.2) 115 (1.2) 53 (0.6) 194 (2.0) 913 (9.5) 63 (0.7) 167 (1.7) 72 (0.7) 611 (6.4) 402 (4.2) 128 (1.3) 108 (1.1) 7 (0.1) 4 (<0.1) 21 (0.2) 56 (0.6) 76 (0.8) 2 (<0.1) 1110 (11.5) 2 (<0.1) 852 (8.9) 30 (0.3) 85 (0.9) 141 (1.5) 68 (0.7) 9613 (100.0) Resident Physiciansd 2287 (1.9) 2730 (2.3) 724 (0.6) 129 (0.1) 135 (0.1) 17 901 (15.2) 261 (0.2) 1749 (1.5) 3772 (3.2) 2192 (1.9) 2645 (2.3) 3175 (2.7) 1262 (1.1) 2145 (1.8) 700 (0.6) 5368 (4.6) 1310 (1.1) 1130 (1.0) 576 (0.5) 2352 (2.0) 11 161 (9.5) 756 (0.6) 2038 (1.7) 847 (0.7) 7520 (6.4) 4681 (4.0) 1640 (1.4) 1245 (1.1) 98 (0.1) 37 (<0.1) 294 (0.3) 572 (0.5) 754 (0.6) 41 (<0.1) 13 245 (11.3) 38 (<0.1) 10 159 (8.7) 361 (0.3) 896 (0.8) 1791 (1.5) 760 (0.6) 117 427 (100.0)

Region and State West North Central (continued) Minnesota Missouri Nebraska North Dakota South Dakota South Atlantic Delaware District of Columbia Florida Georgia Maryland North Carolina South Carolina Virginia West Virginia East South Central Alabama Kentucky Mississippi Tennessee West South Central Arkansas Louisiana Oklahoma Texas Mountain Arizona Colorado Idaho Montana Nevada New Mexico Utah Wyoming Pacific Alaska California Hawaii Oregon Washington Puerto Rico Total
a b

Aggregate number of resident physicians per 100 000 population. The 2013 state population is from Table 1 in the “Annual Estimates of the Population for the United States, Regions, States, and Puerto Rico: April 1, 2010 to July 1, 2013 (NST-EST2013-01).” (Source: US Census Bureau, Population Division. [release date: December 2013]; http://www.census.gov /popest/data/state/totals/2013/. Accessed May 16, 2014). The total population numbers include the District of Columbia and Puerto Rico. Total number of US graduate medical education (GME) programs accredited

by the Accreditation Council for Graduate Medical Education and combined specialty programs as of December 31, 2013, surveyed by the National GME Census during 2013.
d

c

Includes resident physicians on duty as of December 31, 2013, reported through the 2013 National GME Census. A total of 84 programs (0.9%) did not provide updated information on residents by March 1, 2014. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated.

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Table 5. Citizenship Status of International Medical Graduates Without Prior US Graduate Medical Education (GME) in the First Year of GME on Duty December 31, 2013
No. of International Medical Graduates Without Prior US GME by Citizenship Statusa US Citizen Specialty/Subspecialty Anesthesiology Emergency medicine Family medicine Internal medicine Neurological surgery Neurology Obstetrics and gynecology Orthopedic surgery Otolaryngology Pathology-anatomic and clinical Pediatrics Physical medicine and rehabilitation Plastic surgery-integratedc Psychiatry Radiology-diagnostic Surgery-general Vascular surgery-integratedc Thoracic surgery-integratedc Transitional year Combined Specialties Emergency medicine/family medicine Family medicine/preventive medicine Internal medicine/family medicine Internal medicine/pediatrics Internal medicine/preventive medicine Internal medicine/psychiatry Pediatrics/emergency medicine Pediatrics/psychiatry/child and adolescent psychiatry Total, No. (%)
a

US Permanent Resident 6 3 145 371 0 23 16 2 1 66 53 1 0 60 0 53 0 1 11

Non-US Citizen 14 15 165 761 3 22 45 2 0 58 186 2 1 95 3 105 1 1 18

Unknown Citizenship/ Foreign Bornb 16 9 131 922 2 40 9 0 2 43 130 0 1 68 1 72 1 0 4

Total 76 77 1097 3078 5 109 146 11 3 210 574 8 2 418 5 395 3 2 64

40 50 655 1024 0 24 76 7 0 43 205 5 0 195 1 164 1 0 31

1 0 1 15 0 2 1 2 2543 (40.2)

0 0 0 2 0 0 0 0 814 (12.9)
b

0 0 0 8 1 0 0 0 1506 (23.8)

0 1 1 2 3 0 0 0 1458 (23.1)

1 1 2 27 4 2 1 2 6323

Includes only international medical graduate resident physicians entering US GME for the first time on duty as of December 31, 2013. Graduates of Canadian medical schools are not considered international medical graduates.

In addition, 1 international medical graduate in family medicine and 1 in surgery-general had unknown citizenship and unknown birth country. Integrated programs differ from subspecialty programs in that they include core surgical education.

c

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Appendix

Table 6. Race and Hispanic Ethnic Origin of Resident Physicians on Duty December 31, 2013, by Type of Medical School From Which They Graduated
No. (%) of Resident Physiciansa US and Canadian Allopathic Raceb Black American Indian/Alaskan Native White Asian Native Hawaiian/Pacific Islander Other/unknown Ethnic originb Hispanic Non-Hispanic Totalc
a

US Osteopathic 171 (2.5) 14 (4.5) 5862 (8.6) 1439 (4.4) 19 (6.3) 2222 (23.2)

Non-US 1636 (24.5) 8 (2.6) 10 835 (16.0) 14 535 (44.3) 113 (37.5) 3270 (34.1)

Total 6685 308 67 735 32 803 301 9595

4878 (73.0) 286 (92.9) 51 031 (75.3) 16 825 (51.3) 169 (56.1) 4103 (42.8)

5156 (58.7) 72 136 (66.4) 77 292 (65.8)
b

260 (3.0) 9467 (8.7) 9727 (8.3)

3364 (38.3) 27 033 (24.9) 30 397 (25.9)

8780 108 647 117 427

Includes resident physicians on duty as of December 31, 2013, reported through the 2013 National [graduate medical education] GME Census. A total of 84 programs (0.9%) did not provide updated information on residents by March 1, 2014. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated. Percentages do not sum to 100% because 11 residents graduated from unidentified medical schools.

Following the example of the US Census Bureau, the 2013 National GME Census asked for race and Hispanic ethnicity in 2 separate questions. A person of Hispanic ethnicity can be of any race. These total data apply to each subsection separately (ie, total for race and total for ethnic origin).

c

Table 7. Citizenship/Visa Status of All Resident Physicians and International Medical Graduates on Duty December 31, 2013, in ACGME-Accredited and in Combined Specialty Programs
No. (%) of Resident Physiciansa Citizenship/Visa Status US citizen Native Naturalized Permanent resident B-1, B-2 temporary visitor F-1 student H-1, H-1B, H-2, H-3 temporary worker J-1, J-2 exchange visitor Refugee/asylee/displaced person Other Unknown citizenship Foreign born Unknown birth country Total Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
a

Total 79 120 (67.4) 9370 (8.0) 7523 (6.4) 70 (<0.1) 327 (0.3) 3823 (3.2) 5563 (4.7) 49 (<0.1) 254 (0.2)

International Medical Graduates b 6923 (22.8) 3632 (11.9) 4913 (16.2) 70 (0.2) 0 3583 (11.8) 5413 (17.8) 44 (0.1) 151 (0.5)

9551 (8.1) 1777 (1.5) 117 427

5666 (18.6) 2 (<0.1) 30 397

Includes resident physicians on duty as of December 31, 2013, reported through the 2013 National [graduate medical education] GME Census. A total of 84 programs (0.9%) did not provide updated information on residents by

March 1, 2014. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated.
b

Does not include graduates of Canadian medical schools.

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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, 2013, by Specialty
No. of Resident Physiciansa Black Specialty/Subspecialty Allergy and immunology Anesthesiology Adult cardiothoracic anesthesiology Critical care medicine Obstetric anesthesiology Pediatric anesthesiology Colon and rectal surgery Dermatology Dermatopathology Procedural dermatology Emergency medicine Emergency medical services Medical toxicology Pediatric emergency medicine Sports medicine Undersea and hyperbaric medicine Family medicine Geriatric medicine Sports medicine Hospice and palliative medicinec Internal medicine Advanced heart failure and transplant cardiology Cardiovascular disease Clinical cardiac electrophysiology Critical care medicine Endocrinology, diabetes, and metabolism Gastroenterology Geriatric medicine Hematology Hematology and oncology Infectious disease Interventional cardiology Nephrology Oncology Pulmonary disease Pulmonary disease and critical care medicine Rheumatology Transplant hepatology Medical genetics Medical biochemical genetics Molecular genetic pathology Neurological surgery Endovascular surgical neuroradiology 19 354 7 9 5 12 3 51 6 1 292 1 0 8 0 0 683 6 11 12 1304 5 144 5 7 17 71 17 1 64 57 17 67 2 6 55 18 2 0 0 2 81 0 1 20 0 0 0 0 0 4 1 0 27 0 1 0 0 0 44 0 0 1 30 0 1 1 0 0 4 0 0 0 0 1 0 0 0 2 0 0 0 0 1 4 0 182 3510 122 92 18 118 57 796 56 44 4153 24 38 63 4 5 5515 22 133 108 9725 35 1217 83 106 309 658 102 14 769 421 138 301 38 25 809 208 14 60 2 27 802 2 100 1490 37 32 7 51 22 256 14 11 829 1 9 10 4 2 2288 17 13 25 8624 19 1118 70 84 277 627 122 19 681 268 122 506 44 41 543 178 12 18 2 15 316 1 2 13 0 0 0 0 0 3 0 0 13 0 1 0 0 0 43 1 3 1 65 0 4 0 1 2 0 6 0 1 8 1 6 0 0 4 1 0 0 0 0 1 0 0 281 2 6 0 5 1 74 2 5 317 0 5 5 0 0 1504 6 8 31 3223 2 114 7 7 31 58 20 0 51 40 5 46 4 4 81 22 3 3 1 3 68 0 23 306 13 7 2 11 4 73 2 3 374 2 2 13 2 2 879 6 9 11 1762 6 177 12 18 72 114 35 2 79 98 15 67 9 8 131 29 3 15 0 1 81 0 304 5668 168 139 30 186 83 1184 79 61 5631 26 54 86 8 7 10 077 52 168 178 22 971 61 2598 166 205 636 1418 267 34 1566 794 284 926 88 76 1494 427 31 81 5 48 1272 3 (continued) American Indian/ Alaskan Native White Asian Native Hawaiian/ Other/ Pacific Islander Unknown Hispanic Originb Total

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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, 2013, by Specialty (continued)
No. of Resident Physiciansa Black Specialty/Subspecialty Neurology Child neurology Clinical neurophysiology Endovascular surgical neuroradiology Neurodevelopmental disabilities Neuromuscular medicine Vascular neurology Nuclear medicine Obstetrics and gynecology Female pelvic medicine and reconstructive surgery Ophthalmology Ophthalmic plastic and reconstructive surgery Orthopedic surgery Adult reconstructive orthopedics Foot and ankle orthopedics Hand surgery Musculoskeletal oncology Orthopedic sports medicine Orthopedic surgery of the spine Orthopedic trauma Pediatric orthopedics Otolaryngology Neurotology Pediatric otolaryngology Pain medicined Pathology-anatomic and clinical Blood banking/transfusion medicine Chemical pathology Cytopathology Forensic pathology Hematology Medical microbiology Neuropathology Pediatric pathology Selective pathology Pediatrics Adolescent medicine Child abuse pediatrics Developmental-behavioral pediatrics Neonatal-perinatal medicine Pediatric cardiology Pediatric critical care medicine Pediatric emergency medicine 92 10 12 0 1 3 3 2 534 10 32 0 152 0 0 6 0 8 4 0 2 33 0 0 26 82 0 0 6 4 4 0 1 1 1 558 12 5 2 38 15 13 23 4 0 0 0 0 0 0 2 13 0 3 0 12 0 0 0 0 0 1 0 0 4 1 0 1 5 1 0 0 0 0 0 1 0 2 20 0 0 0 0 3 0 2 1244 200 121 1 12 29 56 57 3439 57 725 4 2697 16 9 96 7 122 19 13 25 1003 18 22 169 1325 33 1 91 27 71 10 30 8 88 5466 41 20 70 379 248 295 254 815 117 94 0 2 21 39 36 805 16 455 2 462 9 1 25 3 26 3 1 3 322 6 5 86 646 13 0 28 4 54 2 9 7 54 1894 12 5 26 224 141 106 66 3 1 0 0 0 0 0 0 11 0 3 0 3 1 0 0 0 1 0 0 0 4 0 0 0 8 0 0 0 0 0 0 0 0 0 21 1 0 0 4 1 0 1 49 4 15 1 0 3 4 5 140 3 105 0 203 5 2 4 3 14 7 2 8 88 1 2 12 210 2 0 10 2 4 0 1 1 6 570 6 2 3 19 12 11 7 169 22 18 0 1 1 14 11 461 6 49 0 176 5 1 8 3 2 4 1 4 72 1 1 14 176 3 1 18 4 4 2 4 1 16 726 11 3 11 56 34 47 20 2207 332 242 2 15 56 102 102 4942 86 1323 6 3529 31 12 131 13 171 34 16 38 1454 26 29 294 2276 49 1 135 37 133 12 42 17 151 8529 72 32 101 664 420 425 353 (continued) American Indian/ Alaskan Native White Asian Native Hawaiian/ Other/ Pacific Islander Unknown Hispanic Originb Total

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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, 2013, by Specialty (continued)
No. of Resident Physiciansa Black Specialty/Subspecialty Pediatrics (continued) Pediatric endocrinology Pediatric gastroenterology Pediatric hematology/oncology Pediatric infectious diseases Pediatric nephrology Pediatric pulmonology Pediatric rheumatology Pediatric sports medicine Pediatric transplant hepatology Physical medicine and rehabilitation Pediatric rehabilitation medicine Spinal cord injury medicine Sports medicine Plastic surgery Craniofacial surgery Hand surgery Plastic surgery-integratede Preventive medicine Medical toxicology Undersea and hyperbaric medicine Psychiatry Addiction psychiatry Child and adolescent psychiatry Forensic psychiatry Geriatric psychiatry Psychosomatic medicine Radiation oncology Radiology-diagnostic Abdominal radiology Endovascular surgical neuroradiology Musculoskeletal radiology Neuroradiology Nuclear radiology Pediatric radiology Vascular and interventional radiology Sleep medicinef Surgery-general Complex general surgical oncology Hand surgery Pediatric surgery Surgical critical care Vascular surgery 6 15 20 13 6 6 1 0 0 68 1 2 2 22 1 0 17 30 0 1 328 9 59 3 9 2 29 140 1 0 2 2 0 5 6 9 484 5 0 2 8 5 0 1 2 0 0 0 0 0 0 2 1 0 0 0 0 0 2 1 0 0 17 1 0 0 0 0 2 20 0 0 0 1 0 0 0 0 29 0 0 0 0 2 163 155 284 114 54 91 51 21 5 627 12 11 26 254 4 18 345 141 1 2 2713 34 488 47 29 45 399 2787 25 5 18 154 11 55 152 55 5205 57 7 61 157 154 76 95 135 43 47 51 16 1 1 305 4 4 12 96 2 2 95 59 0 0 1336 15 241 12 19 25 208 1254 11 1 8 91 5 22 57 54 1653 30 1 15 29 67 0 1 0 1 0 1 0 0 0 4 0 0 1 0 0 0 1 2 0 0 13 0 2 0 0 0 1 7 0 0 0 0 0 0 0 0 15 0 0 0 0 0 6 10 13 6 4 10 2 0 0 156 1 1 3 5 0 0 35 9 0 1 510 2 27 2 6 4 47 263 2 0 1 22 1 5 5 8 504 1 0 0 18 9 29 25 37 20 13 11 5 0 1 84 2 5 3 32 2 0 33 24 0 0 425 8 91 6 5 13 31 189 1 2 0 18 0 11 10 14 642 7 0 5 13 21 251 277 454 177 111 159 70 22 6 1162 19 18 44 377 7 20 495 242 1 4 4917 61 817 64 63 76 686 4471 39 6 29 270 17 87 220 126 7890 93 8 78 212 237 (continued) American Indian/ Alaskan Native White Asian Native Hawaiian/ Other/ Pacific Islander Unknown Hispanic Originb Total

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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, 2013, by Specialty (continued)
No. of Resident Physiciansa Black Specialty/Subspecialty Vascular surgery-integratede Thoracic surgery Congenital cardiac surgery Thoracic surgery-integrated Urology Female pelvic medicine and reconstructive surgery Pediatric urology Transitional year Combined Specialties Emergency medicine/family medicine Family medicine/preventive medicine Internal medicine/anesthesiology Internal medicine/dermatology Internal medicine/emergency medicine Internal medicine/emergency medicine/critical care medicine Internal medicine/family medicine Internal medicine/medical genetics Internal medicine/neurology Internal medicine/pediatrics Internal medicine/preventive medicine Internal medicine/psychiatry Pediatrics/anesthesiology Pediatrics/emergency medicine Pediatrics/medical genetics Pediatrics/physical medicine and rehabilitation Pediatrics/psychiatry/child and adolescent psychiatry Psychiatry/family medicine Psychiatry/neurology Total (%) 1 0 0 2 8 1 1 0 0 90 2 9 3 2 2 1 7 3 0 6685 (5.7) 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 1 1 308 (0.3) 12 13 2 23 78 10 7 2 4 978 9 52 11 32 23 10 61 33 9 67 735 (57.7) 2 3 0 9 21 3 6 0 1 302 15 16 1 1 6 3 11 9 5 32 803 (27.9) 0 0 0 1 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 301 (0.3) 4 0 0 3 5 0 1 0 1 66 2 6 1 0 4 2 7 0 3 9595 (8.2) 1 3 0 2 3 0 1 0 0 72 2 3 1 3 3 0 4 6 0 8780 (7.5) 19 16 2 38 112 14 15 2 6 1441 28 84 16 35 35 16 86 46 18 117 427
e

American Indian/ Alaskan Native

White

Asian

Native Hawaiian/ Other/ Pacific Islander Unknown

Hispanic Originb

Total

9 11 1 4 64 1 3 24

0 0 0 0 3 0 0 1

112 136 5 65 811 4 29 624

44 54 1 10 238 5 4 265

0 0 0 1 2 0 0 2

17 6 1 10 71 1 0 94

17 14 2 4 75 2 4 61

182 207 8 90 1189 11 36 1010

Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
a

Includes resident physicians on duty as of December 31, 2013, reported through the 2013 National GME Census. A total of 84 programs (0.9%) did not provide updated information on residents by March 1, 2014. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated. Following the US Census Bureau, the 2013 National GME Census asked for race and Hispanic ethnicity in 2 separate questions. A person of Hispanic ethnicity can be of any race. Hospice and palliative medicine is a subspecialty of anesthesiology,

emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiation oncology, or surgery.
d

Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry. Integrated programs differ from subspecialty programs in that they include core surgical education. Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

e

b

f

c

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Appendix

Graduate Medical Education, 2013-2014

Table 9. Resident Physicians Who Completed a Graduate Medical Education (GME) Program or Preliminary Year During 2012-2013a
No. of Residents Who Completed GME Preliminary Program Year Specialty/Subspecialty Allergy and immunology Anesthesiology Adult cardiothoracic anesthesiology Critical care medicine Obstetric anesthesiology Pediatric anesthesiology Colon and rectal surgery Dermatology Dermatopathology Procedural dermatology Emergency medicine Emergency medical services Medical toxicology Pediatric emergency medicine Sports medicine Undersea and hyperbaric medicine Family medicine Geriatric medicine Sports medicine Hospice and palliative medicineb Internal medicine Advanced heart failure and transplant cardiology Cardiovascular disease Clinical cardiac electrophysiology Critical care medicine Endocrinology, diabetes, and metabolism Gastroenterology Geriatric medicine Hematology Hematology and oncology Infectious disease Interventional cardiology Nephrology Oncology Pulmonary disease Pulmonary disease and critical care medicine Rheumatology Transplant hepatology Medical genetics Medical biochemical genetics Molecular genetic pathology Neurological surgery Endovascular surgical neuroradiology Neurology Child neurology Clinical neurophysiology Endovascular surgical neuroradiology Neurodevelopmental disabilities 132 1567 150 135 19 195 74 390 84 51 1643 4 27 26 9 5 3162 59 155 163 6838 30 809 143 113 276 452 240 19 506 374 298 448 39 42 474 210 31 32 9 44 167 3 596 90 221 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 2016 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (continued)

Table 9. Resident Physicians Who Completed a Graduate Medical Education (GME) Program or Preliminary Year During 2012-2013a (continued)
No. of Residents Who Completed GME Preliminary Program Year Specialty/Subspecialty Neurology (continued) Neuromuscular medicine Vascular neurology Nuclear medicine Obstetrics and gynecology Female pelvic medicine and reconstructive surgery Ophthalmology Ophthalmic plastic and reconstructive surgery Orthopedic surgery Adult reconstructive orthopedics Foot and ankle orthopedics Hand surgery Musculoskeletal oncology Orthopedic sports medicine Orthopedic surgery of the spine Orthopedic trauma Pediatric orthopedics Otolaryngology Neurotology Pediatric otolaryngology Pain medicinec Pathology-anatomic and clinical Blood banking/transfusion medicine Chemical pathology Cytopathology Forensic pathology Hematology Medical microbiology Neuropathology Pediatric pathology Selective pathology Pediatrics Adolescent medicine Child abuse pediatrics Developmental-behavioral pediatrics Neonatal-perinatal medicine Pediatric cardiology Pediatric critical care medicine Pediatric emergency medicine Pediatric endocrinology Pediatric gastroenterology Pediatric hematology/oncology Pediatric infectious diseases Pediatric nephrology Pediatric pulmonology Pediatric rheumatology Pediatric sports medicine Pediatric transplant hepatology 43 88 52 1209 4 459 2 672 42 8 113 12 189 30 16 35 272 10 21 285 600 50 1 125 35 125 9 18 16 135 2671 25 10 34 203 149 123 105 89 88 135 56 43 54 22 19 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (continued)

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Graduate Medical Education, 2013-2014

Appendix

Table 9. Resident Physicians Who Completed a Graduate Medical Education (GME) Program or Preliminary Year During 2012-2013a (continued)
No. of Residents Who Completed GME Preliminary Program Year Specialty/Subspecialty Physical medicine and rehabilitation Pediatric rehabilitation medicine Spinal cord injury medicine Sports medicine Plastic surgery Craniofacial surgery Hand surgery Plastic surgery-integratedd Preventive medicine Medical toxicology Undersea and hyperbaric medicine Psychiatry Addiction psychiatry Child and adolescent psychiatry Forensic psychiatry Geriatric psychiatry Psychosomatic medicine Radiation oncology Radiology-diagnostic Abdominal radiology Endovascular surgical neuroradiology Musculoskeletal radiology Neuroradiology Nuclear radiology Pediatric radiology Vascular and interventional radiology Sleep medicinee Surgery-general Complex general surgical oncology Hand surgery Pediatric surgery Surgical critical care Vascular surgery Vascular surgery-integratedd Thoracic surgery Congenital cardiac surgery Thoracic surgery-integratedd Urology Pediatric urology Transitional year Combined Specialties Emergency medicine/family medicine Family medicine/preventive medicine Internal medicine/dermatology Internal medicine/emergency medicine Internal medicine/emergency medicine/critical care medicine Internal medicine/family medicine 1 4 9 20 3 4 0 0 0 0 0 0 (continued) 385 10 13 10 78 6 21 59 142 1 2 1042 62 413 63 68 51 148 1115 30 4 23 216 10 83 200 143 1088 12 8 43 179 122 11 92 6 2 262 15 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1143 0 0 0 0 0 0 0 0 0 0 0 970

Table 9. Resident Physicians Who Completed a Graduate Medical Education (GME) Program or Preliminary Year During 2012-2013a (continued)
No. of Residents Who Completed GME Preliminary Program Year Combined Specialties Internal medicine/medical genetics Internal medicine/neurology Internal medicine/pediatrics Internal medicine/preventive medicine Internal medicine/psychiatry Pediatrics/emergency medicine Pediatrics/medical genetics Pediatrics/physical medicine and rehabilitation Pediatrics/psychiatry/child and adolescent psychiatry Psychiatry/family medicine Total
a

3 2 336 7 16 7 2 1 16 10 35 747

0 0 0 0 0 0 0 0 0 0 4235

Includes resident physicians on duty as of December 31, 2013, reported through the 2013 National GME Census. A total of 84 programs (0.9%) did not provide updated information on residents by March 1, 2014. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated. Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiation oncology, or surgery. Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry. Integrated programs differ from subspecialty programs in that they include core surgical education. Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

b

c

d

e

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Appendix

Graduate Medical Education, 2013-2014

Table 10. Total Program Size and Number of First-Year Positions Available in ACGME-Accredited and Combined Specialty Programs for the Next Academic Year (2014-2015) as Projected by Program Directors
No. of Year 1 Positions Available for the Next Academic Year Programa Graduateb

Table 10. Total Program Size and Number of First-Year Positions Available in ACGME-Accredited and Combined Specialty Programs for the Next Academic Year (2014-2015) as Projected by Program Directors (continued)
No. of Year 1 Positions Available for the Next Academic Year Programa Graduateb

Total Program Size Specialty/Subspecialty Allergy and immunology Anesthesiology Adult cardiothoracic anesthesiology Critical care medicine Obstetric anesthesiology Pediatric anesthesiology Colon and rectal surgery Dermatology Dermatopathology Procedural dermatology Emergency medicine Emergency medical services Medical toxicology Pediatric emergency medicine Sports medicine Undersea and hyperbaric medicine Family medicine Geriatric medicine Sports medicine Hospice and palliative medicine Internal medicine Advanced heart failure and transplant cardiology Cardiovascular disease Clinical cardiac electrophysiology Critical care medicine Endocrinology, diabetes, and metabolism Gastroenterology Geriatric medicine Hematology Hematology and oncology Infectious disease Interventional cardiology Nephrology Oncology Pulmonary disease Pulmonary disease and critical care medicine Rheumatology Transplant hepatology Medical genetics Medical biochemical genetics Molecular genetic pathology Neurological surgery Endovascular surgical neuroradiology
c

Total Program Size Specialty/Subspecialty Neurology Child neurology Clinical neurophysiology Endovascular surgical neuroradiology Neurodevelopmental disabilities Neuromuscular medicine Vascular neurology Nuclear medicine Obstetrics and gynecology Female pelvic medicine and reconstructive surgery Ophthalmology Ophthalmic plastic and reconstructive surgery Orthopedic surgery Adult reconstructive orthopedics Foot and ankle orthopedics Hand surgery Musculoskeletal oncology Orthopedic sports medicine Orthopedic surgery of the spine Orthopedic trauma Pediatric orthopedics 2349 388 295 4 31 76 146 145 5160 135 1432 6 3665 41 17 144 17 231 37 18 45 1493 34 38 348 2418 70 3 152 65 147 18 73 37 178 8973 105 57 124 730 416 472 368

323 6067 179 185 43 221 92 1285 90 72 5940 66 96 98 9 11 11 022 94 209 266 24 313 89 2707 247 229 644 1494 394 25 1655 819 344 980 79 84 1561 460 65 169 15 54 1357 3

147 1354 179 185 43 221 92 417 88 72 1864 66 48 37 9 11 3662 94 209 266 9484 89 885 218 134 317 502 383 10 552 396 326 471 36 41 521 222 65 77 15 54 205 3

0 1077 0 0 0 0 0 10 0 0 1842 0 0 0 0 0 3662 0 0 0 9484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 205 0 (continued)

669 133 294 4 10 74 144 66 1324 48 479 4 733 41 17 144 16 231 37 18 45 300 16 34 348 606 70 3 152 65 145 18 40 36 178 3022 42 21 44 262 142 171 128

279 0 0 0 0 0 0 0 1324 0 0 0 732 0 0 0 0 0 0 0 0 300 0 0 0 606 0 0 0 0 0 0 0 0 0 3022 0 0 0 0 0 0 0 (continued)

Otolaryngology Neurotology Pediatric otolaryngology Pain medicined Pathology-anatomic and clinical Blood banking/transfusion medicine Chemical pathology Cytopathology Forensic pathology Hematology Medical microbiology Neuropathology Pediatric pathology Selective pathology Pediatrics Adolescent medicine Child abuse pediatrics Developmental-behavioral pediatrics Neonatal-perinatal medicine Pediatric cardiology Pediatric critical care medicine Pediatric emergency medicine

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Graduate Medical Education, 2013-2014

Appendix

Table 10. Total Program Size and Number of First-Year Positions Available in ACGME-Accredited and Combined Specialty Programs for the Next Academic Year (2014-2015) as Projected by Program Directors (continued)
No. of Year 1 Positions Available for the Next Academic Year Programa Graduateb

Table 10. Total Program Size and Number of First-Year Positions Available in ACGME-Accredited and Combined Specialty Programs for the Next Academic Year (2014-2015) as Projected by Program Directors (continued)
No. of Year 1 Positions Available for the Next Academic Year Programa Graduateb

Total Program Size Specialty/Subspecialty Pediatrics (continued) Pediatric endocrinology Pediatric gastroenterology Pediatric hematology/oncology Pediatric infectious diseases Pediatric nephrology Pediatric pulmonology Pediatric rheumatology Pediatric sports medicine Pediatric transplant hepatology Physical medicine and rehabilitation Pediatric rehabilitation medicine Spinal cord injury medicine Sports medicine Plastic surgery Craniofacial surgery Hand surgery Plastic surgery-integratede Preventive medicine Medical toxicology Undersea and hyperbaric medicine Psychiatry Addiction psychiatry Child and adolescent psychiatry Forensic psychiatry Geriatric psychiatry Psychosomatic medicine Radiation oncology Radiology-diagnostic Abdominal radiology Endovascular surgical neuroradiology Musculoskeletal radiology Neuroradiology Nuclear radiology Pediatric radiology Vascular and interventional radiology Sleep medicinef Surgery-general Complex general surgical oncology Hand surgery Pediatric surgery Surgical critical care Vascular surgery Vascular surgery-integratede 290 288 503 225 159 206 125 24 7 1285 33 25 18 410 9 20 695 505 7 6 5541 104 902 91 126 117 720 4749 47 7 39 315 30 120 268 186 7873 106 8 85 249 273 246

Total Program Size Specialty/Subspecialty Thoracic surgery 264 11 193 1219 25 44 1150

112 11 33 300 5 26 1150

0 0 33 0 0 0 1150

98 97 168 78 55 70 42 20 7 353 19 25 18 132 9 20 126 260 3 6 1407 101 452 91 126 117 181 1180 47 7 39 295 30 120 268 183 2534 53 8 42 244 139 57

0 0 0 0 0 0

Congenital cardiac surgery Thoracic surgery-integratede Urology Female pelvic medicine and reconstructive surgery Pediatric urology Transitional year

0 Combined Specialties 0 Emergency medicine/family medicine 0 Family medicine/preventive medicine 84 Internal medicine/anesthesiology 0 Internal medicine/dermatology 0 Internal medicine/emergency medicine 0 0 0 0 126 5 0 0 1407 0 0 0 0 0 0 73 0 0 0 0 0 0 0 0 2534 0 0 0
e d c b

19 19 22 42 128 13 16 24 6 1484 34 103 24 38 55 17 94 51 23 127 016

4 6 4 8 28 0 5 7 1 375 8 19 8 9 14 3 18 10 5 45 940

4 6 4 8 28 0 5 7 1 375 8 19 8 9 14 3 18 10 5 28 547

Internal medicine/emergency medicine/critical care medicine Internal medicine/family medicine Internal medicine/medical genetics Internal medicine/neurology Internal medicine/pediatrics Internal medicine/preventive medicine Internal medicine/psychiatry Pediatrics/anesthesiology Pediatrics/emergency medicine Pediatrics/medical genetics Pediatrics/physical medicine and rehabilitation Pediatrics/psychiatry/child and adolescent psychiatry Psychiatry/family medicine Psychiatry/neurology Total

Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
a

Program year 1 refers to the first year of training within a specific program; this may not correspond to the graduate year. Graduate year 1 refers to positions available the first year after completing medical school. Although residents in graduate year 1 positions are not required to have prior graduate medical education, some residents who fill these positions have had prior training. Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiation oncology, or surgery. Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry. Integrated programs differ from subspecialty programs in that they include core surgical education. Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

0 0 57 (continued)
f

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