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In 2014, the Accreditation Council for Graduate Medical Education (ACGME), American Osteopathic Association (AOA), and American Association of Colleges of Osteopathic Medicine approved a single accreditation system for graduate medical education in the United States. For osteopathic graduate medical education programs transitioning to ACGME accreditation, this change has been met with a mixture of anticipation, apprehension, and some anxiety as programs complete their application and undergo the accreditation site visit. Applying for ACGME accreditation will require programs to make changes and acquire a new perspective on resident education for programs that have a long-standing osteopathic tradition. This article offers the perspective of 1 of these programs, along with guidance by the ACGME, intended to assist osteopathic programs in navigating the transition process. The internal medicine residency at St. John Providence Macomb-Oakland Hospital in Warren, Michigan, a suburb of Detroit, has 36 residents. The program prepared its application between July and early September 2015 and had a site visit in October. The Review Committee for Internal Medicine granted the program initial accreditation at its meeting in March 2016. Planning for ACGME Accreditation

The Journey to ACGME Accreditation: A Program's Perspectives and Practical Guidance From the ACGME