Residents and fellows entering ACGME-accredited programs are physicians who have graduated from medical school and are pursuing specialization. Residency programs provide clinical experience and education in a particular specialty. Fellowship programs provide additional clinical experience and education in a subspecialty after residency. Practicing physicians, after completing their residency and fellowship, must participate in continuing medical education to maintain their licenses.

Physician Education Responsible Organizations Status Upon Completion
Physician Education
Medical School
Undergraduate Medical
Education (UME)
Responsible Organizations
Liaison Committee on Medical
Education (LCME)/Commission on
Osteopathic College Accreditation
(COCA)
Status Upon Completion
Graduates are MDs or DOs
Physician Education
Residency and Fellowship
Graduate Medical Education (GME)
Responsible Organizations
Accreditation Council for
Graduate Medical Education
(ACGME)
Status Upon Completion
MDs and DOs are eligible for
licensure after one to two years
of residency and certification
upon completion of residency
Physician Education
Continuing Medical Education (CME)
Responsible Organizations
Accreditation Council for
Continuing Medical Education
(ACCME)/Council on Continuing
Medical Education (CCME) of the
American Osteopathic Association (AOA)
Status Upon Completion
MDs and DOs must periodically
participate in CME to maintain
medical license