Table 2.

ACGME Institutional Requirements

Sponsoring Institutional Requirement	Description
Structure for Educational Oversight	Establishes the Designated Institutional Official (DIO) and the Graduate Medical Education Committee (GMEC) and requirement for effective governance of all training programs in the institution
Institutional Resources	Adequate financial and non-financial resources must be present to prevent excessive reliance on trainees
The Learning and Working Environment	Sets standards for patient safety, quality improvement, and the learning and work environment
Institutional GME Policies and Procedures	Establishes policies and procedures to ensure transparent and equitable treatment of trainees