March 2021—The challenges of the COVID pandemic have exacerbated many struggles in medical education; the 2020 APDIM Fall Program Directors Survey revealed that up to one-third of internal medicine program directors in community- and university-based settings feel less than "highly supported" by GME leadership; 9.7% and 8.1% of program directors felt not at all supported by their hospital and GME leadership, respectively. Because the support of a DIO is critical to a successful education mission, the Alliance asked ACGME to strongly consider developing and implementing an assessment tool to objectively assess the performance of the DIO.
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