Appendix
Table A1: Total Residents in ACGME-accredited Programs by Specialty, 2000-2009
Specialty Category / GME YEAR / % Change 00-09 /2000 / 2003 / 2006 / 2009* /
Core / Subspec / Core / Subspec / Core / Subspec / Core / Subspec / Core / Subspec /
Internal Medicine - prelim / 2,230 / . / 2,626 / . / 2,368 / . / 2,367 / . / 6.1%
General Surgery - prelim / 1,166 / . / 1,173 / . / 1,132 / . / 1,270 / . / 8.9%
Transitional Year / 1,188 / . / 1,225 / . / 1,209 / . / 1,137 / . / -4.3%
Allergy and Immunology / . / 228 / . / 262 / . / 289 / . / 307 / 34.6%
Anesthesiology / 4,382 / 107 / 4,913 / 165 / 5,170 / 165 / 5,496 / 320 / 25.4% / 199.1%
Dermatology / 918 / 35 / 1,018 / 58 / 1,095 / 83 / 1,116 / 116 / 21.6% / 231.4%
Emergency Medicine / 3,662 / 28 / 3,967 / 56 / 4,406 / 83 / 5,011 / 123 / 36.8% / 339.3%
Family Medicine / 10,384 / 91 / 9,757 / 119 / 9,667 / 160 / 9,621 / 206 / -7.3% / 126.4%
Internal Medicine / 19,262 / 7,892 / 19,246 / 8,650 / 19,881 / 9,309 / 20,187 / 10,035 / 4.8% / 27.2%
Cardiovascular Disease / . / 2,074 / . / 2,150 / . / 2,325 / . / 2,510 / 21.0%
Endocrinology / . / 433 / . / 487 / . / 541 / . / 584 / 34.9%
Gastroenterology / . / 1,006 / . / 1,150 / . / 1,240 / . / 1,346 / 33.8%
Infectious Disease / . / 647 / . / 696 / . / 747 / . / 798 / 23.3%
Nephrology / . / 699 / . / 818 / . / 835 / . / 937 / 34.0%
Rheumatology / . / 312 / . / 359 / . / 401 / . / 424 / 35.9%
Geriatric Medicine / . / 318 / . / 341 / . / 279 / . / 249 / -21.7%
Hematology and Oncology1 / . / 1,188 / . / 1,333 / . / 1,498 / . / 1,630 / 37.2%
Pulmonary Disease and Critical
Care Medicine2 / . / 1,215 / . / 1,316 / . / 1,443 / . / 1,558 / 28.2%
Neurological Surgery / 833 / . / 845 / . / 927 / . / 1,118 / . / 34.2%
Neurology / 1,404 / 261 / 1,419 / 335 / 1,617 / 428 / 1,880 / 528 / 33.9% / 102.3%
Nuclear Medicine / 113 / . / 147 / . / 152 / . / 157 / . / 38.9%
Obstetrics and Gynecology3 / 4,775 / . / 4,726 / . / 4,808 / . / 4,965 / . / 4.0%
Ophthalmology / 1,358 / . / 1,321 / . / 1,287 / . / 1,309 / . / -3.6%
Orthopedic Surgery / 3,071 / 203 / 3,093 / 248 / 3,224 / 305 / 3,445 / 384 / 12.2% / 89.2%
Orthopedic Sports Medicine / . / 84 / . / 91 / . / 104 / . / 126 / 50.0%
Otolaryngology / 1,164 / 12 / 1,185 / 19 / 1,365 / 27 / 1,426 / 37 / 22.5% / 208.3%
Pathology4 / 2,309 / 269 / 2,331 / 350 / 2,340 / 409 / 2,435 / 445 / 5.5% / 65.4%
Pediatrics / 7,752 / 1,893 / 7,908 / 2,321 / 8,132 / 2,801 / 8,367 / 3,217 / 7.9% / 69.9%
Pediatric Critical Care Medicine / . / 244 / . / 267 / . / 354 / . / 383 / 57.0%
Pediatric Cardiology / . / 222 / . / 264 / . / 321 / . / 374 / 68.5%
Pediatric Hematology/Oncology / . / 248 / . / 289 / . / 341 / . / 420 / 69.4%
Neonatal-Perinatal Medicine / . / 433 / . / 502 / . / 545 / . / 629 / 45.3%
Physical Medicine and Rehabilitation / 1,128 / 11 / 1,152 / 18 / 1,201 / 22 / 1,240 / 38 / 9.9% / 245.5%
Preventive Medicine / 411 / 2 / 341 / 5 / 295 / 8 / 274 / 9 / -33.3% / 350.0%
Psychiatry / 4,573 / 828 / 4,658 / 884 / 4,762 / 945 / 4,888 / 1,024 / 6.9% / 23.7%
Child and Adolescent Psychiatry / . / 658 / . / 686 / . / 732 / . / 796 / 21.0%
Diagnostic Radiology / 3,801 / 379 / 4,143 / 413 / 4,423 / 477 / 4,638 / 570 / 22.0% / 50.4%
Neuroradiology / . / 170 / . / 211 / . / 230 / . / 262 / 54.1%
Vascular and Interventional
Radiology / . / 151 / . / 129 / . / 126 / . / 170 / 12.6%
Radiation Oncology / 454 / . / 526 / . / 571 / . / 623 / . / 37.2%
Surgery-General / 6,266 / 1,226 / 6,463 / 1,295 / 6,550 / 1,251 / 6,499 / 1,206 / 3.7% / -1.6%
Colon and Rectal Surgery / . / 51 / . / 62 / . / 73 / . / 80 / 56.9%
Vascular Surgery5 / . / 148 / . / 172 / . / 203 / . / 241 / 62.8%
Thoracic Surgery6 / . / 329 / . / 319 / . / 282 / . / 230 / -30.1%
Plastic Surgery7 / . / 558 / . / 587 / . / 506 / . / 413 / -26.0%
Urology / 1,128 / 13 / 1,094 / 18 / 1,056 / 19 / 1,070 / 32 / -5.1% / 146.2%
Pain Medicine / . / 3 / . / . / . / 226 / . / 270 / 8900.0%
Internal Medicine/Pediatrics / 1,666 / . / 1,480 / . / 1,463 / . / 1,448 / . / -13.1%
Other combined and other subspecialties8 / 533 / 66 / 496 / 74 / 497 / 115 / 542 / 258 / 1.7% / 290.9%
Integrated Surgical Specialties9 / 1 / . / 14 / . / 133 / . / 345 / . / 34400.0%
TOTAL / 85,932 / 13,547 / 87,267 / 15,290 / 89,731 / 17,122 / 92,874 / 19,125 / 8.1% / 41.2%
* 2009 totals adjusted up by 2.39% (based on historical averages) to account for late reporting
Source: GME Track
Notes referenced by number in specific lines in the table:
1 Hematology and Oncology also includes programs in Hematology and in Oncology.
2 Pulmonary Disease and Critical Care Medicine also includes programs in Pulmonary Disease and in Critical Care Medicine.
3 Data for subspecialties of Obstetrics and Gynecology are not available.
4 Among Pathology subspecialties, only Chemical Pathology requires Pathology as a prerequisite. Other pathology subspecialties only require three prior years of graduate medical education, but most fellows enter Pathology residency first. Medical Genetic Pathology is included with the Pathology subspecialties.
5 New residents in integrated Vascular Surgery programs are included with Integrated Surgical Specialties.
6 New residents in integrated Thoracic Surgery programs are included with Integrated Surgical Specialties.
7 New residents in integrated Plastic Surgery programs are included with Integrated Surgical Specialties.
8 Other subspecialties include Medical Genetics, Sleep Medicine, and Hospice and Palliative Medicine.
9 Integrated Surgical Specialties include Vascular Surgery integrated, Thoracic Surgery Integrated, and Plastic Surgery Integrated.
Table A2: Residents in Program Year 1 by Specialty (excluding preliminary and transitional years), 2000-2009
Specialty Category / GME YEAR / Percent Change between 00 and 09 /2000 / 2003 / 2006 / 2009* /
Core / Subspec / Core / Subspec / Core / Subspec / Core / Subspec / Core / Subspec /
Allergy and Immunology / . / 113 / . / 121 / . / 144 / . / 145 / 28.3%
Anesthesiology / 1,385 / 102 / 1,579 / 156 / 1,667 / 158 / 1,680 / 316 / 21.3% / 209.8%
Dermatology / 320 / 32 / 347 / 55 / 368 / 80 / 373 / 110 / 16.6% / 243.8%
Emergency Medicine / 1,217 / 13 / 1,324 / 26 / 1,477 / 39 / 1,641 / 64 / 34.8% / 392.3%
Family Medicine / 3,558 / 85 / 3,362 / 113 / 3,376 / 156 / 3,249 / 199 / -8.7% / 134.1%
Internal Medicine / 6,069 / 3,120 / 6,217 / 3,490 / 6,481 / 3,703 / 6,551 / 3,941 / 7.9% / 26.3%
Cardiovascular Disease / . / 679 / . / 712 / . / 793 / . / 830 / . / 22.2%
Endocrinology / . / 205 / . / 204 / . / 256 / . / 284 / . / 38.5%
Gastroenterology / . / 342 / . / 387 / . / 421 / . / 439 / . / 28.4%
Infectious Disease / . / 265 / . / 320 / . / 339 / . / 354 / . / 33.6%
Nephrology / . / 316 / . / 383 / . / 394 / . / 450 / . / 42.4%
Rheumatology / . / 154 / . / 161 / . / 185 / . / 202 / . / 31.2%
Geriatric Medicine / . / 240 / . / 287 / . / 243 / . / 225 / . / -6.3%
Hematology and Oncology1 / . / 426 / . / 498 / . / 529 / . / 561 / . / 31.7%
Pulmonary Disease and Critical
Care Medicine2 / . / 493 / . / 538 / . / 543 / . / 597 / . / 21.1%
Neurological Surgery / 158 / . / 166 / . / 197 / . / 279 / . / 76.6%
Neurology / 457 / 155 / 479 / 229 / 542 / 269 / 623 / 316 / 36.3% / 103.9%
Nuclear Medicine / 66 / . / 88 / . / 93 / . / 57 / . / -13.6% / .
Obstetrics and Gynecology3 / 1,208 / . / 1,251 / . / 1,251 / . / 1,286 / . / 6.5% / .
Ophthalmology / 440 / . / 427 / . / 424 / . / 443 / . / 0.7% / .
Orthopedic Surgery / 738 / 197 / 652 / 242 / 673 / 298 / 716 / 377 / -3.0% / 91.4%
Orthopedic Sports Medicine / . / 82 / . / 90 / . / 104 / . / 127 / 54.9%
Otolaryngology / 294 / 8 / 279 / 9 / 308 / 16 / 287 / 21 / -2.4% / 162.5%
Pathology4 / 587 / 212 / 596 / 311 / 627 / 361 / 653 / 410 / 11.2% / 93.4%
Pediatrics / 2,583 / 674 / 2,721 / 860 / 2,751 / 970 / 2,849 / 1,130 / 10.3% / 67.7%
Pediatric Critical Care Medicine / . / 86 / . / 99 / . / 136 / . / 149 / . / 73.3%
Pediatric Cardiology / . / 74 / . / 93 / . / 110 / . / 125 / . / 68.9%
Pediatric Hematology/Oncology / . / 90 / . / 103 / . / 115 / . / 147 / . / 63.3%
Neonatal-Perinatal Medicine / . / 140 / . / 172 / . / 183 / . / 206 / . / 47.1%
Physical Medicine and Rehabilitation / 377 / 10 / 371 / 16 / 389 / 21 / 398 / 30 / 5.6% / 200.0%
Preventive Medicine / 212 / 1 / 186 / 2 / 157 / 4 / 144 / 3 / -32.1% / 200.0%
Psychiatry / 1,286 / 463 / 1,348 / 523 / 1,331 / 572 / 1,366 / 618 / 6.2% / 33.5%
Child and Adolescent Psychiatry / . / 307 / . / 341 / . / 369 / . / 394 / . / 28.3%
Diagnostic Radiology / 1,000 / 305 / 1,073 / 358 / 1,120 / 431 / 1,167 / 533 / 16.7% / 74.8%
Neuroradiology / . / 116 / . / 167 / . / 194 / . / 233 / 100.9%
Vascular and Interventional Radiology / . / 144 / . / 125 / . / 120 / . / 168 / 16.7%
Radiation Oncology / 146 / . / 110 / . / 162 / . / 157 / . / 7.5% / .
Surgery-General / 1,215 / 583 / 1,339 / 609 / 1,271 / 615 / 1,045 / 672 / -14.0% / 15.3%
Colon and Rectal Surgery / . / 51 / . / 60 / . / 72 / . / 81 / . / 58.8%
Vascular Surgery5 / . / 89 / . / 100 / . / 122 / . / 119 / . / 33.7%
Thoracic Surgery6 / . / 141 / . / 139 / . / 112 / . / 102 / . / -27.7%
Plastic Surgery7 / . / 202 / . / 192 / . / 160 / . / 168 / . / -16.8%
Urology / 262 / 4 / 239 / 13 / 248 / 12 / 247 / 13 / -5.7% / 225.0%
Pain Medicine / . / 3 / . / . / . / 225 / . / 270 / . / .
Internal Medicine/Pediatrics / 444 / . / 385 / . / 386 / . / 372 / . / -16.2% / .
Other combined and other subspecialties8 / 125 / 28 / 126 / 34 / 115 / 73 / 127 / 209 / 1.6% / 646.4%
Integrated Surgical Specialties 9 / . / . / 11 / . / 45 / . / 98 / . / . / .
TOTAL / 24,147 / 6,108 / 24,676 / 7,167 / 25,459 / 8,147 / 25,808 / 9,377 / 6.9% / 53.5%
Source: GME Track
* 2009 totals adjusted up by 3.49% (based on historical averages) to account for late reporting
Notes referenced by number in specific lines in the table:
1 Hematology and Oncology also includes programs in Hematology and in Oncology.
2 Pulmonary Disease and Critical Care Medicine also includes programs in Pulmonary Disease and in Critical Care Medicine.
3 Data for subspecialties of Obstetrics and Gynecology are not available.
4 Among Pathology subspecialties, only Chemical Pathology requires Pathology as a prerequisite. Other pathology subspecialties only require three prior years of graduate medical education, but most fellows enter Pathology residency first. Medical Genetic Pathology is included with the Pathology subspecialties.
5 New residents in integrated Vascular Surgery programs are included with Integrated Surgical Specialties.
6 New residents in integrated Thoracic Surgery programs are included with Integrated Surgical Specialties.
7 New residents in integrated Plastic Surgery programs are included with Integrated Surgical Specialties.
8 Other subspecialties include Medical Genetics, Sleep Medicine, Hospice and Palliative Medicine.
9 Integrated Surgical Specialties include Vascular Surgery integrated, Thoracic Surgery Integrated and Plastic Surgery Integrated.
Table A3. Summary of PY1 Residents Expected to Enter Practice in the Following Specialty Areas, 2000-2009
Specialty / 2000 / 2003 / 2006 / 2009* / % Change '00 - '09Family Medicine / 3,473 / 3,249 / 3,220 / 3,050 / -12.2%
General Internal Medicine / 2,949 / 2,727 / 2,778 / 2,610 / -11.5%
General Pediatrics / 1,909 / 1,861 / 1,781 / 1,719 / -10.0%
Internal Medicine(IM)/Pediatrics and IM/Family Medicine / 448 / 389 / 390 / 378 / -15.6%
Total Primary Care / 8,779 / 8,226 / 8,169 / 7,757 / -11.6%
General Surgery / 632 / 730 / 656 / 690** / 9.2%
Emergency Medicine / 1,217 / 1,324 / 1,477 / 1,641 / 34.8%
Obstetrics/Gynecology / 1,208 / 1,251 / 1,251 / 1,286 / 6.5%
Psychiatry / 1,286 / 1,348 / 1,331 / 1,366 / 6.2%
Other Medical Specialties / 1,570 / 1,615 / 1,723 / 1,858 / 18.3%
Hospital-based Specialties / 3,187 / 3,449 / 3,669 / 3,714 / 16.5%
Surgical Specialties / 2,475 / 2,383 / 2,510 / 2,742 / 10.8%
Internal Medicine Subspecialties / 3,120 / 3,490 / 3,703 / 3,941 / 26.3%
Pediatric Subspecialties / 674 / 860 / 970 / 1,130 / 67.7%
Total Non-primary care / 15,369 / 16,450 / 17,290 / 18,368 / 19.5%
Total Primary and Non-primary care / 24,148 / 24,676 / 25,459 / 26,125 / 8.2%
Source: GME Track
* 2009 totals adjusted up by 3.49% (based on historical averages) to account for late reporting.
** 2009 general surgery data are unreliable and therefore 2008 data is reported for general surgery only. See note below for detailed explanation.
***Likely over-represents the number entering general ob/gyn practice as this does not account for subspecialization in non-ACGME ob/gyn fellowships.
Table A4: Program Year 1 Residents by Specialty and Gender, 2000-2009
2000 / 2003 / 2006 / 2009 /
Gender / Gender / Gender / Gender / Gender /
F / M / F / M / F / M / F / M / F / M /
CORE SPECIALTIES
Anesthesiology / 352 / 1,028 / 456 / 1,122 / 580 / 1,087 / 616 / 1,064 / 75.0% / 3.5%
Dermatology / 182 / 137 / 208 / 138 / 225 / 143 / 235 / 137 / 29.1% / 0.0%