Request for Increase/Decrease in Resident Complement
Residency Review Committee for Internal Medicine
Per the Program Requirements, the Residency Review Committee for Internal Medicine must give prior approval for any change in resident complement for all internal medicine and subspecialty training programs. The Committee will judge if the educational resources are suitable and available to support the number of positions being requested and if an adequate educational rationale was provided. The service needs of the residency or participating institutions are not sufficient reason for an increase. 
Please note: programs with an accreditation status of warning or probation will not be considered for an increase in resident complement. Internal medicine core programs must have an ABIM board pass rate of greater than 80% for first-time takers for the most recent three-year period to be considered for an increase. 
Effective January 1, 2005, all requests for changes in resident complement must be submitted through the Accreditation Data System (ADS). 
Utilizing the Accreditation Data System (ADS)
In order to request an increase or decrease in the resident complement through the Accreditation Data System, please do the following: 
1.	Go to the ACGME website at www.acgme.org 
2.	Click on “Data Collection Systems” from the menu on the left. 
3.	From the sub-menu, select “ADS” and then select “Login”. 
4.	Enter your User ID and Password and click “Enter”. 
(If you do not have your User ID and Password, send an email request to webADS@acgme.org)
5.	From the menu on the left, under the Program Information heading, select “Update Program Information” and click “Start”. 
6.	From the steps listed at the top of the page, click on “Step 4 ACGME 
Approved/Filled Resident Positions”.
7.	In Step 4a, please enter your requested resident complement increase/decrease for each program year (if applicable) and change the total number of ACGME approved resident positions accordingly. Only change this section if you are officially requesting a change in resident complement. Combined residents should be included in the approved complement as 0.5 per resident; however, these residents are not to be counted in the Filled Positions (Step 4b). 
8.	Complete all the questions in Step 4c. Please note the question, “Has the DIO been notified of this request for increase or decrease?” You MUST have approval from your DIO (Designated Institutional Official) prior to submitting a request for resident complement increase/decrease.  If your DIO has not been previously notified, your request will be denied. 
9.	In Step 4d, you MUST give a detailed description of the educational rationale for the complement change. Without a satisfactory educational rationale, your request will be denied. 
10.	Click the “advance to Step 8” button: *You may receive a message that reads, “The approved positions by year do not equal the total approved positions”, click OK. *You may receive a message that reads, “The filled positions by year do not equal the total filled positions”, click OK. 
11.	On Step 8, click the “Save Changes for Steps 1-8” button to save and submit your request.