Appendix
Table A1: Total Residents in ACGME-accredited Programs by Specialty, 2000-2009
GME YEAR
% Change 00-09
Specialty
Category
Internal Medicine prelim
General Surgery prelim
Transitional Year
Allergy and
Immunology
Anesthesiology
Dermatology
Emergency
Medicine
Family Medicine
Internal Medicine
Cardiovascular
Disease
2000
2003
2006
2009*
Core
Subspe
c
Core
Subspe
c
Core
Subspe
c
Core
Subspe
c
2,230
.
2,626
.
2,368
.
2,367
.
6.1%
1,166
.
1,173
.
1,132
.
1,270
.
8.9%
1,188
.
1,225
.
1,209
.
1,137
.
-4.3%
.
228
.
262
.
289
.
307
4,382
107
4,913
165
5,170
165
5,496
320
25.4%
199.1%
918
35
1,018
58
1,095
83
1,116
116
21.6%
231.4%
3,662
28
3,967
56
4,406
83
5,011
123
36.8%
339.3%
91
9,757
119
9,667
160
9,621
206
-7.3%
126.4%
7,892
19,24
6
8,650
19,88
1
9,309
20,18
7
10,035
4.8%
27.2%
2,074
.
2,150
.
2,325
.
2,510
21.0%
10,38
4
19,26
2
.
Core
Subspe
c
34.6%
Endocrinology
.
433
.
487
.
541
.
584
34.9%
Gastroenterology
.
1,006
.
1,150
.
1,240
.
1,346
33.8%
Infectious Disease
.
647
.
696
.
747
.
798
23.3%
Nephrology
.
699
.
818
.
835
.
937
34.0%
Rheumatology
.
312
.
359
.
401
.
424
35.9%
.
318
.
341
.
279
.
249
-21.7%
.
1,188
.
1,333
.
1,498
.
1,630
37.2%
.
1,215
.
1,316
.
1,443
.
1,558
28.2%
833
.
845
.
927
.
1,118
.
34.2%
1,404
261
1,419
335
1,617
428
1,880
528
33.9%
Geriatric
Medicine
Hematology and
Oncology1
Pulmonary
Disease and Critical
Care Medicine2
Neurological
Surgery
Neurology
102.3%
113
.
147
.
152
.
157
.
38.9%
Obstetrics and
Gynecology3
4,775
.
4,726
.
4,808
.
4,965
.
4.0%
Ophthalmology
1,358
.
1,321
.
1,287
.
1,309
.
-3.6%
Orthopedic Surgery
3,071
203
3,093
248
3,224
305
3,445
384
12.2%
.
84
.
91
.
104
.
126
1,164
12
1,185
19
1,365
27
1,426
37
22.5%
208.3%
2,309
269
2,331
350
2,340
409
2,435
445
5.5%
65.4%
7,752
1,893
7,908
2,321
8,132
2,801
8,367
3,217
7.9%
69.9%
.
244
.
267
.
354
.
383
57.0%
.
222
.
264
.
321
.
374
68.5%
.
248
.
289
.
341
.
420
69.4%
Nuclear Medicine
Orthopedic Sports
Medicine
Otolaryngology
Pathology
4
Pediatrics
Pediatric Critical
Care Medicine
Pediatric
Cardiology
Pediatric
Hematology/Oncolo
gy
89.2%
50.0%
GME YEAR
% Change 00-09
Specialty
Category
2000
NeonatalPerinatal Medicine
Physical Medicine
and Rehabilitation
Preventive Medicine
Psychiatry
Child and
Adolescent
Psychiatry
Diagnostic
Radiology
Neuroradiology
Vascular and
Interventional
Radiology
Radiation Oncology
Surgery-General
Colon and Rectal
Surgery
Plastic Surgery
2006
2009*
Core
Subspe
c
Core
Subspe
c
Core
Subspe
c
Core
Subspe
c
.
433
.
502
.
545
.
629
1,128
11
1,152
18
1,201
22
1,240
38
9.9%
245.5%
411
2
341
5
295
8
274
9
-33.3%
350.0%
4,573
828
4,658
884
4,762
945
4,888
1,024
6.9%
23.7%
.
658
.
686
.
732
.
796
3,801
379
4,143
413
4,423
477
4,638
570
.
170
.
211
.
230
.
262
54.1%
.
151
.
129
.
126
.
170
12.6%
454
.
526
.
571
.
623
.
37.2%
6,266
1,226
6,463
1,295
6,550
1,251
6,499
1,206
3.7%
Core
Subspe
c
45.3%
21.0%
22.0%
50.4%
-1.6%
.
51
.
62
.
73
.
80
56.9%
5
.
148
.
172
.
203
.
241
62.8%
6
.
329
.
319
.
282
.
230
-30.1%
Vascular Surgery
Thoracic Surgery
2003
7
Urology
Pain Medicine
Internal
Medicine/Pediatrics
Other combined and
other subspecialties8
Integrated Surgical
Specialties9
.
558
.
587
.
506
.
413
1,128
13
1,094
18
1,056
19
1,070
32
.
3
.
.
.
226
.
270
1,666
.
1,480
.
1,463
.
1,448
.
533
66
496
74
497
115
542
258
1.7%
.
34400.0
%
19,125
8.1%
1
.
14
.
133
.
345
85,93
87,26
89,73
92,87
13,547
15,290
17,122
TOTAL
2
7
1
4
* 2009 totals adjusted up by 2.39% (based on historical averages) to account for late reporting
Source: GME Track
-26.0%
-5.1%
146.2%
8900.0
%
-13.1%
290.9%
41.2%
Notes referenced by number in specific lines in the table:
1
Hematology and Oncology also includes programs in Hematology and in Oncology.
2
Pulmonary Disease and Critical Care Medicine also includes programs in Pulmonary Disease and in Critical Care
Medicine.
3
Data for subspecialties of Obstetrics and Gynecology are not available.
4
Among Pathology subspecialties, only Chemical Pathology requires Pathology as a prerequisite. Other pathology
subspecialties only require three prior years of graduate medical education, but most fellows enter Pathology residency
first. Medical Genetic Pathology is included with the Pathology subspecialties.
5
New residents in integrated Vascular Surgery programs are included with Integrated Surgical Specialties.
6
New residents in integrated Thoracic Surgery programs are included with Integrated Surgical Specialties.
7
New residents in integrated Plastic Surgery programs are included with Integrated Surgical Specialties.
8
Other subspecialties include Medical Genetics, Sleep Medicine, and Hospice and Palliative Medicine.
9
Integrated Surgical Specialties include Vascular Surgery integrated, Thoracic Surgery Integrated, and Plastic Surgery
Integrated.
Table A2: Residents in Program Year 1 by Specialty (excluding preliminary and
transitional years), 2000-2009
Specialty Category
GME YEAR
Percent Change
2000
Core
Subspec
Allergy and Immunology
Anesthesiology
2003
Core
Subspec
2006
Core
Subspec
2009*
Core
Subspec
between 00 and 09
Core
Subspec
.
113
.
121
.
144
.
145
28.3%
1,385
102
1,579
156
1,667
158
1,680
316
21.3%
209.8%
320
32
347
55
368
80
373
110
16.6%
243.8%
Emergency Medicine
1,217
13
1,324
26
1,477
39
1,641
64
34.8%
392.3%
Family Medicine
3,558
85
3,362
113
3,376
156
3,249
199
-8.7%
134.1%
Internal Medicine
6,069
3,120
6,217
3,490
6,481
3,703
6,551
3,941
7.9%
26.3%
Cardiovascular Disease
.
679
.
712
.
793
.
830
.
22.2%
Endocrinology
.
205
.
204
.
256
.
284
.
38.5%
Gastroenterology
.
342
.
387
.
421
.
439
.
28.4%
Infectious Disease
.
265
.
320
.
339
.
354
.
33.6%
Nephrology
.
316
.
383
.
394
.
450
.
42.4%
Rheumatology
.
154
.
161
.
185
.
202
.
31.2%
.
240
.
287
.
243
.
225
.
-6.3%
.
426
.
498
.
529
.
561
.
31.7%
.
493
.
538
.
543
.
597
.
21.1%
Neurological Surgery
158
.
166
.
197
.
279
.
76.6%
Neurology
457
155
479
229
542
269
623
316
36.3%
103.9%
66
.
88
.
93
.
57
.
-13.6%
.
Dermatology
Geriatric Medicine
Hematology and Oncology
1
Pulmonary Disease and Critical
Care Medicine2
Nuclear Medicine
3
1,208
.
1,251
.
1,251
.
1,286
.
6.5%
.
Ophthalmology
440
.
427
.
424
.
443
.
0.7%
.
Orthopedic Surgery
738
197
652
242
673
298
716
377
-3.0%
91.4%
.
82
.
90
.
104
.
127
294
8
279
9
308
16
287
21
-2.4%
162.5%
Obstetrics and Gynecology
Orthopedic Sports Medicine
Otolaryngology
4
54.9%
587
212
596
311
627
361
653
410
11.2%
93.4%
2,583
674
2,721
860
2,751
970
2,849
1,130
10.3%
67.7%
Pediatric Critical Care Medicine
.
86
.
99
.
136
.
149
.
73.3%
Pediatric Cardiology
.
74
.
93
.
110
.
125
.
68.9%
Pediatric Hematology/Oncology
.
90
.
103
.
115
.
147
.
63.3%
Neonatal-Perinatal Medicine
Pathology
Pediatrics
.
140
.
172
.
183
.
206
.
47.1%
Physical Medicine and
Rehabilitation
377
10
371
16
389
21
398
30
5.6%
200.0%
Preventive Medicine
212
1
186
2
157
4
144
3
-32.1%
200.0%
1,286
463
1,348
523
1,331
572
1,366
618
6.2%
33.5%
.
307
.
341
.
369
.
394
.
28.3%
1,000
305
1,073
358
1,120
431
1,167
533
16.7%
Neuroradiology
.
116
.
167
.
194
.
233
100.9%
Vascular and Interventional
Radiology
.
144
.
125
.
120
.
168
16.7%
146
.
110
.
162
.
157
.
7.5%
.
1,215
583
1,339
609
1,271
615
1,045
672
-14.0%
15.3%
Colon and Rectal Surgery
.
51
.
60
.
72
.
81
.
58.8%
Vascular Surgery5
.
89
.
100
.
122
.
119
.
33.7%
Psychiatry
Child and Adolescent Psychiatry
Diagnostic Radiology
Radiation Oncology
Surgery-General
74.8%
GME YEAR
Specialty Category
Thoracic Surgery6
7
2000
Core
Subspec
.
141
2003
Core
Subspec
.
139
2006
Core
Subspec
.
112
2009*
Core
Subspec
.
102
Percent Change
between 00 and 09
Core
Subspec
.
-27.7%
.
202
.
192
.
160
.
168
.
-16.8%
262
4
239
13
248
12
247
13
-5.7%
225.0%
.
3
.
.
.
225
.
270
.
.
Internal Medicine/Pediatrics
444
.
385
.
386
.
372
.
-16.2%
.
Other combined and other
subspecialties8
125
28
126
34
115
73
127
209
1.6%
646.4%
Plastic Surgery
Urology
Pain Medicine
Integrated Surgical Specialties 9
TOTAL
.
.
11
.
45
.
98
.
.
.
24,147
6,108
24,676
7,167
25,459
8,147
25,808
9,377
6.9%
53.5%
Source: GME Track
* 2009 totals adjusted up by 3.49% (based on historical averages) to account for late reporting
Notes referenced by number in specific lines in the table:
1
Hematology and Oncology also includes programs in Hematology and in Oncology.
2
Pulmonary Disease and Critical Care Medicine also includes programs in Pulmonary Disease and in Critical Care
Medicine.
3
Data for subspecialties of Obstetrics and Gynecology are not available.
4
Among Pathology subspecialties, only Chemical Pathology requires Pathology as a prerequisite. Other pathology
subspecialties only require three prior years of graduate medical education, but most fellows enter Pathology
residency first. Medical Genetic Pathology is included with the Pathology subspecialties.
5
New residents in integrated Vascular Surgery programs are included with Integrated Surgical Specialties.
6
New residents in integrated Thoracic Surgery programs are included with Integrated Surgical Specialties.
7
New residents in integrated Plastic Surgery programs are included with Integrated Surgical Specialties.
8
Other subspecialties include Medical Genetics, Sleep Medicine, Hospice and Palliative Medicine.
9
Integrated Surgical Specialties include Vascular Surgery integrated, Thoracic Surgery Integrated and Plastic Surgery
Integrated.
Additional notes on Tables A1 and A2:
These tables show the number of residents in preliminary programs, core programs, and subspecialty programs in
2000, 2003, 2006 and 2009.
For the purpose of these tables, a core specialty is one that may be entered with no prior graduate medical education,
or with one preliminary year. A subspecialty is a specialty that normally requires more than one year of prior graduate
medical education as a prerequisite. Surgical specialties such as colon and rectal surgery, vascular surgery, thoracic
surgery and plastic surgery are counted as subspecialties of surgery, except when they are in integrated programs that
combine specialized training with the preliminary years.
A preliminary program is one with start- and end -dates that indicate a duration of 400 days or less.
Subspecialties that do not have at least 100 new residents or 200 residents on duty or 1,000 physicians in practice are
not listed separately, but are included in the subspecialty count in the row containing the primary specialty count. For
example, 1,366 persons began psychiatry training in 2009, and 618 began fellowships in psychiatry subspecialties. The
subspecialty count included 394 in child and adolescent psychiatry (shown separately) and an additional 224 beginning
fellowships in a smaller subspecialties of psychiatry (not shown separately).
Table A3. Summary of PY1 Residents Expected to Enter Practice in the Following
Specialty Areas, 2000-2009
Specialty
2000
2003
2006
2009*
% Change '00 - '09
Family Medicine
3,473
3,249
3,220
3,050
-12.2%
General Internal Medicine
2,949
2,727
2,778
2,610
-11.5%
General Pediatrics
1,909
1,861
1,781
1,719
-10.0%
448
389
390
378
-15.6%
8,779
8,226
8,169
7,757
-11.6%
632
730
656
690**
9.2%
Emergency Medicine
1,217
1,324
1,477
1,641
34.8%
Obstetrics/Gynecology
1,208
1,251
1,251
1,286
6.5%
Psychiatry
1,286
1,348
1,331
1,366
6.2%
Other Medical Specialties
1,570
1,615
1,723
1,858
18.3%
Hospital-based Specialties
3,187
3,449
3,669
3,714
16.5%
Surgical Specialties
2,475
2,383
2,510
2,742
10.8%
Internal Medicine Subspecialties
3,120
3,490
3,703
3,941
26.3%
Pediatric Subspecialties
674
860
970
1,130
67.7%
Total Non-primary care
15,369
16,450
17,290
18,368
19.5%
Internal Medicine(IM)/Pediatrics
and IM/Family Medicine
Total Primary Care
General Surgery
Total Primary and Non-primary
24,148
24,676
25,459
26,125
8.2%
care
Source: GME Track
* 2009 totals adjusted up by 3.49% (based on historical averages) to account for late reporting.
** 2009 general surgery data are unreliable and therefore 2008 data is reported for general surgery only. See note below for detailed
explanation.
***Likely over-represents the number entering general ob/gyn practice as this does not account for subspecialization in non-ACGME
ob/gyn fellowships.
Table A4: Program Year 1 Residents by Specialty and Gender, 2000-2009
GME YEAR
2000
Gender
Specialty Categories
F
2003
Gender
M
F
2006
Gender
M
F
% Change '00-'09
2009
Gender
M
F
Gender
F
M
M
CORE SPECIALTIES
Anesthesiology
352
1,028
456
1,122
580
1,087
616
1,064
75.0%
3.5%
Dermatology
182
137
208
138
225
143
235
137
29.1%
0.0%
Emergency Medicine
330
886
466
858
582
894
677
965
105.2%
8.9%
Family Medicine
1,736
1,819
1,711
1,649
1,801
1,575
1,772
1,476
2.1%
-18.9%
Internal Medicine
2,362
3,637
2,579
3,619
2,863
3,617
2,968
3,578
25.7%
-1.6%
17
141
25
139
27
168
45
234
164.7%
66.0%
171
283
178
301
242
299
289
334
69.0%
18.0%
Neurological Surgery
Neurology
12
54
29
58
27
66
21
36
75.0%
-33.3%
Obstetrics and Gynecology1
892
315
913
338
949
301
1,068
217
19.7%
-31.1%
Ophthalmology
156
283
143
284
179
244
189
254
21.2%
-10.2%
58
678
70
582
82
590
94
622
62.1%
-8.3%
Nuclear Medicine
Orthopedic Surgery
57
236
77
202
91
217
102
183
78.9%
-22.5%
267
314
296
299
334
293
354
299
32.6%
-4.8%
1,697
882
1,858
857
1,966
780
2,064
783
21.6%
-11.2%
138
237
132
239
164
225
162
236
17.4%
-0.4%
92
119
87
99
72
85
68
76
-26.1%
-36.1%
Psychiatry
652
628
723
623
729
601
743
619
14.0%
-1.4%
Diagnostic Radiology
239
759
294
777
316
804
320
848
33.9%
11.7%
Otolaryngology
Pathology2
Pediatrics
Physical Medicine and Rehabilitation
Preventive Medicine
Radiation Oncology
Surgery-General
38
108
30
80
50
111
55
102
44.7%
-5.6%
326
884
365
972
462
808
439
606
34.7%
-31.4%
36
225
47
192
61
187
69
178
91.7%
-20.9%
227
216
190
194
221
165
219
150
-3.5%
-30.6%
51
70
56
70
49
65
73
54
43.1%
-22.9%
.
.
2
9
14
31
33
65
.
.
10,088
13,939
10,935
13,701
12,086
13,356
12,675
13,116
25.6%
-5.9%
Allergy and Immunology
47
65
47
74
77
67
99
46
110.6%
-29.2%
Anesthesiology Subspecialties
23
78
59
97
62
96
125
189
443.5%
142.3%
Dermatology Subspecialties
14
18
26
28
30
50
54
55
285.7%
205.6%
2
11
12
14
18
21
29
35
1350.0%
218.2%
Family Medicine Subspecialties
29
56
43
66
45
111
73
125
151.7%
123.2%
Internal Medicine Subspecialties
945
2,147
1,177
2,307
1,352
2,348
1,603
2,337
69.6%
8.8%
Cardiovascular Disease
98
569
130
579
141
651
183
647
86.7%
13.7%
104
100
113
90
178
78
191
92
83.7%
-8.0%
Gastroenterology
54
286
97
289
117
304
148
291
174.1%
1.7%
Infectious Disease
109
156
164
155
177
162
200
153
83.5%
-1.9%
97
218
127
256
133
261
168
283
73.2%
29.8%
Urology
Internal Medicine/Pediatrics
Other combined and other
subspecialties3
Integrated Surgical Specialties
4
Subtotal Core Specialties
SUBSPECIALTIES
Emergency Medicine Subspecialties
Endocrinology
Nephrology
GME YEAR
2000
Gender
Specialty Categories
F
2003
Gender
M
F
2006
Gender
M
F
% Change '00-'09
2009
Gender
M
F
Gender
M
F
M
78
76
95
66
115
70
134
68
71.8%
-10.5%
118
112
129
158
141
101
135
90
14.4%
-19.6%
Hematology and Oncology
170
256
193
305
209
319
249
312
46.5%
21.9%
Pulmonary Disease and Critical
Care Medicine6
117
374
129
409
141
402
196
402
67.5%
7.5%
Neurology Subspecialties
63
91
84
145
117
150
149
165
136.5%
81.3%
Orthopedic Surgery Subspecialties
24
173
26
213
35
260
53
324
120.8%
87.3%
7
75
4
85
5
97
8
119
14.3%
58.7%
3
4
2
7
2
14
8
12
166.7%
200.0%
Pathology Subspecialties2
98
114
151
152
186
171
205
204
109.2%
78.9%
Pediatrics Subspecialties
Rheumatology
Geriatric Medicine
5
Orthopedic Sports Medicine
Otolaryngology Subspecialties
323
349
458
400
545
423
684
445
111.8%
27.5%
Pediatric Critical Care
Medicine
40
46
44
55
58
78
76
73
90.0%
58.7%
Pediatric Cardiology
33
41
28
65
43
67
50
76
51.5%
85.4%
Pediatric Hematology/Oncology
40
50
64
39
75
40
92
55
130.0%
10.0%
Neonatal-Perinatal Medicine
73
67
102
69
113
70
137
69
87.7%
3.0%
Physical Medicine and Rehabilitation
Subspecialties
3
7
9
7
10
11
19
11
533.3%
57.1%
Preventive Medicine Subspecialties
.
1
1
1
2
2
.
3
.
200.0%
215
243
265
257
311
260
349
268
62.3%
10.3%
155
149
199
142
223
145
241
153
55.5%
2.7%
37
263
59
294
103
327
128
405
245.9%
54.0%
13
101
26
137
46
148
57
176
338.5%
74.3%
9
132
7
118
10
109
19
149
111.1%
12.9%
Surgery-General Subspecialties
97
483
97
510
125
489
170
501
75.3%
3.7%
Colon and Rectal Surgery
9
42
18
42
22
50
27
54
200.0%
28.6%
11
78
13
87
16
106
23
96
109.1%
23.1%
Psychiatry Subspecialties
Child and Adolescent
Psychiatry
Diagnostic Radiology Subspecialties
Neuroradiology
Vascular and Interventional
Radiology
Vascular Surgery7
8
8
132
17
122
12
99
14
88
75.0%
-33.3%
45
156
29
163
41
119
33
135
-26.7%
-13.5%
Urology Subspecialties
1
2
5
8
2
10
4
9
300.0%
350.0%
Pain Medicine
.
3
.
.
39
186
51
219
.
7200.0%
15
13
16
18
29
44
102
107
580.0%
723.1%
4,554
99.8%
34.9%
Thoracic Surgery
Plastic Surgery9
Other combined and other
subspecialties3
1,805
Total Subspecialties
Total PY1 (Core and Subspecialty)
1
1
,
8
9
3
3,375
1
7
,
3
1
4
2,381
1
3
,
3
1
6
3,794
1
7
,
4
9
5
2,862
1
4
,
9
4
8
Source: GME Track
* 2009 totals adjusted up by 3.49% (based on historical averages) to account for late reporting
Notes referenced by number in specific lines in the table:
1
Data for subspecialties of Obstetrics and Gynecology are not available.
4,224
1
7
,
5
8
0
3,607
1
6
,
2
8
2
1
7
,
6
7
0
3
6
.
9
%
2
.
1
%
2
3
4
5
6
7
8
9
Among Pathology subspecialties, only Chemical Pathology requires Pathology as a prerequisite. Other pathology
subspecialties only require three prior years of graduate medical education, but most fellows enter Pathology
residency first. Medical Genetic Pathology is included with the Pathology subspecialties.
Other subspecialties include Medical Genetics, Sleep Medicine, and Hospice and Palliative Medicine.
Integrated Surgical Specialties include Vascular Surgery integrated, Thoracic Surgery Integrated, and Plastic Surgery
Integrated.
Hematology and Oncology also includes programs in Hematology and in Oncology.
Pulmonary Disease and Critical Care Medicine also includes programs in Pulmonary Disease and in Critical Care
Medicine.
New residents in integrated Vascular Surgery programs are included with Integrated Surgical Specialties.
New residents in integrated Thoracic Surgery programs are included with Integrated Surgical Specialties.
New residents in integrated Plastic Surgery programs are included with Integrated Surgical Specialties.
Notes on Tables 4A and 5A:
If the degree of subspecialization were not changing, the number entering subspecialties in
the current year would equal the number of residents beginning training in the current year
who would eventually subspecialize. Although we know that such a steady state does not
exist, we do know that subspecialization rates are only slowly changing. We therefore
make the simplifying assumption that the ratio of those entering subspecialty training in the
current year to the number entering the primary specialty in the current year is the rate of
subspecialization. Thus, for example, we can subtract the 3,941 entering internal medicine
subspecialty fellowships in 2009 from the 6,551 entering general internal medicine
residencies in 2009 to estimate that 60% of those beginning internal medicine will
eventually subspecialize.
This approach allows us to gain early estimates of the degree of subspecialization that is
occurring. Of course, those beginning subspecialty training in the current year are not the
same individuals who are beginning primary training in the current year. For exact
determinations of subspecialization, cohort studies are necessary. Unfortunately, the cohort
studies that have been done show that residents completing a primary specialty in internal
medicine and surgery may return for subspecialty training two, three or even four and five
years after completing the primary residency. Thus, for a definitive determination of the
subspecialization of residents who began a primary specialty in 2009, we would have to
wait until 2019 or later. This simplifying assumption allows us to obtain more current
estimates of the subspecialization rates. However, they could be conservative estimates of
subspecialization trends.
Data for the number of residents expected to become general surgeons in 2009 is not
reliable and 2008 data have been substituted. Cohort studies have shown that residents in
preliminary surgery programs are often permitted to convert to categorical general surgery
programs. Some of the residents we have counted in preliminary surgery (and therefore
excluded from general surgery) may, in fact, end up in general surgery programs. This
artifact does not exist for earlier years, because subsequent reports to GME Track would
have corrected the end date to indicate a full five-year program. The same artifact may be
present for the most recent internal medicine figures also. In order to show trends, we
substituted 2008 data for the 2009 general surgery estimate. Because of this artifact, we
report the greater 2008 figure for general surgery in Table 5 instead of the 2009 figure
affected by the artifact.
Table A5: Program Year 1 (PY1) Residents by Specialty and Type of UME (U.S. MD, DO,
IMG)
GME_YEAR
2000
Specialty Category
2003
TYPE
U.S.
M.D.
DO
2006
TYPE
U.S.
MD
IMG
DO
TYPE
U.S.
MD
IMG
Percent Change '00 - '
2009*
DO
TYPE
IMG
U.S.
MD
DO
TYPE
IMG
U.S.
MD
DO
IM
CORE SPECIALTIES
Anesthesiology
736
104
540
1,142
164
259
1,303
140
218
1,348
121
206
83.2%
16.3%
-61
Dermatology
306
2
8
320
4
17
346
6
13
361
4
6
18.0%
100.0%
-25
Emergency Medicine
1,068
93
47
1,131
117
68
1,231
151
92
1,316
209
110
23.2%
124.7%
134
Family Medicine
2,239
469
823
1,627
461
1,243
1,526
469
1,374
1,415
548
1,276
-36.8%
16.8%
55
Internal Medicine
3,223
320
2,492
2,951
354
2,867
2,966
388
3,110
2,997
458
3,065
-7.0%
43.1%
23
Neurological Surgery
137
1
19
139
2
20
165
.
31
247
1
31
80.3%
0.0%
63
Neurology
244
22
183
296
27
151
312
29
198
366
47
209
50.0%
113.6%
14
27
2
36
48
1
38
45
4
44
27
1
29
0.0%
-50.0%
-19
Nuclear Medicine
Obstetrics and Gynecology
3
950
83
169
874
103
262
903
75
266
965
127
187
1.6%
53.0%
10
Ophthalmology
391
7
38
390
8
26
383
4
32
399
5
37
2.0%
-28.6%
-2
Orthopedic Surgery
709
7
21
627
5
18
649
7
17
685
9
22
-3.4%
28.6%
4
Otolaryngology
286
3
4
265
4
8
298
1
8
279
2
5
-2.4%
-33.3%
25
Pathology
4
259
16
309
374
32
184
396
36
195
402
50
201
55.2%
212.5%
-35
1,886
126
556
1,814
169
710
1,869
182
690
1,896
243
694
0.5%
92.9%
24
Physical Medicine and
Rehabilitation
176
62
139
204
78
86
230
90
69
216
109
72
22.7%
75.8%
-48
Preventive Medicine
164
16
28
139
12
33
118
13
26
95
21
25
-42.1%
31.3%
-10
Psychiatry
676
65
531
808
95
438
805
106
410
781
139
435
15.5%
113.8%
-18
Diagnostic Radiology
831
55
106
952
36
77
981
46
91
1,028
46
94
23.7%
-16.4%
-11
Radiation Oncology
128
3
15
108
.
2
151
3
7
153
1
3
19.5%
-66.7%
-80
Surgery-General
990
25
197
1,061
34
239
1,023
30
215
895
34
114
-9.6%
36.0%
-42
Urology
246
1
13
223
5
9
237
3
8
235
1
9
-4.5%
0.0%
-30
372
23
49
274
22
88
314
24
47
261
29
82
-29.8%
26.1%
67
101
5
19
95
10
21
82
10
23
92
8
27
-8.9%
60.0%
42
.
.
.
11
.
.
43
.
.
91
2
5
.
.
16,145
1,510
6,342
15,873
1,743
6,864
16,376
1,817
7,184
16,550
2,215
6,944
2.5%
46.7%
9
79
5
29
105
13
116
4
23
116
9
20
46.8%
80.0%
-31
29
1200
Pediatrics
Internal
Medicine/Pediatrics
Other combined and other
subspecialties8
Integrated Surgical
Specialties9
Subtotal Core
SUBSPECIALTIES
Allergy and Immunology
3
Anesthesiology
Subspecialties
32
1
65
61
11
83
105
9
42
206
25
84
543.8%
2400.0
%
Dermatology Subspecialties
28
.
1
32
2
21
61
4
12
92
2
13
228.6%
.
12
.
.
18
5
1
24
6
9
41
6
16
241.7%
.
65
6
14
77
9
27
99
20
36
103
33
60
58.5%
450.0%
328
1,637
101
1,351
1,895
163
1,408
1,954
207
1,529
1,930
187
1,812
17.9%
85.1%
34
402
15
255
462
26
220
503
36
251
465
39
322
15.7%
160.0%
26
Emergency Medicine
Subspecialties
Family Medicine
Subspecialties
Internal Medicine
Subspecialties
Cardiovascular
Disease
GME_YEAR
2000
Specialty Category
TYPE
U.S.
M.D.
Endocrinology
2003
DO
2006
TYPE
U.S.
MD
IMG
DO
TYPE
IMG
U.S.
MD
Percent Change '00 - '
2009*
DO
TYPE
IMG
U.S.
MD
DO
TYPE
U.S.
MD
IMG
DO
IM
96
3
105
118
6
77
155
19
81
134
11
139
39.6%
266.7%
32
Gastroenterology
214
13
111
261
19
105
273
22
125
276
26
137
29.0%
100.0%
23
Infectious Disease
133
7
123
165
12
138
172
16
151
181
18
155
36.1%
157.1%
26
Nephrology
168
18
129
208
20
151
176
30
185
169
22
258
0.6%
22.2%
100
Rheumatology
85
12
56
88
14
57
106
15
63
106
12
83
24.7%
0.0%
48
Geriatric Medicine
80
8
148
88
15
184
60
7
176
61
10
153
-23.8%
25.0%
3
231
11
178
272
27
199
294
24
208
285
16
260
23.4%
45.5%
46
228
14
246
233
24
277
215
38
289
255
33
306
11.8%
135.7%
24
65
4
86
97
10
121
146
20
102
169
18
126
160.0%
350.0%
46
173
6
13
205
6
27
243
14
31
294
24
46
69.9%
300.0%
253
77
1
3
84
3
3
95
6
1
113
4
7
46.8%
300.0%
133
5
.
1
9
.
.
13
1
1
19
.
2
280.0%
.
100
Pathology Subspecialties4
119
3
83
113
2
192
161
14
182
269
19
116
126.1%
533.3%
39
Pediatrics Subspecialties
Hematology and
Oncology
Pulmonary Disease
and Critical Care
Medicine2
Neurology Subspecialties
Orthopedic Surgery
Subspecialties
Orthopedic Sports
Medicine
Otolaryngology
Subspecialties
408
13
246
567
29
255
630
46
286
717
63
339
75.7%
384.6%
37
Pediatric Critical Care
Medicine
57
.
27
67
3
29
92
9
34
85
10
54
49.1%
.
100
Pediatric Cardiology
48
1
24
66
5
20
78
3
28
85
3
33
77.1%
200.0%
37
60
2
27
76
1
26
83
2
28
94
6
47
56.7%
200.0%
74
69
6
65
96
9
66
99
11
73
116
11
78
68.1%
83.3%
20
6
.
4
2
2
12
13
1
6
20
8
2
233.3%
.
-50
1
.
.
1
.
.
3
1
.
2
.
.
100.0%
.
212
14
226
221
27
268
311
28
228
358
41
209
68.9%
192.9%
-7
149
10
142
152
21
165
218
19
132
232
30
130
55.7%
200.0%
-8
234
11
49
236
12
105
311
26
87
380
20
131
62.4%
81.8%
167
85
4
21
114
6
45
145
10
35
176
10
46
107.1%
150.0%
119
114
3
23
80
3
39
86
4
27
121
4
41
6.1%
33.3%
78
494
7
68
516
11
74
479
19
113
529
21
115
7.1%
200.0%
69
38
.
8
48
1
10
56
4
11
68
1
11
78.9%
.
37
Vascular Surgery5
78
1
10
84
3
13
91
6
24
87
5
25
11.5%
400.0%
150
Thoracic Surgery6
107
.
31
108
4
24
76
3
32
75
1
26
-29.9%
.
-16
191
1
8
179
.
12
143
.
16
141
4
23
-26.2%
300.0%
187
Urology Subspecialties
3
.
.
10
.
1
7
.
5
10
1
1
233.3%
.
Pain Medicine
2
.
1
.
.
.
132
31
60
188
32
49
.
.
17
1
9
14
.
20
36
1
36
105
16
85
517.6%
1500.0
%
Pediatric
Hematology/Oncology
Neonatal-Perinatal
Medicine
Physical Medicine and
Rehabilitation
Subspecialties
Preventive Medicine
Subspecialties
Psychiatry Subspecialties
Child and Adolescent
Psychiatry
Diagnostic Radiology
Subspecialties
Neuroradiology
Vascular and Intervent
Radiology
Surgery-General
Subspecialties
Colon and Rectal
Surgery
Plastic Surgery
7
Other combined and other
subspecialties8
844
GME_YEAR
2000
Specialty Category
TYPE
U.S.
M.D.
Subtotal Subspecialty
All PGY1
2003
2006
TYPE
DO
IMG
U.S.
MD
DO
TYPE
IMG
U.S.
MD
DO
Percent Change '00 - '
2009*
TYPE
IMG
U.S.
MD
DO
TYPE
IMG
U.S.
MD
DO
IM
3,592
172
2,246
4,179
292
2,628
4,844
452
2,788
5,548
525
3,226
54.5%
205.2%
43
19,737
1,682
8,588
20,052
2,035
9,492
21,220
2,269
9,972
22,098
2,740
10,170
12.0%
62.9%
18
Source: AAMC DW: GME section, pjolly.on_duty_xa_lt2010, as of 13SEP10
* 2009 totals adjusted up by 3.49% (based on historical averages) to account for late reporting
Notes referenced by number in specific lines in the table:
1
Hematology and Oncology also includes programs in Hematology and in Oncology.
2
Pulmonary Disease and Critical Care Medicine also includes programs in Pulmonary Disease and in Critical Care
Medicine.
3
Data for subspecialties of Obstetrics and Gynecology are not available.
4
Among Pathology subspecialties, only Chemical Pathology requires Pathology as a prerequisite. Other pathology
subspecialties only require three prior years of graduate medical education, but most fellows enter Pathology
residency first. Medical Genetic Pathology is included with the Pathology subspecialties.
5
New residents in integrated Vascular Surgery programs are included with Integrated Surgical Specialties.
6
New residents in integrated Thoracic Surgery programs are included with Integrated Surgical Specialties.
7
New residents in integrated Plastic Surgery programs are included with Integrated Surgical Specialties.
8
Other subspecialties include Medical Genetics, Sleep Medicine, Hospice and Palliative Medicine
Table A6: Total Residents in ACGME-Accredited Programs per 100,000 population
by State, 2000-2009
.
2000
2003
2006
2009*
Percent
Change '00
- '09
Absolute
Change in
number of
residents
'00 - '09
Total
Residents
Residents
per 100k
Pop.
Total
Residents
Residents
per 100k
Pop.
Total
Residents
Residents
per 100k
Pop.
Total
Residents
Residents
per 100k
Pop.
1,047
23.5
1,112
24.8
1,233
26.8
1,240
26.3
12.0%
193
24
3.8
24
3.7
32
4.7
36
5.2
34.8%
12
1,038
20.1
1,119
20.0
1,242
20.1
1,428
21.7
7.8%
390
597
22.3
623
22.9
689
24.5
729
25.2
13.2%
132
California
8,877
26.1
9,123
25.9
9,269
25.8
9,586
25.9
-0.7%
709
Colorado
1,006
23.2
1,079
23.7
1,131
23.8
1,194
23.8
2.2%
188
Connecticut
1,813
53.1
1,934
55.8
2,018
57.9
2,088
59.3
11.7%
275
Delaware
249
31.7
275
33.7
312
36.6
343
38.8
22.4%
94
District of
Columbia
1,802
315.2
1,813
313.8
1,792
306.9
1,769
295.0
-6.4%
-33
Florida
2,798
17.4
2,904
17.1
3,097
17.1
3,495
18.9
8.1%
697
Georgia
1,809
22.0
1,901
21.8
1,976
21.2
2,051
20.9
-5.1%
242
Hawaii
409
33.8
425
34.3
425
33.3
377
29.1
-13.8%
-32
Idaho
41
3.2
43
3.2
46
3.1
56
3.6
14.8%
15
Illinois
5,467
44.0
5,544
44.0
5,898
46.4
5,930
45.9
4.5%
463
Indiana
1,197
19.6
1,283
20.8
1,308
20.8
1,372
21.4
8.7%
175
Iowa
721
24.6
737
25.1
776
26.2
798
26.5
7.7%
77
Kansas
632
23.5
608
22.3
667
24.2
660
23.4
-0.2%
28
Kentucky
918
22.7
950
23.1
1,015
24.1
1,115
25.8
14.0%
197
State
Alabama
Alaska
Arizona
Arkansas
2000
2003
2006
2009*
Percent
Change '00
- '09
Absolute
Change in
number of
residents
'00 - '09
Total
Residents
Residents
per 100k
Pop.
Total
Residents
Residents
per 100k
Pop.
Total
Residents
Residents
per 100k
Pop.
Total
Residents
Residents
per 100k
Pop.
1,697
38.0
1,744
39.0
1,570
37.0
1,847
41.1
8.3%
150
261
20.4
266
20.4
280
21.3
310
23.5
15.1%
49
Maryland
2,416
45.5
2,481
45.1
2,599
46.3
2,647
46.4
2.1%
231
Massachusetts
4,566
71.8
4,795
74.3
5,097
78.8
5,430
82.4
14.8%
864
Michigan
4,038
40.6
4,185
41.6
4,430
43.9
4,725
47.4
16.8%
687
Minnesota
1,961
39.7
2,035
40.3
2,101
40.8
2,276
43.2
8.7%
315
Mississippi
464
16.3
493
17.2
470
16.2
501
17.0
4.2%
37
2,287
40.8
2,389
41.8
2,509
42.8
2,613
43.6
7.0%
326
State
Louisiana
Maine
Missouri
Montana
18
2.0
18
2.0
19
2.0
20
2.1
2.9%
2
Nebraska
545
31.8
568
32.8
616
35.0
683
38.0
19.5%
138
Nevada
172
8.5
188
8.4
230
9.2
258
9.8
14.5%
86
New
Hampshire
294
23.7
331
25.8
375
28.6
392
29.6
24.9%
98
New Jersey
2,522
29.9
2,488
29.0
2,712
31.4
2,767
31.8
6.2%
245
444
24.4
486
26.0
506
26.0
550
27.4
12.2%
106
New York
14,669
77.2
15,326
79.7
15,827
81.8
16,042
82.1
6.3%
1,373
North
Carolina
2,448
30.3
2,650
31.5
2,813
31.7
2,985
31.8
5.0%
537
New Mexico
110
17.2
105
16.6
106
16.6
118
18.2
6.3%
8
4,576
40.3
4,717
41.2
5,146
44.8
5,625
48.7
21.0%
1,049
Oklahoma
626
18.1
660
18.9
716
20.0
767
20.8
14.8%
141
Oregon
642
18.7
703
19.8
771
21.0
852
22.3
19.0%
210
6,518
53.1
6,846
55.4
7,172
57.5
7,396
58.7
10.6%
878
Puerto Rico
767
20.1
743
19.2
716
18.2
740
18.7
-7.2%
-27
Rhode Island
684
65.1
716
66.8
744
70.2
786
74.6
14.6%
102
South
Carolina
949
23.6
985
23.8
1,026
23.6
1,175
25.8
9.2%
226
93
12.3
93
12.1
104
13.2
100
12.3
0.0%
7
Tennessee
1,804
31.6
1,881
32.1
2,050
33.7
2,193
34.8
10.1%
389
Texas
6,088
29.1
6,428
29.1
6,764
28.9
7,040
28.4
-2.3%
952
8
n/a
4
n/a
0
n/a
0
n/a
n/a
-8
570
25.4
585
24.6
655
25.4
685
24.6
-3.1%
115
Vermont
231
37.9
241
39.1
262
42.3
275
44.2
16.8%
44
Virginia
1,926
27.1
1,988
27.0
2,034
26.6
2,194
27.8
2.7%
268
Washington
1,477
25.0
1,525
24.9
1,645
25.8
1,747
26.2
4.9%
270
544
30.1
570
31.6
632
35.0
680
37.4
24.1%
136
1,446
26.9
1,515
27.7
1,640
29.4
1,773
31.4
16.5%
327
North Dakota
Ohio
Pennsylvania
South Dakota
Unknown
USA
Utah
West Virginia
Wisconsin
Wyoming
Total
38
7.7
36
7.2
39
7.6
41
7.5
-2.1%
3
98,344
34.4
102,281
34.8
107,302
35.5
112,500
36.2
5.2%
14,156
Population estimates are from the U.S. Census Bureau, Table 1. Annual Estimates of the Resident Population for the United States, Regions, States, and
Puerto Rico: April 1, 2000 to July 1, 2009 (NST-EST2009-01) (Release date: December 2009).
Sources: GME Track;
* 2009 totals adjusted up by 2.39% (based on historical averages) to account for late reporting
Table A7: Ratio of Undergraduate U.S. MD and DO graduates to Core PY1 GME
Positions, 2009
All Other
Specialties
Ratio of
GME to
UME (value
above 1
means more
GME than
UME)
43
17
1.2
.
.
.
.
42
14
59
22
1.3
59
1
2
34
16
1.2
907
807
118
47
170
50
1.4
.
145
110
19
2
5
2
2.1
Undergraduate Medical
Education (UME)
State
Allopathic
Graduates
(US)
Osteopath
Graduates
(DO)
224
.
.
Arizona
Graduate Medical Education
(GME)*
U.S. MD
IMG
All Other
Specialties
Primary
Care
All Other
Specialties
105
99
8
7
.
8
.
4
123
168
107
126
Arkansas
140
.
59
California
982
470
Colorado
133
Connecticut
Alabama
Alaska
Primary
Care
DO
Primary
Care
174
.
137
106
11
12
170
47
2.8
Delaware
.
.
29
28
18
7
10
8
.
District of
Columbia
461
.
149
118
5
7
52
26
0.8
Florida
482
248
240
274
46
33
159
56
1.1
Georgia
408
.
141
157
21
19
97
23
1.1
Hawaii
60
.
32
46
3
6
7
2
1.6
.
.
16
.
5
.
1
.
.
1,081
184
433
426
90
36
389
79
1.1
Indiana
267
.
117
108
21
11
57
17
1.2
Iowa
144
218
54
47
32
4
39
10
0.5
Kansas
155
.
37
38
13
10
22
14
0.9
Kentucky
231
83
71
94
17
8
41
22
0.8
Louisiana
412
.
147
151
3
12
107
45
1.1
.
134
23
17
25
4
13
1
0.6
Maryland
423
.
223
162
8
20
120
41
1.4
Massachusetts
597
.
469
372
27
23
136
110
1.9
Michigan
503
223
173
406
38
50
298
177
1.6
Minnesota
243
.
169
152
24
8
67
53
1.9
Mississippi
94
.
42
28
4
6
14
13
1.1
Missouri
439
441
191
176
30
21
86
53
0.6
Montana
.
.
4
.
.
.
1
.
.
Nebraska
244
.
66
34
13
3
34
10
0.7
Nevada
51
.
20
16
9
8
27
4
1.6
New
Hampshire
63
.
21
31
3
.
5
6
1.0
New Jersey
312
106
103
97
37
34
326
86
1.6
New Mexico
69
.
40
47
6
3
24
4
1.8
Idaho
Illinois
Maine
All Other
Specialties
Ratio of
GME to
UME (value
above 1
means more
GME than
UME)
1,425
395
1.9
20
51
31
1.5
.
.
20
4
0.7
399
84
85
290
100
1.4
50
49
23
5
62
11
0.8
.
94
65
14
3
4
6
1.5
1,084
829
407
520
146
110
376
108
0.9
292
.
58
73
.
.
22
17
0.6
90
.
86
59
1
.
26
8
2.0
198
.
110
114
19
12
31
4
1.5
47
.
16
9
4
1
4
2
0.8
372
.
151
194
18
12
81
31
1.3
1,180
135
459
571
80
93
261
75
1.2
99
.
83
55
5
2
7
6
1.6
Vermont
105
.
21
22
1
2
10
.
0.5
Virginia
421
179
180
203
35
23
48
27
0.9
Washington
180
.
194
154
24
22
16
13
2.4
West Virginia
150
108
39
47
11
7
53
22
0.7
Wisconsin
375
.
147
161
25
12
57
21
1.1
Wyoming
.
.
.
.
2
.
11
.
.
16,467
4,064
8,082
8,189
1,351
950
5,468
1,894
1.3
Undergraduate Medical
Education (UME)
State
Allopathic
Graduates
(US)
Osteopath
Graduates
(DO)
1,734
333
437
Graduate Medical Education
(GME)*
U.S. MD
IMG
All Other
Specialties
Primary
Care
All Other
Specialties
862
907
129
120
.
272
244
27
59
.
7
12
Ohio
860
114
370
Oklahoma
148
91
Oregon
121
New York
North
Carolina
North Dakota
Pennsylvania
Puerto Rico
Rhode Island
South
Carolina
South Dakota
Tennessee
Texas
Utah
All
Primary
Care
DO
Sources: GME Track; AAMC DW:IND (U.S. MD grads) ERAS (DO grads)
* 2009 GME totals adjusted up by 3.49% (based on historical averages) to account for late reporting.
Primary
Care
Table A8: Ratio of PY1 Residents Estimated to Practice in the Field to Active
Physicians Aged 60 in the Specialty, 2009
PGY1 Residents Estimated to
Practice in the Field*
Specialty
Core
Active Physicians Aged 60
Subspecialty
Core
Subspecialty
Replacement Ratio (Value of more
than 1 indicates 2009 entrants
exceed number aged 60)
Core
Subspecialty
.
145
.
132
1,364
316
850
10
1.6
31.6
263
110
284
10
0.9
11.0
Emergency Medicine
1,577
64
805
0
2.0
Family Medicine
3,050
199
2,613
14
1.2
14.2
Internal Medicine
2,610
3,941
2,521
2,373
1.0
1.7
Cardiovascular Disease
.
830
.
664
1.3
Endocrinology
.
284
.
135
2.1
Gastroenterology
.
439
.
363
1.2
Infectious Disease
.
354
.
135
2.6
Nephrology
.
450
.
172
2.6
Rheumatology
.
202
.
161
1.3
Geriatric Medicine
.
225
.
64
3.5
.
561
.
342
1.6
.
597
.
288
2.1
Neurological Surgery
279
0
117
0
2.4
Neurology
307
316
377
43
0.8
57
0
39
0
1.5
Allergy and Immunology
Anesthesiology
Dermatology
Hematology and Oncology
1
Pulmonary Disease and Critical
Care Medicine2
Nuclear Medicine
3
1.1
1,286
0
957
0
1.3
Ophthalmology
443
0
443
0
1.0
Orthopedic Surgery
339
377
525
27
0.6
.
127
.
9
Obstetrics and Gynecology
Orthopedic Sports Medicine
7.3
14.0
14.1
Otolaryngology
266
21
214
6
1.2
3.5
Pathology4
243
410
470
49
0.5
8.4
1.4
4.2
1,719
1,130
1,218
267
Pediatric Critical Care
Medicine
.
149
.
9
16.6
Pediatric Cardiology
.
125
.
34
3.7
Pediatric Hematology/Oncology
.
147
.
26
5.7
Neonatal-Perinatal Medicine
.
206
.
123
1.7
Physical Medicine and Rehabilitation
368
30
157
1
2.3
30.0
Preventive Medicine
141
3
223
2
0.6
1.5
Psychiatry
0.7
3.3
Pediatrics
748
618
1,086
185
Child and Adolescent
Psychiatry
634
394
.
165
Diagnostic Radiology
2.4
1,167
533
712
34
Neuroradiology
.
233
.
6
1.6
15.7
38.8
Vascular and Interventional
Radiology
.
168
.
12
14.0
PGY1 Residents Estimated to
Practice in the Field*
Specialty
Core
Replacement Ratio (Value of more
than 1 indicates 2009 entrants
exceed number aged 60)
Active Physicians Aged 60
Subspecialty
Core
Subspecialty
Core
Subspecialty
Radiation Oncology
157
0
80
0
2.0
Surgery-General
373
672
553
454
0.7
.
81
.
34
2.4
Vascular Surgery
5
.
119
.
63
1.9
Thoracic Surgery
6
.
102
.
135
0.8
.
168
.
162
1.0
234
13
234
5
.
270
.
39
Colon and Rectal Surgery
Plastic Surgery7
Urology
Pain Medicine
1.0
1.5
2.6
6.9
Sources: GME Track; AMA Masterfile, December 31, 2009
* 2009 totals adjusted up by 3.49% (based on historical averages) to account for late reporting
Notes referenced by number in specific lines in the table:
1
Hematology and Oncology also includes programs in Hematology and in Oncology.
2
Pulmonary Disease and Critical Care Medicine also includes programs in Pulmonary Disease and in Critical Care
Medicine.
3
Data for subspecialties of Obstetrics and Gynecology are not available.
4
Among Pathology subspecialties, only Chemical Pathology requires Pathology as a prerequisite. Other pathology
subspecialties only require three prior years of graduate medical education, but most fellows enter Pathology
residency first. Medical Genetic Pathology is included with the Pathology subspecialties.
5
New residents in integrated Vascular Surgery programs are included with Integrated Surgical Specialties.
6
New residents in integrated Thoracic Surgery programs are included with Integrated Surgical Specialties.
7
New residents in integrated Plastic Surgery programs are included with Integrated Surgical Specialties.
Table A9: Listing of Specialties included in Core Specialties and Subspecialties for
ACGME and AMA Masterfile
Specialty in this Report
Core Specialties
ACGME
Specialties
Included
Subspecialties
AMA Masterfile
Specialties
Included
Allergy and Immunology
Allergy and Immunology
Anesthesiology
ACGME Specialties Included
Anesthesiology
Anesthesiology
Adult Cardiothoracic
Anesthesiology
Pediatric Anesthesiology
Critical Care Medicine
Dermatology
Dermatology
Dermatology
Emergency Medicine
Emergency
Medicine
Emergency
Medicine
Procedural Dermatology
Dermatopathology
Pediatric Emergency Medicine
Sports Medicine
Medical Toxicology
Family Medicine
Family Medicine
Family Medicine
Undersea and Hyperbaric
Medicine
Geriatric Medicine
Family Practice
Sports Medicine
AMA Masterfile Specialties
Included
Allergy
Allergy and Immunology
Immunology
Adult Cardiothoracic
Anesthesiology (Anesthesiology)
Pediatric Anesthesiology
(Anesthesiology)
Critical Care Medicine
(Anesthesiology)
Procedural Dermatology
Dermatopathology (Pathology)
Pediatric Emergency Med
(Emergency Med)
Sports Medicine (Emergency
Medicine)
Medical Toxicology (Emergency
Medicine)
Underseas Medicine (Emergency
Medicine)
Geriatric Medicine (Family
Practice)
Sports Medicine (Family Practice)
Specialty in this Report
Internal Medicine
Core Specialties
ACGME
Specialties
Included
Internal Medicine
Subspecialties
AMA Masterfile
Specialties
Included
General Practice
Internal Medicine
Hospitalist
Cardiovascular Disease
Endocrinology
Gastroenterology
Infectious Disease
Nephrology
Rheumatology
Geriatric Medicine
Hematology and
Oncology
Pulmonary Disease and
Critical Care Medicine
Neurological Surgery
Neurological
Surgery
Neurological
Surgery
Neurology
Neurology
Neurology
ACGME Specialties Included
Cardiovascular Medicine
Critical Care Medicine
Endocrinology, Diabetes, and
Metabolism
Gastroenterology
Hematology
Infectious Disease
Oncology
Nephrology
Pulmonary Disease
Rheumatology
Geriatric Medicine
Hematology and Oncology
Pulmonary Disease and Critical
Care Medicine
Cardiovascular Medicine
Endocrinology, Diabetes, and
Metabolism
Gastroenterology
Infectious Disease
Nephrology
Rheumatology
Geriatric Medicine
Hematology
Cardiovascular Disease
Critical Care Medicine (IM)
Endocrinology, Diabetes &
Metabolism
Gastroenterology
Hematology (IM)
Infectious Disease
Medical Oncology
Nephrology
Pulmonary Disease
Rheumatology
Geriatric Medicine (IM)
Hematology/Oncology
Pulmonary & Critical Care
Medicine Diabetes
Cardiovascular Disease
Endocrinology, Diabetes &
Metabolism
Gastroenterology
Infectious Disease
Nephrology
Rheumatology
Geriatric Medicine (IM)
Hematology (Internal Medicine)
Oncology
Hematology and Oncology
Pulmonary Disease
Pulmonary Disease and Critical
Care Medicine
Endovascular surgical
Neuroradiology
Medical Oncology
Hematology/Oncology
Pulmonary Disease
Pulmonary & Critical Care
Medicine
Endovascular Surgical
Neuroradiology (Neurological
Surgery)
Endovascular Surgical
Neuroradiology
Neuromuscular Medicine
(Neurology)
Child Neurology
Neurodevelopmental Disabilities
(Psych & Neuro)
Clinical Neurophysiology
Vascular Neurology
Endovascular Surgical
Neuroradiology
Neuromuscular Medicine
Child Neurology
Neurodevelopmental Disabilities
Clinical Neurophysiology
Vascular Neurology
Nuclear Medicine
Obstetrics and Gynecology
Nuclear Medicine
Obstetrics and
Gynecology
Ophthalmology
Ophthalmology
Nuclear Medicine
Obstetrics &
Gynecology
Obstetrics
Gynecology
Ophthalmology
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Sports
AMA Masterfile Specialties
Included
Adult Reconstructive Orthopedics
Foot and Ankle Orthopedics
Hand Surgery
Pediatric Orthopedics
Orthopedic Surgery of the Spine
Orthopedic Sports Medicine
Orthopedic Trauma
Musculoskeletal Oncology
Orthopedic Sports Medicine
Adult Reconstructive Orthopedics
Foot And Ankle Orthopedics
Hand Surgery (Orthopedics)
Pediatric Orthopedics
Orthopedic Surgery Of The Spine
Sports Medicine (Orthopedic
Surgery)
Orthopedic Trauma
Musculoskeletal Oncology
Sports Medicine (Orthopedic
Specialty in this Report
Core Specialties
ACGME
Specialties
Included
Medicine
Otolaryngology
Otolaryngology
Pathology
Pathology
Subspecialties
AMA Masterfile
Specialties
Included
Otolaryngology
Head And Neck
Surgery
Anatomic/Clinical
Pathology
Anatomic Pathology
Clinical Pathology
Pediatrics
Pediatrics
Pediatrics
Physical Medicine and
Rehabilitation (PM &R)
Physical Medicine
and Rehabilitation
Physical Medicine
And Rehabilitation
Preventive Medicine (PM)
Preventive
Medicine
General Preventive
Med
Psychiatry
Public Health And
General Preventive
Medicine
Aerospace Medicine
Occupational
Medicine
Psychiatry
Child and Adolescent
AMA Masterfile Specialties
Included
Neurotology
Pediatric Otolaryngology
Surgery)
Neurotology (Otolaryngology)
Pediatric Otolaryngology
Selective Pathology
Selective Pathology
Blood Banking/Transfusion
Medicine
Chemical Pathology
Cytopathology
Forensic Pathology
Hematology
Medical Microbiology
Neuropathology
Pediatric Pathology
Molecular Genetic Pathology
Blood Banking/Transfusion
Medicine
Chemical Pathology
Cytopathology
Forensic Pathology
Hematology (Pathology)
Medical Microbiology
Neuropathology
Pediatric Pathology
Molecular Genetic Pathology
(Pathology And Medical Genetics)
Adolescent Medicine (Pediatrics)
Pediatric Critical Care Medicine
Pediatric Emergency Medicine
(Pediatrics)
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Hematology/Oncology
Pediatric Nephrology
Neonatal-Perinatal Medicine
Pediatric Pulmonology
Pediatric Rheumatology
Pediatric Gastroenterology
Sports Medicine (Pediatrics)
Pediatric Infectious Disease
Developmental-Behavioral
Pediatrics
Adolescent Medicine
Pediatric Critical Care Medicine
Pediatric Emergency Medicine
Pediatric cardiology
Pediatric Endocrinology
Pediatric Hematology/Oncology
Pediatric Nephrology
Neonatal-Perinatal Medicine
Pediatric Pulmonology
Pediatric Rheumatology
Pediatric Gastroenterology
Pediatric Sports Medicine
Pediatric Infectious Disease
Developmental-Behavioral
Pediatrics
Pediatric Transplant Hepatology
Pediatric Critical Care Medicine
Pediatric Critical Care
Medicine
Pediatric Cardiology
Pediatric
Hematology/Oncology
Neonatal-Perinatal
Medicine
Psychiatry
ACGME Specialties Included
Pediatric Critical Care Medicine
Pediatric Cardiology
Pediatric Hematology/Oncology
Pediatric Cardiology
Pediatric Hematology/Oncology
Neonatal-Perinatal Medicine
Neonatal-Perinatal Medicine
Spinal Cord Injury Medicine
Spinal Cord Injury Medicine
Pediatric Rehabilitation Medicine
Undersea and Hyperbaric Med
Pediatric Rehabilitation Medicine
Undersea Medicine (PM)
Medical Toxicology
Medical Toxicology (Preventive
Medicine)
Addiction Psychiatry
Child and Adolescent Psychiatry
Forensic Psychiatry
Geriatric Psychiatry
Pyschomatic Medicine
Child and Adolescent Psychiatry
Addiction Psychiatry
Child & Adolescent Psychiatry
Forensic Psychiatry
Geriatric Psychiatry
Psychosomatic Medicine
Child & Adolescent Psychiatry
Specialty in this Report
Psychiatry
Diagnostic Radiology
Core Specialties
ACGME
Specialties
Included
Diagnostic
Radiology
Subspecialties
AMA Masterfile
Specialties
Included
Diagnostic
Radiology
Radiology
Neuroradiology
Vascular and
Interventional Radiology
Radiation Oncology
Surgery - General
Internal Medicine/Pediatrics
Abdominal Radiation
Endovascular Surgical
Neuroradiology
Neuroradiology
Pediatric Radiology
Nuclear Radiology
Musculoskeletal Radiology
Vascular and Interventional
Radiology
Cardiothoracic Radiology
Neuroradiology
Vascular and Interventional
Radiology
Radiation Oncology
Surgery-General
Radiation Oncology
General Surgery
Surgical Critical Care
Hand Surgery
Pediatric Surgery
Colon and Rectal Surgery
Vascular Surgery
Thoracic Surgery
Plastic Surgery
Colon and Rectal Surgery
Vascular Surgery
Thoracic Surgery
Colon and Rectal Surgery
Vascular Surgery
Thoracic Surgery
Plastic Surgery
Urology
Pain Medicine
ACGME Specialties Included
Urology
Urology
Internal
Medicine/Pediatrics
Internal
Medicine/Pediatrics
Plastic Surgery
Pediatric Urology
Pain Medicine
AMA Masterfile Specialties
Included
Abdominal Radiology
Neuroradiology
Pediatric Radiology
Nuclear Radiology
Musculoskeletal Radiology
Vascular And Interventional
Radiology
Cardiothoracic Radiology
Neurology/Diagnostic
Radiology/Neuroradiology
Vascular And Interventional
Radiology
Surgical Critical Care (Surgery)
Hand Surgery
Hand Surgery (Surgery)
Pediatric Surgery (Surgery)
Colon And Rectal Surgery
Vascular Surgery
Thoracic Surgery
Plastic Surgery
Colon And Rectal Surgery
Vascular Surgery
Thoracic Surgery
Congenital Cardiac Surgery
(Thoracic Surgery)
Pediatric Cardiothoracic Surgery
Plastic Surgery
Pediatric Urology
Pain Medicine (Anesthesiology)
Pain Management
Pain Medicine
Pain Medicine (Neurology)
Pain Medicine (Physical Medicine
& Rehabilitation)
Pain Medicine (Psychiatry)