{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:02:18Z","timestamp":1789718538255,"version":"4.0.1"},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AEM Education and Training"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The newly posted 2026 Emergency Medicine (EM) Program Requirements by the Accreditation Council of Graduate Medical Education (ACGME) creates both financial challenges and opportunities for programs and hospitals. The complexity of the federal government funding of GME through Centers for Medicare and Medicaid Services (CMS) makes it difficult for program and institutional Graduate Medical Education (GME) leaders to identify the financial implications of changes in clinical EM operations and curriculum design. Institutional initiation of a change in program format is best implemented with an understanding of the hospital's financial priorities. In this concept paper, we discuss steps to clearly identify the financial impact of the EM residency program format on CMS funding and program complement size. We also provide clarifications on the new ACGME required programmatic changes and their impact on EM residency funding.<\/jats:p>","DOI":"10.1002\/aet2.70245","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T04:21:06Z","timestamp":1788754866000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Financial Implications of the Updated\n                    <scp>ACGME<\/scp>\n                    Requirements for Emergency Medicine Residency Programs"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9743-358X","authenticated-orcid":false,"given":"Douglas","family":"McGee","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8568-7838","authenticated-orcid":false,"given":"Mary Jo","family":"Wagner","sequence":"additional","affiliation":[{"name":"CMU Medical Education Partners, Covenant HealthCare College of Medicine at Central Michigan University (CMU)  Saginaw Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"\u201cCenters for Medicare & Medicaid Services Direct Graduate Medical Education (DGME) \u201daccessed January 22 2026 https:\/\/www.cms.gov\/medicare\/payment\/prospective\u2010payment\u2010systems\/acute\u2010inpatient\u2010pps\/direct\u2010graduate\u2010medical\u2010education\u2010dgme."},{"key":"e_1_2_12_3_1","unstructured":"\u201cCenters for Medicare & Medicaid Services Indirect Graduate Medical Education (IME) \u201daccessed January 22 2026 https:\/\/www.cms.gov\/medicare\/payment\/prospective\u2010payment\u2010systems\/acute\u2010inpatient\u2010pps\/indirect\u2010medical\u2010education\u2010ime."},{"key":"e_1_2_12_4_1","unstructured":"Association of American Medical Colleges \u201cMedicare Payments for Graduate Medical Education: What Every Medical Student Resident and Advisor Needs to Know \u201d2025 accessed January 22 2026 https:\/\/store.aamc.org\/medicare\u2010payments\u2010for\u2010graduate\u2010medical\u2010education\u2010what\u2010every\u2010medical\u2010student\u2010resident\u2010and\u2010advisor\u2010needs\u2010to\u2010know.html."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-24-00378.1"},{"key":"e_1_2_12_6_1","unstructured":"Code of Federal Regulations \u201c42 CFR 413.79(a) Direct GME Payments: Determination of the Weighted Number of FTE Residents \u201d accessed January 22 2026 https:\/\/www.ecfr.gov\/current\/title\u201042\/part\u2010413\/section\u2010413.79#p\u2010413.79(a)."},{"key":"e_1_2_12_7_1","unstructured":"American Board of Emergency Medicine \u201cPolicy on EM Residency Training Requirements \u201daccessed February 3 2026 https:\/\/www.abem.org\/wp\u2010content\/uploads\/2024\/08\/em\u2010residency\u2010training\u2010requirements.pdf."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.33470\/2379-9536.1318"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2018.07.004"},{"key":"e_1_2_12_10_1","unstructured":"\u201cCenters for Medicare & Medicaid Services MLN \u2013 Information for Critical Access Hospitals \u201d accessed February 3 2026 https:\/\/www.cms.gov\/files\/document\/mln006400\u2010information\u2010critical\u2010access\u2010hospitals.pdf."}],"container-title":["AEM Education and Training"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aet2.70245","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aet2.70245","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aet2.70245","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:11:55Z","timestamp":1789715515000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/aet2.70245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,6]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/aet2.70245"],"URL":"https:\/\/doi.org\/10.1002\/aet2.70245","archive":["Portico"],"relation":{},"ISSN":["2472-5390","2472-5390"],"issn-type":[{"value":"2472-5390","type":"print"},{"value":"2472-5390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,6]]},"assertion":[{"value":"2026-01-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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