Section	ACGME-I Specialty-Specific Program Requirements for Graduate Medical Education	Addition/Change	Clarification
II.F.5	A minimum of six additional months must be spent in other primary and preventive care settings relevant to the healthcare of women, such as obstetrical high-risk clinic, family medicine rotation, internal medicine ambulatory assignment, or emergency medicine rotation.	A minimum of six additional months must be spent in other primary and preventive care settings relevant to the healthcare of women, such as obstetrical high-risk clinic, family medicine rotation, internal medicine ambulatory assignment, menopause clinic, 24-hour women’s clinic and emergency medicine rotation.	The patients seen in the menopause clinic present a wide range of primary care, and preventive care issues. Similarly, patients seen in the 24 hour clinic present with the entire range of primary care complaints and it is essentially a “walk-in” clinic for women.

II.B.1

On an obstetrics and gynecology service, adequate supervision requires the 24-hour presence of faculty in the hospital except when residents are not assigned in-house call responsibilities.

Singapore Clarification

In Singapore, physicians who have obtained the following are considered as appropriate supervisor of on-call residents in obstetrics and gynecology:

a) have completed at least 4 years of recognised training in Obstetrics and Gynecology;

b) have successfully passed M.Med (O&G) or MRCOG ; and

c) have been appointed by the Sponsoring Institution to undergo advanced specialist education in obstetrics and gynecology (i.e., Advanced Specialist Training).

Requested Variation

The current Residency training programme has a duration of (TY+ 48) + 24 months. The variation allows the sponsoring institution’s credentialed registrar physician in obstetrics and gynecology who has completed Housemanship + 4 years of training as a specialist to supervise junior residents on-call.

Such Registrar physicians have completed basic specialist training and are now undergoing advanced specialty training. They have passed the Royal College (UK, Australia) or Masters of Medicine (Singapore) examinations and provide 24/7 coverage in the hospital and supervise junior medical staff, medical officers and basic specialist trainees in the current UK system.

The Residency Advisory Committee for Obstetrics and Gynecology judged that this would put registrar physicians at the same minimum level for US attending physicians.

Credentialing and Oversight

The Sponsoring Institution, through the Program Director and Designated Institutional Official, will appoint qualified registrar physicians as supervisors of the on-call residents. The Specialist Accreditation Board through the Joint Committee on Specialty Training and the obstetrics and gynecology Residency Advisory Committee (RAC) will have oversight for this process.

Specialty	Requirements
O&G	Pass M.Med (O&G) or MRCOG PD certification of successful completion of R4 with effect from 16 March 2018 for all O&G residents