Resident/Fellow Levels of Training as Defined by Specialty
Residents, if you have any questions about your year of training, please consult your program director.
Specialty/Subspecialty Name Beginning Level Intermediate Level Final Years of Training
Those in their first year who All who do not have a specialized Allergy and immunology None come to residency with education schedule specialized education schedule CA-1-4 and those who have not yet achieved the goals and Those who have completed all Anesthesiology CBY objectives of all core case core rotations and fulfilled all rotations or fulfilled all minimum minimum case requirements case requirements
Anesthesiology subspecialties None None All
Colon and rectal surgery None None All
PGY-1 (for those programs with First year (PGY-2) and Second Dermatology Third year (PGY-4) PGY-1 designates) year (PGY-3)
Dermatology subspecialties None None All
PGY-1 (for those programs with Emergency medicine PGY-2 PGY-3 and beyond PGY-1 designates)
Emergency medicine None None All subspecialties
Family medicine PGY-1 PGY-2 PGY-3 and PGY-4 Geriatric medicine None None All
Hospice and palliative medicine None None All
Internal medicine PGY-1 None PGY-2 and PGY-3
Internal medicine subspecialties None None All
©2016 Accreditation Council for Graduate Medical Education (ACGME) Resident/Fellow Levels of Training as Defined by Specialty
Specialty/Subspecialty Name Beginning Level Intermediate Level Final Years of Training
Medical genetics and genomics None Year 1 Year 2
Medical genetics and genomics None None All subspecialties
Neurological surgery PGY-1 PGY-2 PGY-3 and beyond
Endovascular surgical None None All neuroradiology
PGY-1 (for those programs with Neurology PGY-2 PGY-3 and beyond PGY-1 designates)
Child neurology None Year 1 Years 2 and 3
Clinical neurophysiology None None All
Neuromuscular medicine None None All
Neurodevelopmental disabilities None None All
Vascular neurology None None All
Nuclear medicine None Years 1 and 2 Year 3
Obstetrics and gynecology PGY-1 PGY-2 PGY-3 and PGY-4
Obstetrics and gynecology None None All subspecialties Osteopathic neuromuscular None ONMM-1 ONMM-2 medicine
Ophthalmology PGY-1 PGY-2 and PGY-3 PGY-4
©2016 Accreditation Council for Graduate Medical Education (ACGME) Resident/Fellow Levels of Training as Defined by Specialty
Specialty/Subspecialty Name Beginning Level Intermediate Level Final Years of Training
Ophthalmic plastic and None None All reconstructive surgery
Orthopaedic surgery PGY-1 PGY-2 and PGY-3 PGY-4 and above
Orthopaedic surgery None None All subspecialties
Otolaryngology PGY-1 PGY-2 and PGY-3 PGY-4
Otolaryngology subspecialties None None All
Pathology -- anatomic and PGY-1 PGY-2 PGY-3 and PGY-4 clinical
Pathology subspecialties None None All
Pediatrics PGY-1 PGY-2 PGY-3
Pediatric subspecialties None None All
Physical medicine and PGY-1 (for those programs with PGY-2 and PGY-3 PGY-4 rehabilitation PGY-1 designates)
Physical medicine and None None All rehabilitation subspecialties
Plastic surgery None None All
Plastic surgery – integrated PGY-1 Years 2 and 3 Year 4 and beyond
Plastic surgery subspecialties None None All
©2016 Accreditation Council for Graduate Medical Education (ACGME) Resident/Fellow Levels of Training as Defined by Specialty
Specialty/Subspecialty Name Beginning Level Intermediate Level Final Years of Training
PGY-1 (for those programs with Preventive medicine Year 1 Year 2 PGY-1 designates)
Preventive medicine None None All subspecialties
Psychiatry PGY-1 PGY-2 PGY-3 and beyond
Addiction psychiatry None None All
Child and adolescent psychiatry None PGY-2 PGY-3 and beyond
Forensic psychiatry None None All
Geriatric psychiatry None None All
Psychosomatic medicine None None All
Radiation oncology None PGY-2-4 PGY-5
Radiology -- diagnostic None Years 1-3 Year 4
Radiology subspecialties None None All
Surgery PGY-1 PGY-2 and PGY-3 PGY-4 and beyond
Surgery subspecialties None None All
Vascular surgery None None All
Vascular surgery -- integrated PGY-1 PGY-1 and PGY-3 PGY-4 and PGY-5
Thoracic surgery None None Years 1, 2, and 3
©2016 Accreditation Council for Graduate Medical Education (ACGME) Resident/Fellow Levels of Training as Defined by Specialty
Specialty/Subspecialty Name Beginning Level Intermediate Level Final Years of Training
Congenital cardiac surgery None None All
Thoracic surgery – integrated PGY-1 PGY-2 and PGY-3 PGY-4 and beyond
Urology None Years 1 and 2 Years 3 and 4
Pediatric urology None None All
Transitional year All None None
Sleep medicine None None All
Pain medicine None None All
Internal medicine/pediatrics PGY-1 PGY-2 PGY-3 and PGY-4
Unaccredited/combined PGY-1 PGY-2 PGY-3 and beyond programs
©2016 Accreditation Council for Graduate Medical Education (ACGME)