Graduate Medical Education, 2009-2010

Sarah E. Brotherton; Sylvia I. Etzel

JAMA. 2010;304(11):1255 (doi:10.1001/jama.2010.1273)
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Topic collections Medical Practice; Medical Education

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 APPENDIX II

Graduate Medical Education, 2009-2010

Sarah E. Brotherton, PhD rectors is added to FREIDA Online, an firmed the status of nonactive trainees
Sylvia I. Etzel Internet-based public information source (graduatesandtransfers)butdidnothave
on GME programs that is available to anycurrentlyactivetrainees,and744pro-

T
HE AMERICAN MEDICAL ASSOCIA-
tion (AMA) and the Association
of American Medical Colleges
(AAMC) together maintain a
database of information on graduate
medical education (GME) training pro-
grams accredited by the Accreditation
Council for Graduate Medical Education
(ACGME)andoftheresidentsandfellows
in them. Every spring approximately
19 000newresidentswhomatchintopro-
grams through the National Resident
Matching Program (NRMP) are added to
this database as well as new residents who
did not match, information collected
through the AAMC’s follow-up report of
medicalschools.TheAMAandtheAAMC
alsojointlyadministertheannualNational
GME Census through GME Track, an
Internet-basedAAMCproduct.FromMay
2009 until December 2009 all directors
of programs accredited by the ACGME
were asked to complete the Census on
GME Track. Information about the train-
ing programs supplied by the program di-
medical students and residents. In July
2009wesurveyedprogramdirectorsabout
their active, transferred, and graduated
residents and fellows for academic year
2009-2010. Program directors are pro-
vided with lists of residents and fellows
from the current database and are asked
to (1) confirm or modify the training sta-
tus of trainees who were present in their
programstheprioryear;(2)addnewphy-
sicianstotheirprogramnotalreadyinour
database; and (3) confirm, edit, or add
demographicinformation(includingsex,
birth date, country of birth, citizenship
status, and race/ethnicity).
We surveyed 8875 active programs, of
which 7978 (89.9%) completed the pro-
gramsurveyand7468(84.1%)confirmed
the status of all of their active phys-
icians-in-training,accountingfor101 596
(92.5%)activetrainees.Anadditional146
programs(1.6%)confirmedsomebutnot
all of their trainees (5522 trainees, 5.0%),
176 confirmed that they did not have any
trainees(2.0%),341programs(3.8%)con-
grams (8.4%) did not confirm the status
of any physician training in the program
(including 541 programs that apparently
did not have any active trainees). A total
of 96.0% of all physicians in our database
had their status confirmed (eg, active,
graduated, transferred, withdrawn). Phy-
sicians whose status was not confirmed
were “advanced” into the next year of
training (n=2722 [2.5% of active resi-
dents]) or “graduated” based on expected
graduationdate(n=1608[4.3%ofgradu-
ated residents and fellows]). In total, we
estimate that there were 109 840 active
residentsinACGME-accreditedprograms
during the 2009-2010 academic year.
Author Affiliations: Division of Graduate Medical Edu-
cation, American Medical Association, Chicago, Illinois.
Funding/Support: This research was funded solely by
the American Medical Association, which employs Dr
Brotherton and Ms Etzel.
Financial Disclosures: None reported.
Corresponding Author: Sarah E. Brotherton, PhD, Di-
vision of Graduate Medical Education, American Medi-
cal Association, 515 N State St, Chicago, IL 60654
(sarah.brotherton@ama-assn.org).

Appendix II, Table 1. ACGME-Accredited and Combined Specialty GME Programs and Resident Physicians According to Medical School of
Graduation and Specialty and Subspecialty, 2004-2009
No. (%)

2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010

No. of programs 8246 8403 8502 8589 8694 8875
No. of residents
Total 101 291 103 106 104 879 106 012 108 176 109 840
GY1 23 789 24 732 24 772 25 171 25 848 26 219
GY1 residents with no prior GME 22 788 23 325 23 587 23 759 24 560 25 075
Medical school of graduation
USMDs 68 456 (67.6) 68 578 (66.5) 69 721 (66.5) 70 056 (66.1) 71 119 (65.7) 71 871 (65.4)
IMGs 26 720 (26.4) 27 636 (26.8) 28 176 (26.9) 28 824 (27.2) 29 488 (27.3) 30 068 (27.4)
DOs 5675 (5.6) 6474 (6.3) 6629 (6.3) 6784 (6.4) 7237 (6.7) 7628 (6.9)
Canadian 413 (0.4) 386 (0.4) 353 (0.3) 341 (0.3) 326 (0.3) 273 (0.2)
Unknown/other 27 (⬍0.1) 5 (⬍0.1) 0 7 (⬍0.1) 6 (⬍0.1) 0
Specialties
Programs 4151 (50.3) 4149 (49.4) 4134 (48.6) 4119 (48.0) 4100 (47.2) 4128 (46.5)
Residents 86 975 (85.9) 88 241 (85.6) 89 269 (85.1) 89 618 (84.5) 90 907 (84.0) 91 963 (83.7)
Subspecialties
Programs 4095 (49.7) 4254 (50.6) 4368 (51.4) 4470 (52.0) 4594 (52.8) 4747 (53.5)
Residents 14 316 (14.1) 14 865 (14.4) 15 610 (14.9) 16 394 (15.5) 17 269 (16.0) 17 877 (16.3)
Abbreviations: ACGME, Accreditation Council for Graduate Medical Education; DO, doctor of osteopathy; GME, graduate medical education; IMG, international medical graduate;
GY1, graduate year 1, the first year of education beyond medical school for which prior GME is not required; and USMD, US allopathic medical school graduate.

©2010 American Medical Association. All rights reserved. (Reprinted) JAMA, September 15, 2010—Vol 304, No. 11 1255

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GRADUATE MEDICAL EDUCATION

Appendix II, Table 2. Resident Physicians on Duty in ACGME-Accredited and in Combined Specialty GME Programs, December 31, 2009
Resident Physicians, No. (%) b
Total No. of
Programs a Total Female USMDs IMGs Canadians Osteopathic
Specialty/subspecialty
Allergy and immunology 73 294 (0.3) 177 (60.2) 237 (80.6) 41 (13.9) 1 (0.3) 15 (5.1)
Anesthesiology 132 5322 (4.9) 1998 (37.5) 4212 (79.1) 665 (12.5) 8 (0.2) 437 (8.2)
Adult cardiothoracic anesthesiology 47 69 (0.1) 21 (30.4) 42 (60.9) 21 (30.4) 0 6 (8.7)
Critical care medicine 46 80 (0.1) 19 (23.8) 41 (51.3) 31 (38.8) 1 (1.3) 7 (8.8)
Pediatric anesthesiology 46 143 (0.1) 76 (53.1) 104 (72.7) 28 (19.6) 0 11 (7.7)
Colon and rectal surgery 49 73 (0.1) 24 (32.9) 62 (84.9) 10 (13.7) 0 1 (1.4)
Dermatology 112 1080 (1.0) 687 (63.6) 1024 (94.8) 40 (3.7) 1 (0.1) 15 (1.4)
Dermatopathology 54 77 (0.1) 40 (51.9) 62 (80.5) 12 (15.6) 1 (1.3) 2 (2.6)
Procedural dermatology 37 27 (⬍0.1) 12 (44.4) 24 (88.9) 2 (7.4) 1 (3.7) 0
Emergency medicine 153 4922 (4.5) 1985 (40.3) 4031 (81.9) 320 (6.5) 7 (0.1) 564 (11.5)
Medical toxicology 22 49 (⬍0.1) 17 (34.7) 39 (79.6) 6 (12.2) 0 4 (8.2)
Pediatric emergency medicine 21 61 (0.1) 41 (67.2) 40 (65.6) 13 (21.3) 2 (3.3) 6 (9.8)
Sports medicine 5 6 (⬍0.1) 1 (16.7) 2 (33.3) 2 (33.3) 1 (16.7) 1 (16.7)
Undersea and hyperbaric medicine 5 3 (⬍0.1) 1 (33.3) 2 (66.7) 1 (33.3) 0 0
Family medicine 452 9391 (8.7) 5226 (55.6) 4145 (44.1) 3746 (39.9) 12 (0.1) 1488 (15.8)
Geriatric medicine 41 54 (⬍0.1) 32 (59.3) 16 (29.6) 36 (66.7) 0 2 (3.7)
Sports medicine 106 138 (0.1) 42 (30.4) 86 (62.3) 23 (16.7) 0 29 (21.0)
Hospice and palliative medicine c 64 67 (0.1) 30 (44.8) 37 (55.2) 23 (34.3) 0 7 (10.4)
Internal medicine 379 22 292 (20.6) 9978 (44.8) 10 855 (48.7) 10 066 (45.2) 33 (0.1) 1338 (6.0)
Cardiovascular disease 178 2429 (2.2) 517 (21.3) 1468 (60.4) 855 (35.2) 6 (0.2) 100 (4.1)
Clinical cardiac electrophysiology 96 163 (0.2) 22 (13.5) 119 (73.0) 38 (23.3) 2 (1.2) 4 (2.5)
Critical care medicine 33 160 (0.1) 51 (31.9) 40 (25.0) 103 (64.4) 4 (2.5) 13 (8.1)
Endocrinology, diabetes, and metabolism 125 565 (0.5) 373 (66.0) 296 (52.4) 239 (42.3) 2 (0.4) 28 (5.0)
Gastroenterology 155 1302 (1.2) 420 (32.3) 839 (64.4) 387 (29.7) 5 (0.4) 71 (5.5)
Geriatric medicine 107 242 (0.2) 152 (62.8) 70 (28.9) 160 (66.1) 1 (0.4) 11 (4.5)
Hematology 7 49 (⬍0.1) 24 (49.0) 31 (63.3) 15 (30.6) 0 3 (6.1)
Hematology and oncology 131 1412 (1.3) 628 (44.5) 770 (54.5) 593 (42.0) 9 (0.6) 40 (2.8)
Infectious disease 145 773 (0.7) 425 (55.0) 416 (53.8) 321 (41.5) 3 (0.4) 33 (4.3)
Interventional cardiology 132 238 (0.2) 20 (8.4) 107 (45.0) 114 (47.9) 2 (0.8) 15 (6.3)
Nephrology 141 911 (0.8) 333 (36.6) 365 (40.1) 497 (54.6) 7 (0.8) 42 (4.6)
Oncology 16 116 (0.1) 49 (42.2) 48 (41.4) 61 (52.6) 0 7 (6.0)
Pulmonary disease 21 76 (0.1) 19 (25.0) 11 (14.5) 62 (81.6) 0 3 (3.9)
Pulmonary disease and critical care medicine 134 1273 (1.2) 401 (31.5) 643 (50.5) 548 (43.0) 6 (0.5) 76 (6.0)
Rheumatology 106 415 (0.4) 274 (66.0) 233 (56.1) 155 (37.3) 2 (0.5) 25 (6.0)
Transplant hepatology 25 15 (⬍0.1) 4 (26.7) 12 (80.0) 3 (20.0) 0 0
Medical genetics 51 84 (0.1) 57 (67.9) 47 (56.0) 33 (39.3) 1 (1.2) 3 (3.6)
Medical biochemical genetics 5 0 0 0 0 0 0
Molecular genetic pathology 28 33 (⬍0.1) 16 (48.5) 19 (57.6) 13 (39.4) 0 1 (3.0)
Neurological surgery 99 1096 (1.0) 144 (13.1) 969 (88.4) 122 (11.1) 1 (0.1) 4 (0.4)
Endovascular surgical neuroradiology 1 0 0 0 0 0 0
Neurology 126 1825 (1.7) 845 (46.3) 1044 (57.2) 647 (35.5) 4 (0.2) 130 (7.1)
Child neurology 69 274 (0.3) 175 (63.9) 179 (65.3) 77 (28.1) 1 (0.4) 17 (6.2)
Clinical neurophysiology 90 163 (0.2) 74 (45.4) 79 (48.5) 74 (45.4) 1 (0.6) 9 (5.5)
Endovascular surgical neuroradiology 1 2 (⬍0.1) 0 0 2 (100.0) 0 0
Neurodevelopmental disabilities 8 14 (⬍0.1) 10 (71.4) 14 (100.0) 0 0 0
Neuromuscular medicine 21 17 (⬍0.1) 8 (47.1) 9 (52.9) 6 (35.3) 0 2 (11.8)
Vascular neurology 64 44 (⬍0.1) 15 (34.1) 23 (52.3) 18 (40.9) 1 (2.3) 2 (4.5)
Nuclear medicine 55 152 (0.1) 59 (38.8) 55 (36.2) 94 (61.8) 0 3 (2.0)
Obstetrics and gynecology 246 4842 (4.5) 3858 (79.7) 3565 (73.6) 856 (17.7) 7 (0.1) 414 (8.6)
Ophthalmology 118 1266 (1.2) 538 (42.5) 1159 (91.5) 94 (7.4) 2 (0.2) 11 (0.9)
Orthopedic surgery 155 3371 (3.1) 447 (13.3) 3238 (96.1) 97 (2.9) 0 36 (1.1)
Adult reconstructive orthopedics 21 33 (⬍0.1) 3 (9.1) 15 (45.5) 16 (48.5) 1 (3.0) 1 (3.0)
Foot and ankle orthopedics 9 20 (⬍0.1) 4 (20.0) 16 (80.0) 1 (5.0) 2 (10.0) 1 (5.0)
(continued)

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 GRADUATE MEDICAL EDUCATION

Appendix II, Table 2. Resident Physicians on Duty in ACGME-Accredited and in Combined Specialty GME Programs, December 31, 2009
(continued)
Resident Physicians, No. (%) b
Total No. of
Programs a Total Female USMDs IMGs Canadians Osteopathic
Specialty/subspecialty (continued)
Orthopedic surgery (continued)
Hand surgery 58 113 (0.1) 24 (21.2) 92 (81.4) 5 (4.4) 6 (5.3) 10 (8.8)
Musculoskeletal oncology 10 10 (⬍0.1) 4 (40.0) 9 (90.0) 1 (10.0) 0 0
Orthopedic sports medicine 91 120 (0.1) 8 (6.7) 107 (89.2) 7 (5.8) 1 (0.8) 5 (4.2)
Orthopedic surgery of the spine 14 31 (⬍0.1) 0 19 (61.3) 9 (29.0) 0 3 (9.7)
Orthopedic trauma 10 8 (⬍0.1) 0 5 (62.5) 1 (12.5) 0 2 (25.0)
Pediatric orthopedics 22 31 (⬍0.1) 8 (25.8) 19 (61.3) 9 (29.0) 2 (6.5) 1 (3.2)
Otolaryngology 103 1406 (1.3) 434 (30.9) 1360 (96.7) 41 (2.9) 2 (0.1) 3 (0.2)
Neurotology 16 21 (⬍0.1) 5 (23.8) 18 (85.7) 3 (14.3) 0 0
Pediatric otolaryngology 8 15 (⬍0.1) 7 (46.7) 14 (93.3) 0 1 (6.7) 0
Pain medicine d 92 244 (0.2) 49 (20.1) 172 (70.5) 46 (18.9) 1 (0.4) 25 (10.2)
Pathology-anatomic and clinical 149 2358 (2.2) 1280 (54.3) 1457 (61.8) 756 (32.1) 0 145 (6.1)
Blood banking/transfusion medicine 46 44 (⬍0.1) 20 (45.5) 28 (63.6) 11 (25.0) 0 5 (11.4)
Chemical pathology 2 0 0 0 0 0 0
Cytopathology 87 101 (0.1) 63 (62.4) 68 (67.3) 28 (27.7) 0 5 (5.0)
Forensic pathology 37 33 (⬍0.1) 17 (51.5) 25 (75.8) 5 (15.2) 2 (6.1) 1 (3.0)
Hematology 81 94 (0.1) 37 (39.4) 73 (77.7) 19 (20.2) 0 2 (2.1)
Medical microbiology 12 6 (⬍0.1) 3 (50.0) 3 (50.0) 2 (33.3) 0 1 (16.7)
Neuropathology 33 34 (⬍0.1) 14 (41.2) 20 (58.8) 14 (41.2) 0 0
Pediatric pathology 22 23 (⬍0.1) 14 (60.9) 14 (60.9) 8 (34.8) 1 (4.3) 0
Selective pathology 58 99 (0.1) 51 (51.5) 54 (54.5) 37 (37.4) 2 (2.0) 6 (6.1)
Pediatrics 196 8124 (7.5) 5945 (73.2) 5446 (67.0) 1966 (24.2) 21 (0.3) 691 (8.5)
Adolescent medicine 27 60 (0.1) 50 (83.3) 39 (65.0) 16 (26.7) 0 5 (8.3)
Developmental-behavioral pediatrics 37 68 (0.1) 54 (79.4) 51 (75.0) 10 (14.7) 0 7 (10.3)
Neonatal-perinatal medicine 97 610 (0.6) 392 (64.3) 333 (54.6) 246 (40.3) 0 31 (5.1)
Pediatric cardiology 51 364 (0.3) 143 (39.3) 255 (70.1) 93 (25.5) 7 (1.9) 9 (2.5)
Pediatric critical care medicine 60 372 (0.3) 177 (47.6) 245 (65.9) 100 (26.9) 3 (0.8) 24 (6.5)
Pediatric emergency medicine 48 279 (0.3) 173 (62.0) 214 (76.7) 42 (15.1) 4 (1.4) 19 (6.8)
Pediatric endocrinology 68 223 (0.2) 190 (85.2) 142 (63.7) 64 (28.7) 1 (0.4) 16 (7.2)
Pediatric gastroenterology 54 220 (0.2) 127 (57.7) 138 (62.7) 66 (30.0) 1 (0.5) 15 (6.8)
Pediatric hematology/oncology 68 409 (0.4) 238 (58.2) 266 (65.0) 122 (29.8) 2 (0.5) 19 (4.6)
Pediatric infectious diseases 62 171 (0.2) 117 (68.4) 111 (64.9) 53 (31.0) 2 (1.2) 5 (2.9)
Pediatric nephrology 39 123 (0.1) 83 (67.5) 71 (57.7) 47 (38.2) 1 (0.8) 4 (3.3)
Pediatric pulmonology 49 136 (0.1) 76 (55.9) 75 (55.1) 48 (35.3) 3 (2.2) 10 (7.4)
Pediatric rheumatology 30 73 (0.1) 47 (64.4) 46 (63.0) 20 (27.4) 2 (2.7) 5 (6.8)
Pediatric sports medicine 9 16 (⬍0.1) 5 (31.3) 8 (50.0) 4 (25.0) 0 4 (25.0)
Pediatric transplant hepatology 5 1 (⬍0.1) 1 (100.0) 1 (100.0) 0 0 0
Physical medicine and rehabilitation 79 1211 (1.1) 499 (41.2) 671 (55.4) 228 (18.8) 2 (0.2) 310 (25.6)
Neuromuscular medicine 1 1 (⬍0.1) 1 (100.0) 0 0 0 1 (100.0)
Pediatric rehabilitation medicine 14 14 (⬍0.1) 8 (57.1) 10 (71.4) 1 (7.1) 0 3 (21.4)
Spinal cord injury medicine 19 16 (⬍0.1) 9 (56.3) 10 (62.5) 1 (6.3) 0 5 (31.3)
Sports medicine 5 5 (⬍0.1) 3 (60.0) 5 (100.0) 0 0 0
Plastic surgery 74 372 (0.3) 85 (22.8) 322 (86.6) 43 (11.6) 0 7 (1.9)
Craniofacial surgery 5 4 (⬍0.1) 1 (25.0) 2 (50.0) 2 (50.0) 0 0 (0.0)
Hand surgery 14 14 (⬍0.1) 4 (28.6) 10 (71.4) 1 (7.1) 2 (14.3) 1 (7.1)
Plastic surgery-integrated e 30 332 (0.3) 89 (26.8) 320 (96.4) 9 (2.7) 2 (0.6) 1 (0.3)
Preventive medicine 70 262 (0.2) 128 (48.9) 177 (67.6) 46 (17.6) 2 (0.8) 37 (14.1)
Medical toxicology 2 7 (⬍0.1) 4 (57.1) 5 (71.4) 2 (28.6) 0 0
Undersea and hyperbaric medicine 1 2 (⬍0.1) 0 1 (50.0) 0 1 (50.0) 0
Psychiatry 182 4745 (4.4) 2606 (54.9) 2731 (57.6) 1588 (33.5) 15 (0.3) 411 (8.7)
Addiction psychiatry 43 49 (⬍0.1) 22 (44.9) 30 (61.2) 15 (30.6) 1 (2.0) 3 (6.1)
Child and adolescent psychiatry 124 786 (0.7) 470 (59.8) 492 (62.6) 227 (28.9) 2 (0.3) 65 (8.3)
Forensic psychiatry 42 68 (0.1) 25 (36.8) 49 (72.1) 15 (22.1) 1 (1.5) 3 (4.4)
Geriatric psychiatry 58 55 (0.1) 25 (45.5) 17 (30.9) 31 (56.4) 1 (1.8) 6 (10.9)
Psychosomatic medicine 46 41 (⬍0.1) 27 (65.9) 22 (53.7) 16 (39.0) 3 (7.3) 0
(continued)

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GRADUATE MEDICAL EDUCATION

Appendix II, Table 2. Resident Physicians on Duty in ACGME-Accredited and in Combined Specialty GME Programs, December 31, 2009
(continued)
Resident Physicians, No. (%) b
Total No. of
Programs a Total Female USMDs IMGs Canadians Osteopathic
Specialty/subspecialty (continued)
Radiation oncology 81 608 (0.6) 207 (34.0) 575 (94.6) 24 (3.9) 1 (0.2) 8 (1.3)
Radiology – diagnostic 188 4486 (4.1) 1257 (28.0) 3923 (87.4) 374 (8.3) 11 (0.2) 178 (4.0)
Abdominal radiology 11 40 (⬍0.1) 19 (47.5) 22 (55.0) 16 (40.0) 0 2 (5.0)
Cardiothoracic radiology 2 3 (⬍0.1) 1 (33.3) 1 (33.3) 2 (66.7) 0 0
Endovascular surgical neuroradiology 3 5 (⬍0.1) 0 2 (40.0) 2 (40.0) 1 (20.0) 0
Musculoskeletal radiology 12 25 (⬍0.1) 6 (24.0) 22 (88.0) 1 (4.0) 0 2 (8.0)
Neuroradiology 86 250 (0.2) 62 (24.8) 191 (76.4) 47 (18.8) 2 (0.8) 10 (4.0)
Nuclear radiology 20 8 (⬍0.1) 3 (37.5) 5 (62.5) 3 (37.5) 0 0
Pediatric radiology 46 54 (⬍0.1) 23 (42.6) 28 (51.9) 25 (46.3) 0 1 (1.9)
Vascular and interventional radiology 90 159 (0.1) 16 (10.1) 111 (69.8) 43 (27.0) 1 (0.6) 4 (2.5)
Sleep medicine f 71 100 (0.1) 48 (48.0) 47 (47) 45 (45.0) 2 (2.0) 6 (6.0)
Surgery – general 246 7661 (7.1) 2683 (35.0) 6072 (79.3) 1363 (17.8) 8 (0.1) 218 (2.8)
Hand surgery 1 8 (⬍0.1) 4 (50.0) 5 (62.5) 2 (25.0) 1 (12.5) 0
Pediatric surgery 38 71 (0.1) 32 (45.1) 62 (87.3) 7 (9.9) 1 (1.4) 1 (1.4)
Surgical critical care 95 155 (0.1) 50 (32.3) 119 (76.8) 25 (16.1) 2 (1.3) 9 (5.8)
Vascular surgery 100 235 (0.2) 39 (16.6) 171 (72.8) 55 (23.4) 2 (0.9) 7 (3.0)
Vascular surgery – integrated e 21 37 (⬍0.1) 11 (29.7) 32 (86.5) 5 (13.5) 0 0
Thoracic surgery 71 223 (0.2) 33 (14.8) 159 (71.3) 59 (26.5) 2 (0.9) 3 (1.3)
Congenital cardiac surgery 10 6 (⬍0.1) 1 (16.7) 4 (66.7) 2 (33.3) 0 0
Thoracic surgery – integrated e 7 10 (⬍0.1) 4 (40.0) 9 (90.0) 0 0 1 (10.0)
Urology 120 1039 (1.0) 240 (23.1) 986 (94.9) 44 (4.2) 1 (0.1) 8 (0.8)
Pediatric urology 22 31 (⬍0.1) 12 (38.7) 28 (90.3) 1 (3.2) 1 (3.2) 1 (3.2)
Transitional year 116 1121 (1.0) 396 (35.3) 968 (86.4) 99 (8.8) 1 (0.1) 53 (4.7)
Combined specialties
Emergency medicine/family medicine 2 6 (⬍0.1) 3 (50.0) 5 (83.3) 0 0 1 (16.7)
Family medicine/preventive medicine 1 8 (⬍0.1) 5 (62.5) 4 (50.0) 3 (37.5) 0 1 (12.5)
Internal medicine/dermatology 8 20 (⬍0.1) 14 (70.0) 20 (100.0) 0 0 0
Internal medicine/emergency medicine 12 114 (0.1) 42 (36.8) 91 (79.8) 10 (8.8) 0 13 (11.4)
Internal medicine/emergency medicine/ 3 4 (⬍0.1) 2 (50.0) 4 (100.0) 0 0 0
critical care medicine
Internal medicine/family medicine 2 20 (⬍0.1) 9 (45.0) 14 (70.0) 3 (15.0) 0 3 (15.0)
Internal medicine/medical genetics 4 8 (⬍0.1) 5 (62.5) 3 (37.5) 5 (62.5) 0 0
Internal medicine/neurology 6 10 (⬍0.1) 6 (60.0) 8 (80.0) 1 (10.0) 0 1 (10.0)
Internal medicine/nuclear medicine 1 0 0 0 0 0 0
Internal medicine/pediatrics 81 1415 (1.3) 808 (57.1) 1090 (77.0) 223 (15.8) 1 (0.1) 101 (7.1)
Internal medicine/preventive medicine 8 29 (⬍0.1) 21 (72.4) 11 (37.9) 14 (48.3) 0 4 (13.8)
Internal medicine/psychiatry 16 91 (0.1) 44 (48.4) 52 (57.1) 32 (35.2) 0 7 (7.7)
Neurology/diagnostic radiology/neuroradiology 1 1 (⬍0.1) 0 1 (100.0) 0 0 0
Pediatrics/dermatology 1 2 (⬍0.1) 2 (100.0) 2 (100.0) 0 0 0
Pediatrics/emergency medicine 3 30 (⬍0.1) 18 (60.0) 26 (86.7) 1 (3.3) 0 3 (10.0)
Pediatrics/medical genetics 14 25 (⬍0.1) 16 (64.0) 17 (68.0) 8 (32.0) 0 0 (0.0)
Pediatrics/physical medicine and rehabilitation 6 18 (⬍0.1) 12 (66.7) 16 (88.9) 0 0 2 (11.1)
Pediatrics/psychiatry/child and adolescent 10 94 (0.1) 66 (70.2) 81 (86.2) 9 (9.6) 0 4 (4.3)
psychiatry
Psychiatry/family medicine 8 50 (⬍0.1) 26 (52.0) 40 (80.0) 4 (8.0) 0 6 (12.0)
Psychiatry/neurology 8 13 (⬍0.1) 5 (38.5) 12 (92.3) 0 0 1 (7.7)
Total 8875 109 840 (100.0) 50 485 (46.0) 71 871 (65.4) 30 068 (27.4) 273 (0.2) 7628 (6.9)
Abbreviations: GME, graduate medical education; IMGs, international medical graduates; USMDs, US allopathic medical graduates.
a Total number of US GME programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) and combined specialty programs, as of December 31,
2009, surveyed by National GME Census during 2009.
b Includes resident physicians on duty as of December 31, 2009, reported through the 2009 National GME Census. A total of 203 programs (2.3%) did not provide updated infor-
mation on residents by March 1, 2010. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the
program or graduated, and new residents were added from the 2009 National Resident Matching Program when available.
c 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, radiology, or surgery.
d Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry.
e Integrated programs differ from subspecialty programs in that they include core surgical education.
f Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

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 GRADUATE MEDICAL EDUCATION

Appendix II, Table 3. Total Number of Resident Physicians and Resident Physicians in Program Year 1 Positions and in Graduate Year 1
Positions on Duty December 31, 2009, in ACGME-Accredited Programs and in Combined Specialty Programs
No. of Residents No. of Residents No. of Residents in
Total No. of in Program Year 1 in Graduate Year 1 Positions Graduate Year 1 Positions
Residents a Positions b With Prior US GME c Without Prior US GME c
Specialty/subspecialty
Allergy and immunology 294 139 0 0
Anesthesiology 5322 1482 264 720
Adult cardiothoracic anesthesiology 69 69 0 0
Critical care medicine 80 77 0 0
Pediatric anesthesiology 143 143 0 0
Colon and rectal surgery 73 73 0 0
Dermatology 1080 340 13 11
Dermatopathology 77 76 0 0
Procedural dermatology 27 26 0 0
Emergency medicine 4922 1623 135 1435
Medical toxicology 49 27 0 0
Pediatric emergency medicine 61 26 0 0
Sports medicine 6 6 0 0
Undersea and hyperbaric medicine 3 3 0 0
Family medicine 9391 3148 140 3008
Geriatric medicine 54 53 0 0
Sports medicine 138 135 0 0
Hospice and palliative medicine d 67 66 0 0
Internal medicine 22 292 8879 138 8741
Cardiovascular disease 2429 797 0 0
Clinical cardiac electrophysiology 163 142 0 0
Critical care medicine 160 100 0 0
Endocrinology, diabetes, and metabolism 565 273 0 0
Gastroenterology 1302 422 0 0
Geriatric medicine 242 220 0 0
Hematology 49 20 0 0
Hematology and oncology 1412 473 0 0
Infectious disease 773 339 0 0
Interventional cardiology 238 226 0 0
Nephrology 911 438 0 0
Oncology 116 49 0 0
Pulmonary disease 76 40 0 0
Pulmonary disease and critical care medicine 1273 434 0 0
Rheumatology 415 193 0 0
Transplant hepatology 15 15 0 0
Medical genetics 84 38 1 0
Medical biochemical genetics 0 0 0 0
Molecular genetic pathology 33 32 0 0
Neurological surgery 1096 232 45 188
Endovascular surgical neuroradiology 0 0 0 0
Neurology 1825 568 21 171
Child neurology 274 80 0 0
Clinical neurophysiology 163 162 0 0
Endovascular surgical neuroradiology 2 2 0 0
Neurodevelopmental disabilities 14 3 0 0
Neuromuscular medicine 17 17 0 0
Vascular neurology 44 44 0 0
Nuclear medicine 152 59 0 0
Obstetrics and gynecology 4842 1259 47 1212
Ophthalmology 1266 420 0 3
Orthopedic surgery 3371 682 38 643
Adult reconstructive orthopedics 33 31 0 0
Foot and ankle orthopedics 20 19 0 0
Hand surgery 113 112 0 0
(continued)

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GRADUATE MEDICAL EDUCATION

Appendix II, Table 3. Total Number of Resident Physicians and Resident Physicians in Program Year 1 Positions and in Graduate Year 1
Positions on Duty December 31, 2009, in ACGME-Accredited Programs and in Combined Specialty Programs (continued)
No. of Residents No. of Residents No. of Residents in
Total No. of in Program Year 1 in Graduate Year 1 Positions Graduate Year 1 Positions
Residents a Positions b With Prior US GME c Without Prior US GME c
Specialty/subspecialty (continued)
Orthopedic surgery (continued)
Musculoskeletal oncology 10 9 0 0
Orthopedic sports medicine 120 120 0 0
Orthopedic surgery of the spine 31 30 0 0
Orthopedic trauma 8 8 0 0
Pediatric orthopedics 31 27 0 0
Otolaryngology 1406 286 14 272
Neurotology 21 8 0 0
Pediatric otolaryngology 15 12 0 0
Pain medicine e 244 243 0 0
Pathology – anatomic and clinical 2358 640 42 598
Blood banking/transfusion medicine 44 41 0 0
Chemical pathology 0 0 0 0
Cytopathology 101 99 0 0
Forensic pathology 33 33 0 0
Hematology 94 90 0 0
Medical microbiology 6 5 0 0
Neuropathology 34 15 0 0
Pediatric pathology 23 17 0 0
Selective pathology 99 99 0 0
Pediatrics 8124 2724 34 2690
Adolescent medicine 60 20 0 0
Developmental-behavioral pediatrics 68 23 0 0
Neonatal-perinatal medicine 610 201 0 0
Pediatric cardiology 364 127 0 0
Pediatric critical care medicine 372 146 0 0
Pediatric emergency medicine 279 96 0 0
Pediatric endocrinology 223 74 0 0
Pediatric gastroenterology 220 75 0 0
Pediatric hematology/oncology 409 142 0 0
Pediatric infectious diseases 171 61 0 0
Pediatric nephrology 123 48 0 0
Pediatric pulmonology 136 49 0 0
Pediatric rheumatology 73 27 0 0
Pediatric sports medicine 16 14 0 0
Pediatric transplant hepatology 1 1 0 0
Physical medicine and rehabilitation 1211 372 29 74
Neuromuscular medicine 1 0 0 0
Pediatric rehabilitation medicine 14 7 0 0
Spinal cord injury medicine 16 16 0 0
Sports medicine 5 5 0 0
Plastic surgery 372 147 0 10
Craniofacial surgery 4 4 0 0
Hand surgery 14 14 0 0
Plastic surgery – integrated f 332 73 8 65
Preventive medicine 262 130 2 9
Medical toxicology 7 1 0 0
Undersea and hyperbaric medicine 2 2 0 0
Psychiatry 4745 1283 47 1236
Addiction psychiatry 49 47 0 0
Child and adolescent psychiatry 786 387 0 1
Forensic psychiatry 68 68 0 0
Geriatric psychiatry 55 54 0 0
Psychosomatic medicine 41 41 0 0
(continued)

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 GRADUATE MEDICAL EDUCATION

Appendix II, Table 3. Total Number of Resident Physicians and Resident Physicians in Program Year 1 Positions and in Graduate Year 1
Positions on Duty December 31, 2009, in ACGME-Accredited Programs and in Combined Specialty Programs (continued)
No. of Residents No. of Residents No. of Residents in
Total No. of in Program Year 1 in Graduate Year 1 Positions Graduate Year 1 Positions
Residents a Positions b With Prior US GME c Without Prior US GME c
Specialty/subspecialty (continued)
Radiation oncology 608 154 0 3
Radiology – diagnostic 4486 1119 29 82
Abdominal radiology 40 40 0 0
Cardiothoracic radiology 3 3 0 0
Endovascular surgical neuroradiology 5 5 0 0
Musculoskeletal radiology 25 25 0 0
Neuroradiology 250 223 0 0
Nuclear radiology 8 8 0 0
Pediatric radiology 54 51 0 0
Vascular and interventional radiology 159 156 0 0
Sleep medicine g 100 97 0 0
Surgery – general 7661 2370 74 2296
Hand surgery 8 8 0 0
Pediatric surgery 71 38 0 0
Surgical critical care 155 147 0 0
Vascular surgery 235 117 0 0
Vascular surgery – integrated f 37 19 0 19
Thoracic surgery 223 106 0 0
Congenital cardiac surgery 6 6 0 0
Thoracic surgery – integrated f 10 4 1 3
Urology 1039 233 0 4
Pediatric urology 31 13 0 0
Transitional year 1121 1121 12 1109
Combined specialties
Emergency medicine/family medicine 6 3 0 3
Family medicine/preventive medicine 8 1 0 1
Internal medicine/dermatology 20 6 0 6
Internal medicine/emergency medicine 114 24 0 24
Internal medicine/emergency medicine/ 4 0 0 0
critical care medicine
Internal medicine/family medicine 20 5 0 5
Internal medicine/medical genetics 8 2 0 2
Internal medicine/neurology 10 2 0 2
Internal medicine/nuclear medicine 0 0 0 0
Internal medicine/pediatrics 1415 359 9 350
Internal medicine/preventive medicine 29 7 0 7
Internal medicine/psychiatry 91 20 1 19
Neurology/diagnostic radiology/neuroradiology 1 0 0 0
Pediatrics/dermatology 2 0 0 0
Pediatrics/emergency medicine 30 7 0 7
Pediatrics/medical genetics 25 5 0 5
Pediatrics/physical medicine and rehabilitation 18 4 0 4
Pediatrics/psychiatry/child and adolescent psychiatry 94 21 0 21
Psychiatry/family medicine 50 12 0 12
Psychiatry/neurology 13 4 0 4
Total 109 840 39 138 1144 25 075
Abbreviations: ACGME, Accreditation Council for Graduate Medical Education; GME, graduate medical education.
a Includes resident physicians on duty as of December 31, 2009, reported through the 2009 National GME Census. A total of 203 programs (2.3%) did not provide updated information
on residents by March 1, 2010. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or
graduated, and new residents were added from the 2009 National Resident Matching Program when available.
b Program year 1 refers to the first year of training within a specific program; this may not correspond to the graduate year.
c Graduate year 1 refers to positions available the first year after completing medical school; approximately 4.3% of resident physicians in graduate year 1 positions have had some prior
US GME.
d 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, radiology, or surgery.
e Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry.
f Integrated programs differ from subspecialty programs in that they include core surgical education.
g Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

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Appendix II, Table 4. Programs and Resident Physicians on Duty December 31, 2009, by Number per 100 000 and by Region and State
2009 State No. (%)
No. of Resident Population, in
Region and State Physicians/100 000 a Thousands b Programs c Resident Physicians d
New England, subtotal 63 14 430 728 (8.2) 9078 (8.3)
Connecticut 58 3518 165 (1.9) 2053 (1.9)
Maine 23 1318 22 (0.2) 301 (0.3)
Massachusetts 80 6594 400 (4.5) 5303 (4.8)
New Hampshire 29 1325 46 (0.5) 384 (0.3)
Rhode Island 73 1053 60 (0.7) 769 (0.7)
Vermont 43 622 35 (0.4) 268 (0.2)
Middle Atlantic, subtotal 63 40 854 1883 (21.2) 25 672 (23.4)
New Jersey 31 8708 195 (2.2) 2680 (2.4)
New York 80 19 541 1110 (12.5) 15 658 (14.3)
Pennsylvania 58 12 605 578 (6.5) 7334 (6.7)
East North Central, subtotal 41 46 501 1500 (16.9) 18 928 (17.2)
Illinois 45 12 910 418 (4.7) 5792 (5.3)
Indiana 21 6423 104 (1.2) 1344 (1.2)
Michigan 46 9970 352 (4.0) 4595 (4.2)
Ohio 47 11 543 460 (5.2) 5471 (5.0)
Wisconsin 31 5655 166 (1.9) 1726 (1.6)
West North Central, subtotal 35 20 336 598 (6.7) 7174 (6.5)
Iowa 27 3008 80 (0.9) 814 (0.7)
Kansas 25 2819 58 (0.7) 715 (0.7)
Minnesota 42 5266 181 (2.0) 2215 (2.0)
Missouri 43 5988 209 (2.4) 2550 (2.3)
Nebraska 37 1797 56 (0.6) 669 (0.6)
North Dakota 18 647 7 (0.1) 115 (0.1)
South Dakota 12 812 7 (0.1) 96 (0.1)
South Atlantic, subtotal 28 59 196 1472 (16.6) 16 (15.1)
Delaware 29 885 21 (0.2) 253 (0.2)
District of Columbia 290 600 171 (1.9) 1741 (1.6)
Florida 18 18 538 298 (3.4) 3397 (3.1)
Georgia 20 9829 168 (1.9) 2005 (1.8)
Maryland 43 5699 205 (2.3) 2470 (2.2)
North Carolina 31 9381 252 (2.8) 2923 (2.7)
South Carolina 25 4561 100 (1.1) 1146 (1.0)
Virginia 25 7883 192 (2.2) 2001 (1.8)
West Virginia 36 1820 65 (0.7) 653 (0.6)
East South Central, subtotal 27 18 271 430 (4.8) 4948 (4.5)
Alabama 26 4709 109 (1.2) 1206 (1.1)
Kentucky 26 4314 98 (1.1) 1106 (1.0)
Mississippi 17 2952 44 (0.5) 496 (0.5)
Tennessee 34 6296 179 (2.0) 2140 (1.9)
West South Central, subtotal 28 35 851 833 (9.4) 10 105 (9.2)
Arkansas 25 2889 66 (0.7) 713 (0.6)
Louisiana 40 4492 155 (1.7) 1803 (1.6)
Oklahoma 20 3687 66 (0.7) 749 (0.7)
Texas 28 24 782 546 (6.2) 6840 (6.2)
Mountain, subtotal 19 22 123 361 (4.1) 4138 (3.8)
Arizona 21 6596 114 (1.3) 1395 (1.3)
Colorado 23 5025 96 (1.1) 1167 (1.1)
Idaho 4 1546 5 (0.1) 55 (0.1)
Montana 2 975 2 (⬍0.1) 19 (⬍0.1)
Nevada 10 2643 20 (0.2) 253 (0.2)
New Mexico 27 2010 53 (0.6) 537 (0.5)
Utah 24 2785 69 (0.8) 672 (0.6)
Wyoming 7 544 2 (⬍0.1) 40 (⬍0.1)
(continued)

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Appendix II, Table 4. Programs and Resident Physicians on Duty December 31, 2009, by Number per 100 000 and by Region and State
(continued)
2009 State No. (%)
No. of Resident Population, in
Region and State Physicians/100 000 a Thousands b Programs c Resident Physicians d
Pacific, subtotal 25 49 445 1005 (11.3) 12 481 (11.4)
Alaska 5 698 2 (⬍0.1) 35 (⬍0.1)
California 26 36 962 766 (8.6) 9543 (8.7)
Hawaii 28 1295 32 (0.4) 365 (0.3)
Oregon 22 3826 74 (0.8) 832 (0.8)
Washington 26 6664 131 (1.5) 1706 (1.6)
Puerto Rico 18 3967 65 (0.7) 727 (0.7)
Total 35 310 974 8875 (100.0) 109 480 (100.0)
a Aggregate number of resident physicians per 100 000 population.
b 2009 State population is from Table 1: Annual Estimates of the Population for the United States, Regions, States, and Puerto Rico: April 1, 2000, to July 1, 2009 (NST-EST2009-
01). Source: Population Division, US Census Bureau. December 2009 (http://www.census.gov/popest/states/NST-ann-est.html; accessed June 2, 2010). Total population num-
bers include the District of Columbia and Puerto Rico.
c 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, 2009, surveyed by the National GME Census during 2009.
d Includes resident physicians on duty as of December 31, 2009, reported through the 2009 National GME Census. A total of 203 programs (2.3%) did not provide updated infor-
mation on residents by March 1, 2010. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the
program or graduated, and new residents were added from the 2009 National Resident Matching Program when available.

Appendix II, Table 5. Citizenship Status of International Medical Graduates With No Prior US Graduate Medical Education (GME) in the First
Year of GME on Duty December 31, 2009 a
Unknown
US Permanent Non-US Citizenship/
US Citizen Resident Citizen Foreign Born Total
Specialty/subspecialty
Anesthesiology 28 7 16 27 78
Emergency medicine 65 1 9 11 86
Family medicine 523 247 244 187 1201
Internal medicine 825 458 1171 1045 3499
Neurological surgery 2 1 8 2 13
Neurology 9 10 24 17 60
Obstetrics and gynecology 94 20 42 19 175
Orthopedic surgery 3 0 9 3 15
Otolaryngology 2 1 1 1 5
Pathology – anatomic and clinical 37 64 46 45 192
Pediatrics 149 49 243 195 636
Physical medicine and rehabilitation 12 1 3 2 18
Plastic surgery – integrated 0 1 0 0 1
Preventive medicine 0 0 0 4 4
Psychiatry 139 74 103 93 409
Surgery – general 160 42 106 142 450
Vascular surgery – integrated 0 0 1 2 3
Transitional year 29 16 11 35 91
Combined specialties
Internal medicine/emergency medicine 3 0 0 0 3
Internal medicine/family medicine 0 1 0 0 1
Internal medicine/pediatrics 28 4 29 15 76
Internal medicine/preventive medicine 0 0 2 2 4
Internal medicine/psychiatry 3 0 3 2 8
Pediatrics/emergency medicine 1 0 0 0 1
Pediatrics/medical genetics 0 0 0 1 1
Pediatrics/psychiatry/child and adolescent psychiatry 1 0 0 1 2
Total (%) 2113 (30.0) 998 (14.2) 2073 (29.5) 1851 (26.3) 7035
a Includes only international medical graduate resident physicians entering US GME for the first time; graduates of Canadian medical schools are not considered international medi-
cal graduates.

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Appendix II, Table 6. Race and Hispanic Ethnic Origin of Resident Physicians on Duty December 31, 2009, by Type of Medical School From
Which They Graduated a
No. (%)

Race and Hispanic Ethnic Origin b US and Canadian Allopathic US Osteopathic Non-US Total
Black 4826 (76.1) 116 (1.8) 1403 (22.1) 6345
American Indian/Alaskan Native 314 (98.1) 5 (1.6) 1 (0.3) 320
White 48 829 (80.1) 2977 (4.9) 9153 (15.0) 60 959
Asian 15 039 (48.9) 891 (2.9) 14 808 (48.2) 30 738
Native Hawaiian/Pacific Islander 149 (67.7) 14 (6.4) 57 (25.9) 220
Other/unknown 2987 (26.5) 3625 (32.2) 4646 (41.3) 11 258
Total 72 144 (65.7) 7628 (6.9) 30 068 (27.4) 109 840
Hispanic origin 4647 (52.9) 187 (2.1) 3958 (45.0) 8792
Non-Hispanic origin 67 497 (66.8) 7441 (7.4) 26 110 (25.8) 101 048
a Includes resident physicians on duty as of December 31, 2009, reported through the 2009 National GME Census. A total of 203 programs (2.3%) did not provide updated infor-
mation on residents by March 1, 2010. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the
program or graduated, and new residents were added from the 2009 National Resident Matching Program when available.
b Following the US Census Bureau, the 2009 National GME Census asked for race and Hispanic ethnicity in 2 separate questions. A person of Hispanic ethnicity can be of any race.

Appendix II, Table 7. Citizenship/Visa Status of All Resident Physicians and International Medical Graduates (IMGs) on Duty in
ACGME-Accredited and in Combined Specialty Programs, December 31, 2009
Resident Physicians, No. (%) a

Citizenship/Visa Status Total IMGs b

Native US citizen 71 933 (65.5) 5213 (17.3)
Naturalized US citizen 9468 (8.6) 3372 (11.2)
Permanent resident 8301 (7.6) 5655 (18.7)
B-1, B-2 temporary visitor 102 (0.1) 99 (0.3)
F-1 student 294 (0.3) 8 (⬍0.1)
H-1, H-1B, H-2, H-3 temporary worker 5107 (4.6) 4900 (16.2)
J-1, J-2 exchange visitor 4509 (4.1) 4387 (14.5)
Refugee/asylee/displaced person 80 (0.1) 75 (0.2)
Other 519 (0.5) 401 (1.3)
Unknown citizenship/foreign born 8370 (7.6) 5958 (19.7)
Unknown citizenship/unknown birth country 1157 (1.1) 0
Total 109 840 (100.0) 30 068 (100.0)
Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
a Includes resident physicians on duty as of December 31, 2009, reported through the 2009 National GME Census. A total of 203 programs (2.3%) did not provide updated infor-
mation on residents by March 10, 2010. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the
program or graduated, and new residents were added from the 2009 National Resident Matching Program when available.
b Does not include graduates of Canadian medical schools.

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 GRADUATE MEDICAL EDUCATION

Appendix II, 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, 2009, by Specialty a
No. of Resident Physicians

American Native
Indian/ Hawaiian/ Other/ Hispanic
Black Alaskan Native White Asian Pacific Islander Unknown Origin b Total
Specialty/subspecialty
Allergy and immunology 8 0 160 105 1 20 16 294
Anesthesiology 336 17 3281 1254 10 424 318 5322
Adult cardiothoracic anesthesiology 3 0 36 22 0 8 5 69
Critical care medicine 4 0 54 13 1 8 3 80
Pediatric anesthesiology 4 1 97 30 0 11 12 143
Colon and rectal surgery 9 0 36 23 0 5 5 73
Dermatology 57 2 764 203 2 52 62 1080
Dermatopathology 3 0 59 14 1 0 4 77
Procedural dermatology 0 0 16 7 0 4 2 27
Emergency medicine 239 16 3766 656 9 236 317 4922
Medical toxicology 0 0 35 12 0 2 1 49
Pediatric emergency medicine 2 0 47 10 1 1 4 61
Sports medicine 0 0 5 0 0 1 2 6
Undersea and hyperbaric medicine 0 0 2 0 0 1 2 3
Family medicine 680 52 4861 2369 18 1411 914 9391
Geriatric medicine 4 0 15 29 0 6 9 54
Sports medicine 5 2 91 22 1 17 6 138
Hospice and palliative medicine c 3 0 43 16 0 5 3 67
Internal medicine 1264 41 8966 8822 29 3170 2026 22 292
Cardiovascular disease 105 2 1245 952 2 123 152 2429
Clinical cardiac electrophysiology 3 0 97 60 0 3 7 163
Critical care medicine 9 1 64 65 1 20 16 160
Endocrinology, diabetes, and metabolism 26 0 282 222 3 32 53 565
Gastroenterology 58 1 634 521 1 87 98 1302
Geriatric medicine 17 0 90 113 2 20 21 242
Hematology 2 0 21 20 1 5 6 49
Hematology and oncology 48 0 682 612 7 63 96 1412
Infectious disease 66 0 384 260 2 61 90 773
Interventional cardiology 8 1 120 96 0 13 10 238
Nephrology 45 1 311 495 5 54 59 911
Oncology 2 1 50 50 0 13 11 116
Pulmonary disease 5 0 22 43 0 6 8 76
Pulmonary disease and critical care medicine 36 4 694 433 3 103 135 1273
Rheumatology 14 1 203 159 3 35 44 415
Transplant hepatology 0 0 8 6 0 1 4 15
Medical genetics 2 0 53 16 0 13 9 84
Medical biochemical genetics 0 0 0 0 0 0 0 0
Molecular genetic pathology 1 0 21 10 0 1 0 33
Neurological surgery 57 5 733 245 3 53 60 1096
Endovascular surgical neuroradiology 0 0 0 0 0 0 0 0
Neurology 80 2 934 593 0 216 156 1825
Child neurology 13 0 178 63 0 20 27 274
Clinical neurophysiology 3 0 89 60 0 11 14 163
Endovascular surgical neuroradiology 0 0 1 0 0 1 2 2
Neurodevelopmental disabilities 2 0 9 2 0 1 1 14
Neuromuscular medicine 2 0 10 4 0 1 0 17
Vascular neurology 2 0 25 14 0 3 3 44
Nuclear medicine 6 1 64 66 2 13 14 152
Obstetrics and gynecology 510 24 2886 729 6 687 436 4842
Ophthalmology 37 2 754 400 2 71 85 1266
(continued)

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Appendix II, 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, 2009, by Specialty a (continued)
No. of Resident Physicians

American
Indian/ Native Hawaiian/ Other/ Hispanic
Black Alaskan Native White Asian Pacific Islander Unknown Origin b Total
Specialty/subspecialty (continued)
Orthopedic surgery 159 16 2571 454 7 164 157 3371
Adult reconstructive orthopedics 1 0 15 15 0 2 3 33
Foot and ankle orthopedics 0 0 13 4 0 3 1 20
Hand surgery 3 0 74 17 0 19 7 113
Musculoskeletal oncology 1 0 8 1 0 0 2 10
Orthopedic sports medicine 6 0 83 21 0 10 6 120
Orthopedic surgery of the spine 1 0 15 12 0 3 2 31
Orthopedic trauma 0 0 4 2 0 2 0 8
Pediatric orthopedics 2 0 17 8 0 4 2 31
Otolaryngology 46 4 994 304 1 57 72 1406
Neurotology 0 0 16 3 0 2 2 21
Pediatric otolaryngology 0 0 11 3 0 1 0 15
Pain medicine d 16 0 134 68 3 23 18 244
Pathology – anatomic and clinical 79 10 1353 640 2 274 178 2358
Blood banking/transfusion medicine 2 0 29 9 1 3 5 44
Chemical pathology 0 0 0 0 0 0 0 0
Cytopathology 5 0 68 23 1 4 8 101
Forensic pathology 2 0 25 3 0 3 0 33
Hematology 7 0 62 22 0 3 7 94
Medical microbiology 0 0 4 0 0 2 1 6
Neuropathology 2 0 27 5 0 0 4 34
Pediatric pathology 1 0 14 6 0 2 1 23
Selective pathology 3 0 56 30 1 9 11 99
Pediatrics 508 18 4719 1972 7 900 725 8124
Adolescent medicine 15 0 29 12 0 4 5 60
Developmental-behavioral pediatrics 6 0 42 14 0 6 7 68
Neonatal-perinatal medicine 37 1 347 179 5 41 58 610
Pediatric cardiology 16 0 227 104 2 15 23 364
Pediatric critical care medicine 18 1 231 90 1 31 37 372
Pediatric emergency medicine 18 0 193 46 3 19 12 279
Pediatric endocrinology 7 0 139 68 0 9 21 223
Pediatric gastroenterology 9 0 133 64 1 13 28 220
Pediatric hematology/oncology 18 1 276 102 5 7 23 409
Pediatric infectious diseases 10 0 109 39 0 13 33 171
Pediatric nephrology 6 0 76 37 0 4 9 123
Pediatric pulmonology 4 0 82 39 1 10 13 136
Pediatric rheumatology 0 0 52 16 0 5 12 73
Pediatric sports medicine 0 0 8 5 0 3 1 16
Pediatric transplant hepatology 0 0 1 0 0 0 0 1
Physical medicine and rehabilitation 71 4 496 303 6 331 114 1211
Neuromuscular medicine 0 0 1 0 0 0 0 1
Pediatric rehabilitation medicine 1 0 11 1 0 1 2 14
Spinal cord injury medicine 1 0 10 3 0 2 1 16
Sports medicine 1 0 2 2 0 0 0 5
Plastic surgery 14 1 263 73 1 20 36 372
Craniofacial surgery 0 0 4 0 0 0 0 4
Hand surgery 1 1 4 5 0 3 1 14
Plastic surgery – integrated e 15 1 244 60 1 11 23 332
Preventive medicine 21 1 136 54 0 50 11 262
Medical toxicology 0 0 5 1 0 1 1 7
Undersea and hyperbaric medicine 0 0 2 0 0 0 0 2
Psychiatry 395 15 2501 1319 13 502 457 4745
Addiction psychiatry 3 0 25 16 0 5 5 49
Child and adolescent psychiatry 77 1 425 209 4 70 71 786
Forensic psychiatry 3 0 46 11 0 8 11 68
(continued)

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 GRADUATE MEDICAL EDUCATION

Appendix II, 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, 2009, by Specialty a (continued)
No. of Resident Physicians

American Native
Indian/ Hawaiian/ Other/ Hispanic
Black Alaskan Native White Asian Pacific Islander Unknown Origin b Total
Specialty/subspecialty (continued)
Psychiatry (continued)
Geriatric psychiatry 7 0 23 19 0 6 8 55
Psychosomatic medicine 0 0 27 11 0 3 3 41
Radiation oncology 20 1 361 196 1 29 16 608
Radiology – diagnostic 133 11 2923 1110 8 301 218 4486
Abdominal radiology 0 0 23 17 0 0 3 40
Cardiothoracic radiology 0 0 3 0 0 0 1 3
Endovascular surgical neuroradiology 0 0 2 1 0 2 0 5
Musculoskeletal radiology 0 0 15 7 0 3 1 25
Neuroradiology 2 0 141 90 2 15 13 250
Nuclear radiology 0 0 3 5 0 0 0 8
Pediatric radiology 0 0 28 24 0 2 4 54
Vascular and interventional radiology 2 1 98 47 0 11 18 159
Sleep medicine f 2 0 35 55 0 8 3 100
Surgery – general 502 32 4691 1607 17 812 635 7661
Hand surgery 1 0 5 1 0 1 2 8
Pediatric surgery 6 0 47 15 0 3 9 71
Surgical critical care 15 0 99 22 0 19 13 155
Vascular surgery 15 0 142 65 0 13 30 235
Vascular surgery – integrated e 0 0 22 10 0 5 4 37
Thoracic surgery 13 0 131 60 3 16 24 223
Congenital cardiac surgery 0 0 5 1 0 0 0 6
Thoracic surgery – integrated e 0 0 9 0 0 1 0 10
Urology 44 4 723 225 1 42 48 1039
Pediatric urology 1 0 22 6 0 2 3 31
Transitional year 36 7 692 306 2 78 75 1121
Combined specialties
Emergency medicine/family medicine 0 0 5 0 0 1 1 6
Family medicine/preventive medicine 2 0 3 0 0 3 2 8
Internal medicine/dermatology 1 0 13 3 1 2 1 20
Internal medicine/emergency medicine 7 1 68 20 1 17 8 114
Internal medicine/emergency medicine/critical care medicine 0 0 2 0 0 2 0 4
Internal medicine/family medicine 2 1 13 4 0 0 2 20
Internal medicine/medical genetics 0 0 4 3 0 1 2 8
Internal medicine/neurology 0 0 7 3 0 0 1 10
Internal medicine/nuclear medicine 0 0 0 0 0 0 0 0
Internal medicine/pediatrics 119 5 917 321 2 51 71 1415
Internal medicine/preventive medicine 0 0 10 16 0 3 2 29
Internal medicine/psychiatry 10 3 52 20 0 6 6 91
Neurology/diagnostic radiology/neuroradiology 0 0 1 0 0 0 0 1
Pediatrics/dermatology 0 0 2 0 0 0 0 2
Pediatrics/emergency medicine 1 0 25 2 0 2 2 30
Pediatrics/medical genetics 0 0 19 6 0 0 2 25
Pediatrics/physical medicine and rehabilitation 0 0 14 4 0 0 0 18
Pediatrics/psychiatry/child and adolescent psychiatry 9 1 64 15 0 5 3 94
Psychiatry/family medicine 4 1 31 8 0 6 3 50
Psychiatry/neurology 0 0 9 3 0 1 0 13
Total (%) 6345 (5.8) 320 (0.3) 60 959 (55.5) 30 738 (28.0) 220 (0.2) 11 258 (10.2) 8792 (8.0) 109 840
Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
a Includes resident physicians on duty as of December 31, 2009, reported through the 2008 National GME Census. A total of 203 programs (2.3%) did not provide updated information
on residents by March 1, 2010. For these nonresponding programs, resident physicians reported from the last received survey were moved into their next year in the program or
graduated, and new residents were added from the 2009 National Resident Matching Program when available.
b Following the US Census Bureau, the 2009 National GME Census asked for race and Hispanic ethnicity in 2 separate questions. A person of Hispanic ethnicity can be of any race.
c 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, radiology, or surgery.
d Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and rehabilitation, or psychiatry.
e Integrated programs differ from subspecialty programs in that they include core surgical education.
f Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryngology, pediatrics, or psychiatry.

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GRADUATE MEDICAL EDUCATION

Appendix II, Table 9. Resident Physicians Who Completed a Appendix II, Table 9. Resident Physicians Who Completed a
Graduate Medical Education (GME) Program or Preliminary Year Graduate Medical Education (GME) Program or Preliminary Year
During 2008-2009 a During 2008-2009 a (continued)
No. No.
No. Completing a No. Completing a
Completing Preliminary Completing Preliminary
a Program Year a Program Year
Specialty/subspecialty Specialty/subspecialty (continued)
Allergy and immunology 141 0 Orthopedic surgery (continued)
Anesthesiology 1513 0 Musculoskeletal oncology 15 0
Adult cardiothoracic anesthesiology 86 0 Orthopedic sports medicine 145 0
Critical care medicine 76 0 Orthopedic surgery of the spine 26 0
Pediatric anesthesiology 131 0 Orthopedic trauma 14 0
Colon and rectal surgery 74 0 Pediatric orthopedics 16 0
Dermatology 362 0
Otolaryngology 260 0
Dermatopathology 58 0
Neurotology 6 0
Procedural dermatology 23 0
Pediatric otolaryngology 10 0
Emergency medicine 1434 0
Medical toxicology 24 0 Pain medicine c 232 0
Pediatric emergency medicine 23 0 Pathology – anatomic and clinical 586 0
Sports medicine 5 0 Blood banking/transfusion medicine 38 0
Undersea and hyperbaric medicine 3 0 Cytopathology 112 0
Family medicine 3109 32 Forensic pathology 31 0
Geriatric medicine 59 0 Hematology 90 0
Sports medicine 137 0
Medical microbiology 9 0
Hospice and palliative medicine b 15 0
Neuropathology 20 0
Internal medicine 6697 2077
Pediatric pathology 12 0
Cardiovascular disease 790 0
Clinical cardiac electrophysiology 131 0 Selective pathology 70 0
Critical care medicine 87 0 Pediatrics 2573 51
Endocrinology, diabetes, and metabolism 275 0 Adolescent medicine 23 0
Gastroenterology 422 0 Developmental-behavioral pediatrics 22 0
Geriatric medicine 229 0 Neonatal-perinatal medicine 174 0
Hematology 16 0 Pediatric cardiology 100 0
Hematology and oncology 458 0 Pediatric critical care medicine 116 0
Infectious disease 345 0
Pediatric emergency medicine 85 0
Interventional cardiology 236 0
Pediatric endocrinology 71 0
Nephrology 395 0
Oncology 46 0 Pediatric gastroenterology 67 0
Pulmonary disease 44 0 Pediatric hematology/oncology 105 0
Pulmonary disease and critical care medicine 428 0 Pediatric infectious diseases 50 0
Rheumatology 200 0 Pediatric nephrology 19 0
Sports medicine 1 0 Pediatric pulmonology 35 0
Transplant hepatology 15 0 Pediatric rheumatology 24 0
Medical genetics 30 0 Pediatric sports medicine 11 0
Medical biochemical genetics 5 0
Pediatric transplant hepatology 1 0
Molecular genetic pathology 21 0
Physical medicine and rehabilitation 376 0
Neurological surgery 151 0
Pediatric rehabilitation medicine 3 0
Neurology 515 0
Child neurology 77 0 Spinal cord injury medicine 13 0
Clinical neurophysiology 155 0 Plastic surgery 159 0
Endovascular surgical neuroradiology 2 0 Craniofacial surgery 2 0
Neurodevelopmental disabilities 1 0 Hand surgery 16 0
Neuromuscular medicine 18 0 Plastic surgery – integrated d 36 0
Pain medicine 1 0 Preventive medicine 137 0
Vascular neurology 32 0
Medical toxicology 2 0
Nuclear medicine 46 1
Psychiatry 985 0
Obstetrics and gynecology 1168 0
Addiction psychiatry 37 0
Ophthalmology 419 0
Orthopedic surgery 621 6 Child and adolescent psychiatry 365 0
Adult reconstructive orthopedics 27 0 Forensic psychiatry 59 0
Foot and ankle orthopedics 15 0 Geriatric psychiatry 54 0
Hand surgery 102 0 Psychosomatic medicine 33 0
(continued) (continued)

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 GRADUATE MEDICAL EDUCATION

Appendix II, Table 9. Resident Physicians Who Completed a Appendix II, Table 10. Total Program Size and Number of
Graduate Medical Education (GME) Program or Preliminary Year First-Year Positions Available in ACGME-Accredited and in Combined
During 2008-2009 a (continued) Specialty Programs for the Next Academic Year (2010-2011) as
No. Projected by Program Directors
No. Completing a Total Total
Completing Preliminary No. of No. of
a Program Year Total Program Graduate
Specialty/subspecialty (continued) Program Year 1 Year 1
Size Positions a Positions b
Radiation oncology 137 0
Specialty/subspecialty
Radiology – diagnostic 1081 0 Allergy and immunology 326 142 0
Abdominal radiology 40 0 Anesthesiology 5726 1290 777
Cardiothoracic radiology 4 0 Adult cardiothoracic anesthesiology 138 138 0
Endovascular surgical neuroradiology 4 0 Critical care medicine 139 136 0
Pediatric anesthesiology 193 193 0
Musculoskeletal radiology 24 0
Colon and rectal surgery 85 85 0
Neuroradiology 224 0
Dermatology 1159 373 21
Nuclear radiology 8 0
Dermatopathology 91 89 0
Pediatric radiology 54 0 Procedural dermatology 42 42 0
Vascular and interventional radiology 148 0 Emergency medicine 5311 1679 1560
Sleep medicine e 98 0 Medical toxicology 82 42 0
Surgery – general 1045 1271 Pediatric emergency medicine 80 30 0
Sports medicine 8 8 0
Hand surgery 7 0
Undersea and hyperbaric medicine 11 11 0
Pediatric surgery 35 0
Family medicine 9980 3325 3325
Surgical critical care 146 0 Geriatric medicine 95 95 0
Vascular surgery 115 0 Sports medicine 177 176 0
Thoracic surgery 97 0 Hospice and palliative medicine c 176 174 0
Congenital cardiac surgery 2 0 Internal medicine 22 892 9012 9012
Urology 246 0 Cardiovascular disease 2549 827 0
Clinical cardiac electrophysiology 236 207 0
Pediatric urology 14 0
Critical care medicine 197 118 0
Transitional year 0 1111 Endocrinology, diabetes, and metabolism 614 282 0
Combined specialties Gastroenterology 1370 453 0
Internal medicine/dermatology 2 0 Geriatric medicine 425 393 0
Internal medicine/emergency medicine 24 0 Hematology 44 18 0
Hematology and oncology 1487 486 0
Internal medicine/family medicine 5 0
Infectious disease 774 382 0
Internal medicine/neurology 5 0 Interventional cardiology 332 318 0
Internal medicine/pediatrics 338 0 Nephrology 928 451 0
Internal medicine/preventive medicine 9 0 Oncology 118 57 0
Internal medicine/psychiatry 18 0 Pulmonary disease 82 41 0
Pulmonary disease and critical care 1385 468 0
Neurology/diagnostic radiology/neuroradiology 2 0 medicine
Pediatrics/dermatology 1 0 Rheumatology 433 206 0
Pediatrics/emergency medicine 4 0 Transplant hepatology 37 37 0
Pediatrics/medical genetics 1 0 Medical genetics 182 92 1
Medical biochemical genetics 11 11 0
Pediatrics/physical medicine and rehabilitation 4 0
Molecular genetic pathology 44 43 0
Pediatrics/psychiatry/child and adolescent 14 0
psychiatry Neurological surgery 1100 188 188
Endovascular surgical neuroradiology 3 3 0
Psychiatry/family medicine 11 0
Neurology 1982 598 181
Psychiatry/neurology 3 0
Child neurology 333 115 0
Total 32 909 4549 Clinical neurophysiology 268 266 0
a Includes resident physicians on duty as of December 31, 2009, reported through the Endovascular surgical neuroradiology 3 3 0
2009 National GME Census. A total of 203 programs (2.3%) did not provide updated
Neurodevelopmental disabilities 39 12 0
information on residents by March 1, 2010. For these nonresponding programs, resi-
dent physicians reported from the last received survey were moved into their next year Neuromuscular medicine 43 41 0
in the program or graduated, and new residents were added from the 2009 National Vascular neurology 116 112 0
Resident Matching Program when available.
b Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medi- Nuclear medicine 187 92 0
cine, family medicine, internal medicine, neurology, obstetrics and gynecology, pedi- Obstetrics and gynecology 4982 1274 1274
atrics, physical medicine and rehabilitation, psychiatry, radiology, or surgery.
c Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and Ophthalmology 1414 471 0
rehabilitation, or psychiatry. Orthopedic surgery 3460 691 679
d Integrated programs differ from subspecialty programs in that they include core sur-
Adult reconstructive orthopedics 40 40 0
gical education.
e Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, oto- Foot and ankle orthopedics 22 22 0
laryngology, pediatrics, or psychiatry. (continued)

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GRADUATE MEDICAL EDUCATION

Appendix II, Table 10. Total Program Size and Number of Appendix II, Table 10. Total Program Size and Number of
First-Year Positions Available in ACGME-Accredited and in Combined First-Year Positions Available in ACGME-Accredited and in Combined
Specialty Programs for the Next Academic Year (2010-2011) as Specialty Programs for the Next Academic Year (2010-2011) as
Projected by Program Directors (continued) Projected by Program Directors (continued)
Total Total Total Total
No. of No. of No. of No. of
Total Program Graduate Total Program Graduate
Program Year 1 Year 1 Program Year 1 Year 1
Size Positions a Positions b Size Positions a Positions b
Specialty/subspecialty (continued) Specialty/subspecialty (continued)
Orthopedic surgery (continued) Radiology – diagnostic 4638 1169 80
Hand surgery 125 125 0 Abdominal radiology 54 54 0
Musculoskeletal oncology 17 14 0 Cardiothoracic radiology 4 4 0
Orthopedic sports medicine 225 225 0 Endovascular surgical neuroradiology 7 6 0
Orthopedic surgery of the spine 41 41 0 Musculoskeletal radiology 35 35 0
Orthopedic trauma 19 19 0 Neuroradiology 310 282 0
Pediatric orthopedics 38 38 0 Nuclear radiology 30 30 0
Otolaryngology 1442 292 292 Pediatric radiology 109 109 0
Neurotology 27 16 0 Vascular and interventional radiology 246 244 0
Pediatric otolaryngology 18 14 0 Sleep medicine f 164 164 0
Pain medicine d 325 323 0 Surgery – general 7719 2624 2624
Pathology – anatomic and clinical 2429 621 621 Hand surgery 8 8 0
Blood banking/transfusion medicine 67 66 0 Pediatric surgery 75 39 0
Chemical pathology 2 2 0 Surgical critical care 210 205 0
Cytopathology 146 146 0 Vascular surgery 257 130 0
Forensic pathology 68 68 0 Vascular surgery – integrated e 97 25 25
Hematology 135 130 0 Thoracic surgery 280 117 0
Medical microbiology 17 17 0 Congenital cardiac surgery 10 10 0
Neuropathology 65 36 0 Thoracic surgery – integrated e 44 10 10
Pediatric pathology 32 29 0 Urology 1128 278 0
Selective pathology 152 152 0 Pediatric urology 37 25 0
Pediatrics 8346 2808 2808 Transitional year 1241 1241 1241
Adolescent medicine 95 38 0 Combined specialties
Developmental-behavioral pediatrics 118 41 0 Emergency medicine/family medicine 5 2 2
Neonatal-perinatal medicine 697 235 0 Family medicine/preventive medicine 0 0 0
Pediatric cardiology 396 127 0 Internal medicine/dermatology 32 7 7
Pediatric critical care medicine 428 151 0 Internal medicine/emergency medicine 124 25 25
Pediatric emergency medicine 308 104 0 Internal medicine/emergency medicine/ 7 0 0
Pediatric endocrinology 276 97 0 critical care medicine
Pediatric gastroenterology 252 89 0 Internal medicine/family medicine 20 5 5
Pediatric hematology/oncology 468 158 0 Internal medicine/medical genetics 19 5 5
Pediatric infectious diseases 230 83 0 Internal medicine/neurology 16 5 5
Pediatric nephrology 159 55 0 Internal medicine/nuclear medicine 0 0 0
Pediatric pulmonology 190 64 0 Internal medicine/pediatrics 1460 367 367
Pediatric rheumatology 100 36 0 Internal medicine/preventive medicine 34 11 11
Pediatric sports medicine 19 14 0 Internal medicine/psychiatry 97 22 22
Pediatric transplant hepatology 5 5 0 Neurology/diagnostic radiology/neuroradiology 1 0 0
Physical medicine and rehabilitation 1282 357 82 Pediatrics/dermatology 4 1 1
Neuromuscular medicine 1 1 0 Pediatrics/emergency medicine 30 6 6
Pediatric rehabilitation medicine 22 13 0 Pediatrics/medical genetics 35 7 7
Spinal cord injury medicine 26 26 0 Pediatrics/physical medicine and rehabilitation 21 4 4
Sports medicine 7 7 0 Pediatrics/psychiatry/child and adolescent 110 22 22
Plastic surgery 379 153 0 psychiatry
Craniofacial surgery 7 7 0 Psychiatry/family medicine 63 13 13
Hand surgery 21 21 0 Psychiatry/neurology 28 7 7
Plastic surgery – integrated e 384 65 65 Total 118 109 42 943 26 697
Preventive medicine 506 288 9 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
Medical toxicology 9 3 0
correspond to the graduate year.
Undersea and hyperbaric medicine 2 2 0 b Graduate year 1 (GY1) refers to positions available the first year after completing medical
Psychiatry 5273 1313 1313 school. Although residents in GY1 positions are not required to have prior GME, some
residents who fill these positions have had prior training.
Addiction psychiatry 99 96 0 c Hospice and palliative medicine is a subspecialty of anesthesiology, emergency medi-
Child and adolescent psychiatry 893 445 0 cine, family medicine, internal medicine, neurology, obstetrics and gynecology, pedia-
Forensic psychiatry 103 103 0 trics, physical medicine and rehabilitation, psychiatry, radiology, or surgery.
d Pain medicine is a subspecialty of anesthesiology, neurology, physical medicine and re-
Geriatric psychiatry 130 130 0
habilitation, or psychiatry.
Psychosomatic medicine 99 99 0 e Integrated programs differ from subspecialty programs in that they include core surgical edu-
Radiation oncology 629 159 0 cation.
f Sleep medicine is a subspecialty of family medicine, internal medicine, neurology, otolaryn-
(continued) gology, pediatrics, or psychiatry.

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