Graduate medical education

Graduate medical education (GME) refers to any type of formal medical education, usually hospital-sponsored or hospital-based training, pursued after receipt of the M.D. or D.O. degree in the United States This education includes internship, residency, subspecialty and fellowship programs, and leads to state licensure and board certification.

Graduate medical education is part of what's known as the continuum of medical education, following undergraduate medical education (UME)—the training that leads to the M.D. degree—and preceding continuing medical education (CME).

Teaching approaches

The medical curriculum aims to train graduates to be versatile physicians capable of preventive, promotive, curative, and rehabilitative care. It offers a broad yet flexible education to prepare them for diverse career paths. Specialized training is tailored to various service environments, emphasizing practical skills. Community and rural healthcare are emphasized, alongside self-directed learning. Graduates are encouraged to think logically, express ideas clearly, and understand the social context of health. Teaching methods prioritize hands-on experience over lectures, promoting active learning in small groups. Clinical training occurs in outpatient settings and communities, with small group clinics for personalized attention. Integrated teaching approaches connect different disciplines through problem-based learning. Group discussions and seminars enhance communication and leadership skills. Faculty development and modern educational technology are emphasized. To optimize learning, vacation time is limited, and adequate resources are required for curriculum implementation.