Western Journal of Emergency Medicine (Jun 2025)
Letter of Concern from the Association of Academic Chairs of Emergency Medicine Regarding ACGME Proposed Changes
- Richard J. Hamilton,
- Lance B. Becker,
- Richard E. Wolfe,
- D. Adam Algren,
- Thomas Arnold,
- Michael Baumann,
- Ross P. Berkeley,
- Terrell S. Caffery,
- Chad M. Cannon,
- Theodore J. Corbin,
- Michael E. Chansky,
- Harinder S. Dhindsa,
- Charles L. Emerman,
- David A. Farcy,
- Chris Fox,
- Michael A. Gibbs,
- Christopher S. Goode,
- Steven “Andy” Godwin,
- Dietrich Jehle,
- David Johnson,
- Samuel M. Keim,
- Babak Khazaeni,
- Barry J. Knapp,
- Clint Hawthorne,
- John D. Hoyle Jr.,
- Michael Christopher Kurz,
- Evan Leibner,
- Robert McNamara,
- Robert F. McCormack,
- Edward A. Michelson,
- Chadwick Miller,
- Ashley Norse,
- Andrew Nugent,
- Brian J. O’Neil,
- David T. Overton,
- Edward A. Panacek,
- William F. Paolo,
- Denis R. Pauzé,
- Amanda L. Perez,
- Ralph J. Riviello,
- Scott W. Rodi,
- Peter S. Pang,
- Juan A. Gonzalez Sanchez,
- David Seaberg,
- Adam Schwartz,
- Stephen A. Shiver,
- David P. Sklar,
- Ben C. Smith,
- Jeffrey R. Stowell,
- Marc D. Squillante,
- J. Jeremy Thomas,
- Terry Vanden Hoek,
- Gregory A. Volturo,
- E. Lea Walters,
- Thomas E. Wyatt,
- Donald M. Yealy
Affiliations
- Richard J. Hamilton
- Crozer Keystone Health System, Department of Emergency Medicine
- Lance B. Becker
- North Shore University Hospital and Long Island Jewish Medical Center, Department of Emergency Medicine
- Richard E. Wolfe
- Harvard Medical School, Department of Emergency Medicine
- D. Adam Algren
- University Health, Department of Emergency Medicine, Division of Clinical Pharmacology, Toxicology, Therapeutic Innovation
- Thomas Arnold
- LSU Health Shreveport, Department of Emergency Medicine
- Michael Baumann
- Mainhealth, Maine Medical Center, Department of Emergency Medicine
- Ross P. Berkeley
- University of Nevada, Las Vegas, Kirk Kerkorian School of Medicine at UNLV, Department of Emergency Medicine
- Terrell S. Caffery
- LSU, Department of Emergency Medicine
- Chad M. Cannon
- University of Kansas Medical Center, University of Kansas Health System, Department of Emergency Medicine
- Theodore J. Corbin
- Rush Medical College, Rush University Hospital, Department of Emergency Medicine
- Michael E. Chansky
- Virigina Commonwealth, Department of Emergency Medicine
- Harinder S. Dhindsa
- Virigina Commonwealth, Department of Emergency Medicine
- Charles L. Emerman
- Case Western Reserve, University School Medicine MetroHealth Medical Center, Department of Emergency Medicine
- David A. Farcy
- Mount Sinai Medical Center, Department of Emergency Medicine
- Chris Fox
- University of California, Irvine, Department of Emergency Medicine
- Michael A. Gibbs
- Carolinas Medical Center and Levine Children’s Hospital, Department of Emergency Medicine
- Christopher S. Goode
- WVU Medicine, Department of Emergency Medicine
- Steven “Andy” Godwin
- University of Florida College of Medicine - Jacksonville, UF Health Jacksonville, Department of Emergency Medicine
- Dietrich Jehle
- University of Texas Medical Branch, Department of Emergency Medicine
- David Johnson
- Mercy St. Vincents Medical Center, Department of Emergency Medicine
- Samuel M. Keim
- Mel and Enid Zuckerman College of Public Health, Department of Emergency Medicine
- Babak Khazaeni
- Desert Regional Medical Center, Department of Emergency Medicine
- Barry J. Knapp
- Eastern Virgina Medical School at Old Dominion University, Department of Emergency Medicine
- Clint Hawthorne
- UnityPoint Health Des Moines, Department of Emergency Medicine
- John D. Hoyle Jr.
- Western Michigan University Homer Stryker, MD School of Medicine, Department of Emergency Medicine and Pediatrics and Adolescent Medicine
- Michael Christopher Kurz
- University of Chicago, Department of Emergency Medicine
- Evan Leibner
- Creighton University School of Medicine, Dignity Health Medical Group Chandler, Department of Emergency Medicine
- Robert McNamara
- Lewis Katz School of Medicine at Temple University, Temple University Health System, Department of Emergency Medicine
- Robert F. McCormack
- Jacobs School of Medicine and Biomedical Science, University at Buffalo, Department of Emergency Medicine
- Edward A. Michelson
- Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, Department of Emergency Medicine
- Chadwick Miller
- Wake Forest University School of Medicine, Department of Emergency
- Ashley Norse
- University of Arkansas Medical Center, Department of Emergency Medicine
- Andrew Nugent
- University Of Iowa Health Care, Department of Emergency Medicine
- Brian J. O’Neil
- Albany Medical Center, Department of Emergency Medicine
- David T. Overton
- Western Michigan University Homer Stryker, MD School of Medicine, Department of Emergency Medicine and Pediatrics and Adolescent Medicine
- Edward A. Panacek
- University of South Alabama, Department of Emergency Medicine
- William F. Paolo
- Upstate Medical University Syracuse NY, Department of Emergency Medicine
- Denis R. Pauzé
- Albany Medical Center, Department of Emergency Medicine
- Amanda L. Perez
- The Permanente Medical Group, Department of Emergency Medicine
- Ralph J. Riviello
- Joe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio University Health System, Department of Emergency Medicine
- Scott W. Rodi
- Geisel school of Medicine at Dartmouth, Dartmouth Hitchcock Medical Center, Department of Emergency Medicine
- Peter S. Pang
- Indiana University School of Medicine, Department of Emergency Medicine
- Juan A. Gonzalez Sanchez
- UPR School of Medicine, Department of Emergency Medicine
- David Seaberg
- US Acute Care Solutions, Academic Division
- Adam Schwartz
- Southern California Permanente Medical Group, Department of Emergency Medicine
- Stephen A. Shiver
- Medical University of GA at Augusta University, Department of Emergency Medicine
- David P. Sklar
- University of New Mexico, Department of Emergency Medicine
- Ben C. Smith
- University of Tennessee College of Medicine, Department of Emergency Medicine
- Jeffrey R. Stowell
- The University of Arizona, College of Medicine - Phoenix, Department of Emergency Medicine
- Marc D. Squillante
- University of Illinois College of Medicine Peoria, Department of Emergency Medicine
- J. Jeremy Thomas
- University of Louisville School of Medicine, University of Louisville Health, Department of Emergency Medicine
- Terry Vanden Hoek
- University of Illinois College of Medicine, University of Illinois Health, Department of Emergency Medicine
- Gregory A. Volturo
- UMass Chan Medical School, UMass Memorial Health, Department of Emergency Medicine
- E. Lea Walters
- Loma Linda University Health, Department of Emergency Medicine
- Thomas E. Wyatt
- U of Minnesota Medical School, Department of Emergency Medicine
- Donald M. Yealy
- University of Pittsburgh School of Medicine, Department of Emergency Medicine
- DOI
- https://doi.org/10.5811/westjem.48840
- Journal volume & issue
-
Vol. 26,
no. 4
pp. 769 – 772
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.
