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Eligibility Criteria

Eligibility and Selection of Housestaff Physicians

BUMC utilizes the ACGME requirements for eligibility and selection of Housestaff physicians. Each training program is required to have a departmental policy addressing these guidelines.




Applicants with one of the following qualifications are eligible for appointment to either ACGME-accredited or TMB or ADA approved programs:
  • Graduates of medical schools in the United States and Canada accredited by the Liaison Committee on Medical Education (LCME).
  • Graduates of colleges of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA).
  • Graduates of medical schools outside the United States and Canada (International Medical Graduates – IMGs) who meet the following qualifications:
  • Have received a currently valid certificate from the Educational Commission for Foreign Medical Graduates prior to appointment.
  • Have a full and unrestricted license to practice medicine in a US licensing jurisdiction in which they are training.
  • Possess a Green card or procure a J-1 visa.
  • H1B visas are not sponsored by BUMC for Housestaff training.



  • BUMC does not discriminate with regard to any basis protected by law, including sex, race, age, religion, color, national origin, disability or veteran status.
  • Housestaff physicians are selected from among eligible applicants on a compilation of the following: preparedness, ability, aptitude, academic credentials, communication skills and personal qualities such as motivation and integrity.
  • Housestaff physicians are selected through a standardized application process. For Surgical Critical Care Fellowship, Surgical critical care and Acute care surgery, we use the Surgical critical care and Acute care surgery Fellowship Application Service (SAFAS).
  • Candidates are required to submit an application accompanied by a Dean's letter, a transcript, three letters of recommendation from attending physicians and a personal statement.
  • A personal interview is required.
  • The Selection Committee evaluates each applicant concerning aptitude, academic credentials, characteristics and ability to communicate.


The Program Director then submits a rank list to the National Resident Matching Program (NRMP) for all first-year applicants. A similar process is employed for advanced Housestaff physicians, but these Housestaff may not go through the NRMP.

  • Each fellow must successfully complete an ACGME-accredited specialty program and/or meet other eligibility criteria as specified by the Review Committee. The program must document that each fellow has met the eligibility criteria.
  • Fellowship programs must receive verification of each entering fellow’s level of competency in the required field using ACGME or CanMEDS Milestones assessments from the core residency program.
  • Prior to appointment in the program, fellows must have completed at least three clinical years in an ACGME-accredited graduate educational program in one of the following specialties: anesthesiology, emergency medicine, neurological surgery, obstetrics and gynecology, orthopedic surgery, otolaryngology surgery, thoracic surgery, vascular surgery or urology.
  • Fellows who have completed an emergency medicine residency must also complete one preparatory year as an advanced preliminary resident in surgery at the institution where they will enroll in the surgical critical care fellowship. The content of this year should be defined jointly by the program directors of the surgery program and the surgical critical care program. It must include clinical experience in the foundations of surgery and the management of complex surgical conditions. At a minimum, this preparatory year of education must include supervised clinical experience in:
  • Pre-operative evaluation, including respiratory, cardiovascular and nutritional evaluation
  • Pre-operative and post-operative care of surgical patients, including outpatient follow-up care
  • Advanced care of injured patients
  • Care of patients requiring abdominal, breast, head and neck, endocrine, transplant, cardiac, thoracic, vascular and neurosurgical operations
  • Management of complex wounds
  • Minor operative procedures related to critical care, such as venous access, tube thoracostomy and tracheostomy

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