Oculofacial plastic surgery fellowship director perspectives on accreditation council for graduate medical education (ACGME) accreditation - Report - MDSpire

Oculofacial plastic surgery fellowship director perspectives on accreditation council for graduate medical education (ACGME) accreditation

  • By

  • Ayaka Fujihashi

  • Katerina Tori

  • Michael M. Han

  • John B. Holds

  • Alon Kahana

  • Steven M. Couch

  • Hui Bae H. Lee

  • July 8, 2026

  • 0 min

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Clinical Report: Insights from Oculofacial Plastic Surgery Fellowship Directors

Overview

A national survey of fellowship directors revealed that 79.5% oppose transitioning to ACGME accreditation for oculofacial plastic surgery fellowships, citing regulatory and financial concerns. Only 20.5% support the change.

Background

The potential transition to ACGME accreditation for oculofacial plastic surgery fellowships is significant. The ACGME has established national standards for residency and fellowship programs. Understanding the perspectives of fellowship directors is crucial for assessing the feasibility of this transition.

Data Highlights

ResponseCount
Support ACGME Accreditation9 (20.5%)
Oppose ACGME Accreditation35 (79.5%)

Key Findings

  • Only 20.5% of fellowship directors support ACGME accreditation.
  • 94.3% of those opposed cited the burden of regulation as a concern.
  • 82.9% expressed concerns about duty-hour restrictions.
  • 65.7% feared decreased training quality.
  • 71.4% mentioned cost as a barrier to accreditation.
  • 60.0% reported lack of institutional support as a significant issue.

Clinical Implications

Fellowship directors' opposition to ACGME accreditation reflects concerns over regulation and financial implications.

Conclusion

The survey indicates a strong opposition among fellowship directors to ACGME accreditation, primarily due to concerns over regulation and financial implications.

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