Number Terms & Definitions in GME

Contact

Carol Sundberg
gme@umn.edu
612-626-3317


Key

There are several terms used in Graduate Medical Education (GME) that refer to the number of residents and fellows coming into a program or currently in a program. 

This page captures the terms and their respective definitions in one place for easy reference.   

Terms, definition, and explanations

ACGME Complement

Definition

The maximum number of trainees approved by the ACGME Review Committee (RC) per training year (level) and/or per program based upon availability of adequate resources.

Explanation

Programs that are accredited by the ACGME are approved for a maximum number of trainees in their program.  The number is assigned based on the number of teaching faculty and the structure of the program (i.e., number of training sites and rotations).  In certain circumstances a program may need to request a temporary or permanent increase (or reduction) in their approved complement.  The Designated Institution Official (DIO) and the Graduate Medical Education Committee (GMEC) must approve this change.   See Program Changes for more information.

Programs are not guaranteed affiliated hospital support for their approved complement.

ACGME Filled

Definition

The number of trainees in the program.  Current (ACGME) list of filled trainee positions.

Explanation

In most cases the ACGME filled rate is comparable to the RMS trainee count.  However, both numbers are a snapshot in time and can vary by date.

Programs are not guaranteed affiliated hospital support for their ACGME filled number.

Full-Time Equivalents (FTEs)

Definition

1.0 FTE = 365 days

It is the time spent on rotations/assignments necessary to complete the requirements of the governing board and program. It does not automatically equate to 40 hours per week.

Explanation

MMCGME Services generates a monthly Statement of Activity (SoA) report. The report illustrates the time trainees spend on rotations/assignments.  If a trainee was training in the program for the entire month their time should equal 1.0 FTE.  If a trainee is not listed as 1.0 FTE, they may be off-cycle (started late in month or left early in month); on a leave of absence that extends training; etc. Contact rmshelp@umn.edu with questions.

FTE Budgets

Definition

The total number in the budget must represent all FTE trainees in a program based on their number of days expected to be in the program.  It includes all funding sources to support the trainees’ stipend/benefits.  Funding sources may include affiliated hospital support, grants support, department funding and all other external sources.

Explanation

The program’s FTE budget is included on the SoA as explained above. Contact rmshelp@umn.edu with questions. 

Programs are not guaranteed affiliated hospital support to cover all the trainees in their program.

NRMP Quota

Definition

The number of trainees the program is recruiting for the NRMP match.

Explanation

Programs that go through the NRMP determine how many individuals they will recruit into their program for the next academic year and this is their quota.  The DIO must approve changes in the NRMP quota.

Programs are not guaranteed affiliated hospital support for their NRMP quota.

RMS Trainee Count

Definition

The number of trainees listed in RMS as of a certain date.

Explanation

In most cases the ACGME filled rate is comparable to the RMS trainee count.  However, both numbers are a snapshot in time and can vary by date.

Programs are not guaranteed affiliated hospital support for their RMS Trainee Count.