This guide is an overview of Academic Medicine in the US, covering its key structures and terminology across three main areas:

The Basics — Academic Medicine revolves around a "tripartite mission" of Patient Care, Teaching, and Research. Medical education is divided into three stages: UME (med school), GME (residency/fellowship), and CME (ongoing education).

Key Organizations & Exams — Bodies like the NBME, USMLE, and NBOME govern licensing exams, while the ACGME sets standards for residency training. The NRMP manages the residency Match process.

Leadership & Committees — Programs are run by Deans, Program Directors, DIOs, and Clerkship Directors, supported by committees like the CCC (Clinical Competency Committee) and GMEC.

Competency-Based Education (CBME) — The dominant modern framework, focused on skills gained rather than time served. Built around 6 core competencies (e.g., Patient Care, Medical Knowledge, Professionalism), with Milestones tracking trainee progression. Assessment tools include EPAs, OSCEs, and Mini-CEX evaluations.