1. site visit report must then be received by the Review Committee(RC) office two months before the RC meeting
   1. Complete the specific sub-specialty program information form(PIF) and sign it by the program director
      1. Identify your institution's Designated Institutional Official (DIO) and send the application form to that person's office for approved by your own Graduate Medical Education Committee (GMEC)
         1. Submit the Graduate Medical Education Committee (GMEC) approved application to the ACGME Review Committee
            1. The program director and DIO will be notified when your application has been received.
            2. The program director and DIO will be e-mailed the week after the meeting with the RC's decision, and a detailed notification letter will follow within 60 days.
            3. Propose Withhold: The RC determines that the proposed program would not be in compliance with accreditation requirements.
            4. The program may then submit a rebuttal, to be reviewed at the next RC meeting.
            5. Defer for a site visit: If this is an application for a subspecialty that does not require a site visit, the RC may schedule one before making their decision.
            6. Initial Accreditation: The RC approves the application, and the effective date is the beginning of the academic year in which the application was received.
            7. ACGME General Surgery Staff Contacts.doc
2. independent subspecialty program is not directly related to, or dependent upon, the accreditation status of a core specialty program.
   1. There are two sets of requirements that each accredited program must comply with: 1-the institutional requirements & 2-the specialty program requirements:
      1. ACGME Institutional Requirements.pdf
      2. ACGME Program Requirement for General Surgery.pdf
      3. subspecialties that do not require site visits for application reviews eg.Orthopaedic, Pathology, Pediatrics)
      4. any subspecialties not listed at( http://www.acgme.org/acWebsite/home/accreditation_application_process.asp ) require site visits before the ACGME Review Committee reviews the application
3. dependent subspecialty (a subspecialty of one of the specialties listed above), confirm that your sponsor also sponsors an accredited program in that core specialty.
   1. must be sponsored by the same ACGME-accredited sponsoring institution, and should be geographically proximate. In those cases where a dependent subspecialty program is located in a specialized institution, the requirements pertaining to sponsorship and relationship to the core specialty program may be waived by the Review Committee (RC).
4. Submit a Graduate Medical Education Committee (GMEC) approved application to the ACGME Review Committee