TAGME Cheat Sheet 2026

The 30 highest-yield TAGME facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. Under Title IX, what obligations do GME programs at federally funded institutions have? → Prohibit sex-based discrimination and harassment and provide a grievance process
2. What is 'entrustable professional activity' (EPA) in the context of GME? → A unit of professional practice that can be trusted to a trainee at a defined level
3. Which ACGME Core Competency is MOST directly addressed when a faculty development program trains attendings to teach evidence-based medicine at the bedside? → Practice-Based Learning and Improvement
4. A clinical educator repeatedly praises a resident's communication skills when evaluating their procedural competency. Which rater error is occurring? → Halo effect
5. What is the primary purpose of the ACGME Clinical Learning Environment Review (CLER) program? → To assess how institutions engage residents in patient safety and quality improvement
6. Why is it important for Training Administrators to maintain accurate duty hour logs? → To comply with ACGME regulations and prevent resident fatigue
7. Which of the following is an example of an 'unfilled position' signal that program administrators should address before the next recruitment cycle? → Multiple highly ranked applicants declined interview offers
8. Under ACGME requirements, which entity holds primary responsibility for developing and implementing a resident well-being program? → The sponsoring institution
9. Which federal law primarily governs the privacy and security of residents' educational records held by a GME program? → FERPA
10. The ACGME's 'Next Accreditation System' (NAS) shifted the accreditation model primarily toward which approach? → Outcomes-based assessment using Milestones and annual data reporting
11. Which document must a program submit to ACGME that provides a comprehensive self-assessment of educational outcomes and program quality? → Annual Program Evaluation (APE)
12. Which organization publishes the Common Program Requirements that all ACGME-accredited programs must follow? → ACGME
13. Which ACGME accreditation pathway is designed for new programs that have not yet trained residents? → Pre-Accreditation
14. Under the ADA, a program may ask an applicant about a disability: → After a conditional offer of appointment has been made
15. Which assessment tool is commonly used by programs to gather multi-source feedback on resident performance? → 360-degree evaluation
16. Which software might a Training Administrator use to manage GME data? → Residency Management System (e.g., MedHub, New Innovations)
17. A faculty member who excels clinically but struggles with giving constructive feedback would benefit MOST from which type of faculty development intervention? → Feedback skills workshop
18. What is the ACGME's definition of 'moonlighting' in the context of duty hours? → Voluntary, compensated, medically-related work outside the program's formal duties
19. Under ACGME well-being requirements, which of the following must programs provide to residents? → Access to confidential mental health services without fear of jeopardizing training status
20. When building a multi-year GME financial model, which assumption has the GREATEST impact on long-term cost projections? → Annual percentage growth in resident stipend levels
21. A GME administrator is asked to perform a 'gap analysis' for the upcoming budget cycle. What does this process involve? → Identifying the difference between projected funding and projected program expenses
22. Which element of the ERAS application is specifically designed to give the applicant a chance to explain any gaps in training or red flags on their application? → Personal Statement
23. Which ACGME tool is used by programs to track and manage resident and faculty data, case logs, and accreditation-related information? → ADS (Accreditation Data System)
24. A program receives an application from an IMG with ECFMG certification. Which statement is accurate? → ECFMG certification confirms the applicant has met minimum standards for GME entry
25. A program coordinator is scheduling interviews and wants to ensure ADA compliance. Which accommodation request must the program legally consider? → An applicant requesting a sign language interpreter for the interview
26. What does 'vicarious liability' mean for a Sponsoring Institution in the context of resident actions? → The institution may be held legally responsible for the actions of its resident employees
27. What platform do most residency applicants use to submit their applications to ACGME programs? → Electronic Residency Application Service (ERAS)
28. Which ACGME accreditation status is publicly disclosed and indicates that a program's continued accreditation is at risk? → Probationary Accreditation
29. When must NRMP rank lists be certified by program directors? → By midnight Eastern on the rank order list deadline day
30. What is the purpose of program evaluation data in GME strategic planning? → To identify gaps, assess quality, and guide continuous improvement efforts