The American Medical Association (AMA) and the Association of American Medical Colleges (AAMC) together maintain a database of information on graduate medical education (GME) training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) and of the residents and fellows in them. Every spring approximately 19 000 new residents who match into programs through the National Resident Matching Program (NRMP) are added to this database as well as new residents who did not match, information collected through the AAMC's follow-up report of medical schools. The AMA and the AAMC also jointly administer the annual National GME Census through GME Track, an Internet-based AAMC product. From May 2009 until December 2009 all directors of programs accredited by the ACGME were asked to complete the Census on GME Track. Information about the training programs supplied by the program directors is added to FREIDA Online, an Internet-based public information source on GME programs that is available to medical students and residents. In July 2009 we surveyed program directors about their active, transferred, and graduated residents and fellows for academic year 2009-2010. Program directors are provided with lists of residents and fellows from the current database and are asked to (1) confirm or modify the training status of trainees who were present in their programs the prior year; (2) add new physicians to their program not already in our database; and (3) confirm, edit, or add demographic information (including sex, birth date, country of birth, citizenship status, and race/ethnicity).
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