Based on CMS funding support of residents and backed by AAIM and subspecialty organizations in internal medicine, residents are not available to begin fellowship activities prior to July 1. However, due to COVID-19, some fellowships are now instructing residents to arrive two weeks prior to orientation so that they may quarantine in their new location. This additional requirement would place unwarranted pressure on programs and trainees alike.
AAIM believes that requiring residents to report for fellowship prior to completion of residency training is disruptive to medical education, creates unnecessary stress on the residents, and risks violating federal labor laws and/or CMS graduate medical education funding rules. Adoption of July 1 as the earliest start date for all training and orientation activities would resolve conflicts for residents created by variations in timing for institutional orientation programs.