Navigating Pediatric Residency Program Accreditation Pediatric residency program accreditation is overseen by the Accreditation Council for Graduate Medical Education (ACGME), which renders accreditation decisions on all programs annually. The Review Committee for Pediatrics uses information submitted by training programs and at times, site visits, to determine accreditation status. Programs must be in substantial compliance with both the Common and specialty-specific Program Requirements. Citations are generated when the committee identifies areas that are not in compliance with the Program Requirements. Site visits may be necessary to help the committee gather additional information about the program and should be organized and prepared for by the visited program. The accreditation process provides structure and strategies for programs to establish ongoing program enhancement in a quality improvement fashion. The ACGME, the local institution through its designated institutional official (DIO) and Graduate Medical Education Committee (GMEC), and the Association of Pediatric Program Directors provide additional support to assist program leaders through the accreditation process.