Advocacy

The Alliance collaborates with other major medical societies and organizations to advance organizational priorities and advocate for issues important to members. Keep updated on the latest AAIM successes and take action on key policy issues affecting academic internal medicine.

Navigation

Calls to Action

Research Funding

AAIM Coalitions

Toolkits & Resources

Statements of Support

Calls to Action

Occasionally the Alliance identifies issues of concern to the internal medicine community where individual member or institution action could provide meaningful support.

  • Thru Dec. 1: The ABIM Board of Directors is recruiting for new members. Nominations close on December 1st and all candidates must be ABIM-certified, practicing physicians. Please visit the ABIM website for full details.
    Read More

  • Thru Dec. 11: The second ACGME Stakeholder Survey is now open for responses regarding upcoming revisions to the Common Program Requirements. This survey will collect responses regarding: work hours, dedicated time, faculty ratio, quality and safety, well-being, categorization, artificial intelligence, and nutrition. 
    Complete the Survey

  • In response to a recent Executive Order imposing a $100,000 fee on employers for each H1-B application, the Alliance and the American College of Physicians (ACP) ask members to contact their representatives to urge the Secretary of Homeland Security to enact the national interest exemption on H-1B visa fees for physicians. ACP has provided an editable form letter which will automatically be sent to representatives according to ZIP code.
    Visit the ACP Legislative Action Center

  • How will changes to J-1 and H-1B visa policies impact you? The American College of Physicians (ACP) is collecting personal stories and testimonials on the wide-ranging impact of recent administrative changes to J-1 and H-1B visa policies. In order to accurately document what these policies mean for the U.S. health workforce and patient access, the ACP would like to hear from all impacted members, particularly program directors and IMGs.
    Complete the Survey

Research Funding

On the issue of research funding, AAIM collaborates with the following partners: AAMC, ACP, FASEB, Research!America, and SGIM. Select advocacy policies, tools, and resources can be found below.

Coalitions

The Alliance participates in a number of Association of American Medical College (AAMC) Coalitions on behalf of its members.

Toolkits & Resources

AAIM curates a number of additional advocacy toolkits and resources relevant to the internal medicine community.

Statements of Support

2025

The Alliance Signs On to Reject Cuts to Funding for FY 2026 Programs of the Centers for Disease Control and Prevention

October 2025 - AAIM joins the coalition in urging the Labor, Health, and Human Services, Education and Related Agencies to reject cuts of $1.77 billion to programs of the CDC in FY 2026. The CDC Coalition urges House and Senate leaders reject cuts it believes undermines critical public health programs. Instead, the Coalition requests a final FY 2026 bipartisan bill providing robust funding for the CDC and its vital contributions to the country's health care infrastructure.

Read the Letter

The Alliance Signs On to Support $47.2B for the National Institutes of Health (NIH)

October 2025 - AAIM joins more than 450 members of the Ad Hoc Group for Medical Research urging leaders of the House and Senate (HHS) appropriations committees to finalize the FY 2026 Labor, Health and Human Services, Education, and Related Agencies (Labor-HHS) spending bill of $47.2 billion for NIH.  Funding is already Senate Appropriations Committee-approved and would be in addition to funding for the Advanced Research Projects Agency for Health (ARPA-H).

Read the Letter

The Alliance Joins the AAMC and More Than 160 Healthcare Organizations Urging Policymakers to Embrace and Codify the Financial Accountability in Research (FAIR) Model for Federal Research Funding

September 2025 - As of September 22, 2025, 164 organizations have signed on to a letter requesting lawmakers to develop a new, more transparent model for ensuring that institutions’ essential research costs are adequately supported. The letter also urges the relevant governing bodies not to institute arbitrary caps which, without nuance, could prevent high-quality scientific research.

Read the Letter

AAIM Posts Public Comment Urging the Department of Homeland Security (DHS) to Protect Duration of Status for J-1 Visa Physicians 

September 2025 - The public comment period for proposed DHS rule Docket ICEB-2025-0001 is now open and the Alliance encourages all members to participate. If implemented, J-1 physicians would be required to complete Extensions of Status (EOS), a process which can take 6 months to more than a year. AAIM leaders posted a public comment explaining the unnecessary nature of the change and urging DHS to protect physicians' duration of status. The comment period closes September 29, 2025.

Get More Information

AAIM Signs On to Community Letter in Support of the Resident Physician Shortage Reduction Act 

September 2025 - The Alliance joins with 66 other medical associations and organizations to show enthusiastic support for the Resident Physician Shortage Reduction Act. The letter, sent to Capitol Hill on behalf of the Graduate Medical Education (GME) Advocacy Coalition, urges continued bipartisan support for the legislation, which will add 14,000 new positions over seven years.

Read the Letter

The Alliance Joins Community Letter to Preserve Long-standing Loan Limit Exception for Health Professions 

September 2025 - AAIM joins over 40 organizations and educational institutions urging the Department of Education to continue extending the loan limit exception for health professions. A key aspect of providing health care to underserved communities is supporting aspiring health professionals in those communities. Preserving the long-standing exception, authorized by the Department of Education, ensuring equal access to health care across communities in America.

Read the letter

AAIM Signs On with 67 Organizations in Urging Reauthorization of the Health Resources and Services Administration's (HRSA's) Title VII and VIII Programs

August 2025 - To ensure schools, students, health professionals, and communities are prepared to meet the varied needs of the nation's population, the letter urges a reauthorization of Title VII health professions and Title VIII nursing workforce development programs, which are set to expire at the end of fiscal year 2025.

Read the letter

The Alliance Joins More than 500 Organizations in Signing the Research!America Letter in Support of NIH Funding

June 2025 - At less than 1% of the federal budget, the NIH delivers an outsized return on investment to America and its citizens, supporting medical research and breakthroughs in cancer, Alzheimer's, diabetes, and so many more. The drafted budget includes an $18B cut to the NIH and also calls to eliminate crucial institutions without public input. The 500 organizations and 2,300 individuals joining the Research!America letter to Congress call for a minimum of $51.3B in NIH funding for FY 2026.

Read the letter

AAIM Joins More than 500 Health and Research Organizations Signing the Coalition for Health Funding's Letter to Urge Full Funding for the Department of Health and Human Services (HHS) in FY 2026

April 2025 - As drafted, the Administration's proposed FY 2026 budget would cut about one-third of the HHS discretionary spending, impacting the United States' most necessary health and research agencies: the National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC), Health Resources and Services Administration (HRSA), and many more. The Coalition for Health Funding asks the Appropriations Committee to reject the drafted budget and ensure American healthcare is adequately funded.

Read the letter

The Alliance Joins the Ad Hoc Group for Medical Research to Urge $51.3B in Funding for the National Institutes of Health (NIH)

April 2025 - The Ad Hoc Group for Medical Research - made up of more than 500 organizations representing patients, scientists, health professionals, research and academic institutions, educators, and industry - urges Congress to expand NIH spending 9% over Fiscal Year 2025. Funding for the NIH grows each fiscal year, regardless of political parties, as the lifesaving work is vital to supporting the health and well-being of patients and communities across the country.

Read the letter

AAIM Joins 600 Organizations Urging Congress to Approve Robust Funding for the National Institutes of Health (NIH)

March 2025 - The Alliance adds its voice to a letter urging Congress to fully fund the NIH in the Fiscal Year 2025 appropriations bill and prevent cuts to reimbursement for NIH grantee facilities and administrative costs. Ahead of the March 14 deadline, cosignatories ask Congress to ensure NIH receives at least the $1.77 billion increase proposed in the bipartisan appropriations bill.

Read the letter

The Alliance Joins 194 Organizations Asking for the Agency for Healthcare Research and Quality (AHRQ) to Be Fully Funded

March 2025 - AAIM joins a record-breaking list of 194 organizations asking for AHRQ to be fully funded at $500 million in Fiscal Year 2026. AHRQ is a unique federal health agency, funding both health services research (HSR) and primary care research (PCR); it's more critical than ever to improve health systems, outcomes, value of care, and access: AHRQ-funded projects fill these knowledge gaps.

Read the letter

2024

Updated Coalition for Health Funding Letter for Fiscal Year 2025

November 2024 - The Alliance is proud to join more than 400 co-signatories on a letter to the Labor, Health and Human Services, Education, and Related Agencies (Labor-HHS), urging them to pass the spending bill by the end of the calendar year with a robust investment in the NIH.

Read the letter

June 2024 - AAIM is happy to share the final fiscal year 2025 NDD letter, updated to include state-affiliated groups that were not included previously. This letter calls on Congress to fully appropriate necessary non-defense discretionary funds to keep pace with rising costs. Read the full, updated letter to Congress below.

Read the letter

GME Advocacy Coalition Letter to the Senate Finance Committee Working Group on GME

June 2024 - The 50 members of the Graduate Medical Education Advocacy Coalition (GMEAC) responded to the Bipartisan Medicare Graduate Medical Education (GME) Working Group’s Draft Proposal Outline and Questions for Consideration. The group appreciates the bipartisan effort to further expand GME, which would have a tremendous impact on the physicians and teaching hospitals facing impending physician shortages by 2036.

Read the letter

AAIM Joins the Friends of HRSA Coalition in Supporting the Inclusion of at Least $10.5B for HRSA Programs from FY 2025 Discretionary Funds

April 2024 - AAIM joins more than 80 organizations as the Friends of HRSA coalition in urging discretionary funds for Heath Resources and Services Administration programs in FY 2025, matching the coalition's amount from FY 2024. AAIM and the coalition believe that strong funding for HRSA is critical to protecting the health of our communities.

Read the letter

AAIM Supports Acceptance of the COMLEX-USA as Equivalent to the USMLE

March 2024 - The Alliance for Academic Internal Medicine (AAIM) encourages all Internal Medicine residency programs and Internal Medicine subspecialty fellowship programs, in their holistic review of applicants, to accept that the COMLEX-USA results are equivalent to the USMLE.

Read the letter

The Alliance Signs On to Reject Cuts to Non-Defense Discretionary Funding in FY 2024 Deal

January 2024 - AAIM joined 1,098 local, state, and national organizations in a letter calling on Congress to reject a full year CR that would result in cuts to non-defense discretionary programs and adopt the bipartisan Senate funding framework as a starting point for FY24.

Read the letter

2023

The Alliance Joins NAM Change Maker Campaign for Health Workforce Well-Being

October 2023 -  In October 2022, The National Academy of Medicine released the National Plan for Health Workforce Well-Being to drive collective action to strengthen health workforce well-being and restore the health of the nation, as more nurses, physicians, and public health employees than ever are poised to leave their professions.  To celebrate the first year of the national plan,  NAM launched the Change Maker Campaign, which aims to advance the national plan priority areas and spark a national movement to support health workforce well-being. The campaign will provide a dynamic mechanism to facilitate information sharing and collaboration across ongoing initiatives, document their impact, and amplify effective solutions to common challenges.  As a Change Maker, AAIM joins more than 190 organizations representing health care and public health leaders, government, payers, industry, educators, and other groups to drive policy and systems change.
 

The Alliance Recommends Title Change Administrators in ACGME CPRs

September 2023 -  AAIM sent a letter to ACGME recommending to change the title from “program coordinator” to “program administrator” in the Common Program Requirements. A task force analyzed results from the 2023 APDIM Program Administrators Survey and found the data shows that 30% of individuals currently serving in this role hold a bachelor's degree, with 31% of individuals either pursuing or having completed a master's degree or higher. Moreover, survey results over the last eight years show that the percentage of individuals in this role who hold a bachelor’s degree or higher has consistently increased. This title change will more accurately reflect the level of responsibility and education required for this role.
 

The Alliance Signs on to Support Disability-Inclusive Health Care

September 2023 - AAIM joined more than 20 organizations to support a roadmap developed by the Action to Build Clinical Confidence and Culture coalition to improve the health care of 14 million Americans who have intellectual and/or developmental disabilities (IDD).  The coalition will work with professional societies, such as AAIM, ACP, and ACGME, to map IDD competencies, create curriculum standards and quality measures, incentivize clinical education, advocate for licensing and certification standards, and promote clinical environments that are supportive of people with IDD.

View the roadmap | See the steering committee

AAIM Urges NASEM to Improve Internal Medicine Representation for Primary Care

August 2023 -- Earlier this week, the Alliance sent a letter to the leadership of the National Academies Standing Committee on Primary Care, urging them to consider increasing the number of representatives to be included in the newly established Standing Committee on Primary Care.  Internal medicine is the specialty with the largest number of active physicians specializing in primary care, yet only two internal medicine physicians are listed in the provisional committee appointments. AAIM also recommended considering individuals from community-based teaching hospitals.

Read the letter>

Alliance, Other Stakeholders Send Letter to Congress Urging Appropriate Funding for NDDs

May 2023 -- The Alliance and 760 local, state, and national organizations signed onto and sent a letter calling on Congressional leadership to reject cuts to non-defense discretionary appropriations (NDDs).

Read the letter>

Alliance, Other Stakeholders Sign Letter Supporting the Resident Physician Shortage Reduction Act of 2023

May 2023 -- The Alliance and nearly 80 other organizations signed-on to a letter sent to congressional leaders supporting the Resident Physician Shortage Reduction Act of 2023 (H.R. 2389). This bipartisan legislation is crucial to expanding the physician workforce and ensuring that patients across the country are able to access quality care from providers. The Resident Physician Shortage Reduction Act of 2023 supports a gradual increase of the number of Medicare-funded GME positions by 2,000 per year for seven years, for a total of 14,000 new slots.

Read the letter>

Alliance, Other Stakeholders Sign-on to Letter in Support of the DACA Program and Dreamers

March 2023 -- The Alliance and 77 other organizations signed-on to and sent a letter to congressional leaders urging enactment of legislation that provides permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. The letter, which was also sent to Sen. Durbin and Sen. Graham, the sponsors of the Dream Act, outlines the invaluable contributions that "Dreamers" provide to the US health and biomedical workforce. Legislation is needed in light of recent court rulings that have left the DACA program in legal limbo. 

Read the letter>

Alliance, Other Stakeholders Sign-on to Final Ad Hoc Group Recommendations

March 2023— The Alliance, as one of almost 400 members of the Ad Hoc Group for Medical Research, signed onto the final Ad Hoc Group Recommendations letter sent to House and Senate Appropriations Committee leaders in March 2023. The Ad Hoc Group FY 2024 funding recommendation requests at least $50.924 billion for NIH’s foundational work, a $3.465 billion increase over the comparable FY 2023 program level. 

Read the letter>

AAIM Supports Seven Program Signals for 2023-2024 Residency Application

March 2023 — The Alliance has been an integral part of the ERAS Supplemental Application Pilot in FY 2022 and FY 2023. In FY 2024, geographic preferences and the revised experiences section of the pilot will be fully integrated into the application. Program signals are also being fully integrated into the MyERAS application for applicants in 2024, but due to the complexity of program signaling, each interested specialty was asked to explicitly agree to participate in program signals. After careful consideration, the Alliance has indicated that internal medicine will use program signaling in FY 2024; APDIM and CDIM leaders selected seven as the best number of program signals. 

Read more>

AAIM Responds to Proposed ACGME Revisions to Subspecialty Program Requirements

February 2023 — The Alliance provided feedback to ACGME about the proposed revisions to the internal medicine subspecialty program requirements.  Rather than sharing specific views on individual subspecialities, AAIM comments relate the general requirements that apply to all subspecialties.  In particular, the Alliance urged ACGME to acknowledge the broad variability of institutional support available to programs and therefore to be more flexible in requirements related to required rotations, nontraditional settings, and telemedicine.  AAIM also urged ACGME to be less prescriptive in the requirements for minimum core faculty and faculty expertise in novel technologies.

Read the feedback>

2022

Alliance, Other Stakeholders Urge Congress to Finalize FY2023 Funding

December 2022— The Alliance, as one of almost 300 members of the Ad Hoc Group for Medical Research, signed onto a November 8 letter sent to House and Senate Appropriations Committee leaders urging the passage of the final FY 2023 funding bills. Specifically, the letter called for passing the $47.5 billion for the NIH base budget that the House Appropriations Committee has already passed. The letter also requested that Congress avoid another continuing resolution (CR) after the current FY 2022 CR ends on December 16, and encourages passage of a final FY2023 spending bill.
Read the letter

AAIM Provides Feedback on Unintended Consequences of New ACGME FTE Requirements

September 2022—Through the work of a cross-council writing group, the Alliance developed a letter summarizing many of the concerns about the new program requirements for core faculty support of internal medicine residency and fellowship programs. Sent September 8, the letter to ACGME acknowledges the shared goal of providing outstanding training and the mutual commitment to prioritizing resources for education. However, the new requirements have raised several financial challenges and potential repercussions for training, compensation, and research that AAIM hopes to ameliorate through cooperation with ACGME and other key stakeholders.

Update:  In a September 21 response, ACGME shared that in response to the input from the Alliance and others, the current core faculty member FTE requirements for internal medicine subspecialties will not be enforced in 2023 and that they will be revised as part of the major revision of subspecialty program requirements currently underway.

Read the letter | Read the ACGME response

The Alliance Signs On to GME Advocacy Coalition Letter

July 2022—The Graduate Medical Education Advocacy Coalition--of which AAIM is a member--sent a letter to Senate Majority Leader Chuck Schumer and House Speaker Nancy Pelosi to urge them to build upon historic investment in the health care workforce as they consider upcoming budget reconciliation legislation. Investments to increase the number of physicians are sorely needed; the coalition specifically asked leaders to include policies that would increase Medicare support for GME in the budget reconciliation legislation.

Read the letter

The Alliance Joins More than 75 Organizations in Statement Against Legislative Interference

July 2022—Initially developed by the American College of Obstetricians and Gynecologists and the American Medical Association in response to the June 24 US Supreme Court decision in Dobbs v. Jackson Women’s Health Organization, the statement asserts that “as the US health care system enters a post-Roe era, we, representing dozens of major organizations of health care professionals, oppose all legislative interference in the patient–clinician relationship. Our patients need to be able to access—and our clinicians need to be able to provide—the evidence-based care that is right for them, including abortion, without arbitrary limitations, without threats, and without harm.”

Read the full statement

The Alliance Calls for Policymakers to Support Gun Safety Legislation

May 2022—The Alliance is saddened and horrified by the most recent spate of mass shootings in the United States. More than two years ago, AAIM joined 40 other leading organizations to call for policies to help reduce firearm related injury and death in the United States. Today, the Alliance calls for policymakers to represent the interests of the public—which includes our patients, learners, and faculty and staff—and support legislation to mandate background checks, enact “red flag” laws, ban access to assault weapons, and increase federal support for research on gun violence as a public health issue.

Read the full statement

Alliance Continues Advocacy for Formal DIO Evaluation Process

April 2022— Because the support of a DIO is critical to a successful education mission, the Alliance has again asked ACGME to strongly consider developing and implementing an assessment tool to objectively assess the performance of the DIO. To be beneficial to the program, institution, and ACGME, this tool should be anonymous, administered on a 360-degree basis (including all key stakeholders), and include feedback from all program directors within the institution. The Alliance also asked ACGME to consider a formal DIO evaluation process in March 2021 in consideration of the challenges posed to institutions by the COVID-19 pandemic.

Read the April 2022 letter to ACGME | Read the March 2021 letter to ACGME

AAIM maintains many partnerships geared toward advancing all facets of academic internal medicine.