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Letter of Concern from the Association of Academic Chairs of Emergency Medicine Regarding ACGME Proposed Changes

Hamilton, Richard J
Becker, Lance B
Wolfe, Richard E
Algren, D Adam
Arnold, Thomas
Baumann, Michael
Berkeley, Ross P
Caffery, Terrell S
Cannon, Chad M
Corbin, Theodore J
... show 10 more
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Abstract

This letter, signed by over 50 academic chairs of emergency medicine, urges the ACGME to reconsider a proposed mandate requiring all emergency medicine residency programs to adopt a four-year training model. The authors argue that current three-year programs are supported by data demonstrating equivalent educational and clinical outcomes compared to four-year formats. They criticize the flawed survey methodology underpinning the proposal, note the loss of milestone-based training flexibility, and highlight the lack of added scholarly or clinical value in the fourth year. The letter also outlines negative consequences for fellowship participation, workforce development, trainee debt, and diversity. The signatories advocate for maintaining the current flexible training model to preserve excellence, equity, and innovation in emergency medicine education.

Source

Hamilton RJ, Becker LB, Wolfe RE, Algren DA, Arnold T, Baumann M, Berkeley RP, Caffery TS, Cannon CM, Corbin TJ, Chansky ME, Dhindsa HS, Emerman CL, Farcy DA, Fox C, Gibbs MA, Goode CS, Godwin SA, Jehle D, Johnson D, Keim SM, Khazaeni B, Knapp BJ, Hawthorne C, Hoyle JD Jr, Kurz MC, Leibner E, McNamara R, McCormack RF, Michelson EA, Miller C, Norse A, Nugent A, O'Neil BJ, Overton DT, Panacek EA, Paolo WF, Pauzé DR, Perez AL, Riviello RJ, Rodi SW, Pang PS, Gonzalez Sanchez JA, Seaberg D, Schwartz A, Shiver SA, Sklar DP, Smith BC, Stowell JR, Squillante MD, Thomas JJ, Hoek TV, Volturo GA, Walters EL, Wyatt TE, Yealy DM. Letter of Concern from the Association of Academic Chairs of Emergency Medicine Regarding ACGME Proposed Changes. West J Emerg Med. 2025 Jun 27;26(4):769-772. doi: 10.5811/westjem.48840. PMID: 40795015; PMCID: PMC12342429.

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DOI
10.5811/westjem.48840
PubMed ID
40795015
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Copyright: © 2025 Hamilton et al. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/ licenses/by/4.0/Attribution 4.0 International