Table 3.

Medical education structure and leverage points for insertion of pediatric environmental health.

Medical education	Leverage points
Medical school (MD curriculum)	Association of American Medical Colleges, faculty, National Board of Medical Examiners (NBME), Liaison Committee on Medical Education, students, student organizations
Residency	Accreditation Council for Graduate Medical Education (ACGME), American Board of Medical Specialties (ABMS), chief residents, directors of residency education, NBME, pediatric department chairs, primary care pediatric education guidelines, residency review committees, specialty boards
Fellowship (optional)	ABMS, fellowships, specialty boards
Continuing medical education (CME)	Accreditation Council for Continuing Medical Education (ACCME) professional organizations that provide CME
Recertification	Specialty boards