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Understanding Accreditation

Accreditation is the independent process of setting educational standards for medical training programs and verifying — through structured review — that those programs meet them.

Introduction

What is Accreditation

Accreditation is one of the most frequently misunderstood parts of physician education and training. It is often confused  with physician licensure, board certification, funding, or employment oversight. While these systems work together,  they serve very different purposes and are administered by different organizations.

Caption

Three Systems, Three Different Purposes

Accreditation
Programs & Institutions
Licensure
Individual Physicians
Board Certification
Specialty Recognition
Accreditation
Issued By
ACGME · LCME · COCA
Licensure
State Medical Boards
Board Certification
ABMS & AOA Specialty Boards
Accreditation
Applies To
Training programs & sponsoring institutions
Licensure
Individual physicians
Board Certification
Individual physicians
Accreditation
What It Means
Verifies educational quality and training standards
Licensure
Legal authorization to practice medicine
Board Certification
Recognized expertise in a medical specialty
Accreditation
Issued Through
Independent accreditation review
Licensure
Exam, training verification & background check
Board Certification
Training completion, exam & peer review
Accreditation
Required?
Required for accredited residency programs
Licensure
Required to practice medicine
Board Certification
Often expected, but not legally required
Accreditation
Duration
Continuous with periodic reviews
Licensure
Renewed every 1–2 years
Board Certification
Continuous certification requirements
Accreditation
Example
An Internal Medicine residency is ACGME accredited.
Licensure
A physician licensed in Pennsylvania cannot practice in New York without a New York license.
Board Certification
A physician becomes board certified after accredited training and passing a specialty exam.
A Common misconception

Accreditation Applies to Programs, Not Physicians

Accreditation is a formal recognition that a residency or fellowship program meets established educational and clinical training standards. It applies to programs and sponsoring institutions—not to individual physicians. The ACGME evaluates whether training programs provide the curriculum, supervision, and learning environment necessary for physicians to complete their education successfully.

Quality Standards

Why Accreditation Exists

Accreditation creates a consistent national framework for physician training. It helps ensure that residents and fellows receive high-quality education regardless of where they train, while supporting patient safety, supervision, and continuous improvement across programs.

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Why Accreditation Matters

Consistent training standards help support patients, communities, physicians, and the healthcare system as a whole.

For Patients

Consistent educational standards help support quality care.

For Communities

National standards support consistency across training environments.

For Policymakers

Accreditation is one piece of a broader quality assurance system.

Introduction

How Accreditation Works

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What the ACGME Does—and Doesn't Do

The ACGME Does
Authority & responsibility
Accredit residency & fellowship programs
Set training standards
Review programs & conduct site visits
Require corrective action
Grant, probation, or withdraw accreditation
Publish accreditation requirements
Maintain a public accreditation database
Charge accreditation fees
Administer the Milestones framework
Collect quality & outcomes data
Set work hour & supervision standards
Provide education & guidance
The ACGME Does Not
Common misconceptions
Accredit medical schools
Run the Match (NRMP)
Employ residents or fellows
Set salaries or benefits
Fund GME
Control physician workforce numbers
License physicians
Issue board certification
Manage hospital operations or schedules
Select residency applicants
Discipline individual physicians
Define physician scope of practice
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Common Misconceptions

The ACGME Runs the Match

Reality: The NRMP runs the Match. The ACGME accredits training programs.

The ACGME Licenses Physicians

Reality: State medical boards issue physician licenses.

The ACGME Sets Resident Pay

Reality: Hospitals and sponsoring institutions determine compensation.

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Reality: The NRMP runs the Match. The ACGME accredits training programs.

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Reality: State medical boards issue physician licenses.

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Reality: Hospitals and sponsoring institutions determine compensation.

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