Services/ACGME Compliance Consulting

ACGME Compliance Consulting

Site visit prep, gap analysis, and citation response — from someone who's been on both sides of the table.

ACGME accreditation is the foundation of every residency and fellowship program. When compliance gaps emerge — whether discovered internally or flagged by ACGME — the pressure to respond quickly and correctly is intense. Axis Academic Consulting provides hands-on compliance support that draws on over 10 years of director-level GME experience, including at HCA Healthcare, the nation's largest hospital system.

What is acgme compliance consulting?

ACGME compliance consulting provides Graduate Medical Education programs with expert guidance on meeting and maintaining accreditation standards set by the Accreditation Council for Graduate Medical Education. This includes preparing for scheduled site visits, responding to citations or areas for improvement, conducting self-studies, and building the systems needed to sustain compliance over time.

Who needs this

  • Programs preparing for an upcoming ACGME site visit or self-study
  • Programs that have received citations, warnings, or areas for improvement
  • New programs navigating initial accreditation requirements
  • Programs whose coordinator or program director recently changed
  • Institutions wanting a proactive compliance audit before issues arise

What we deliver

  • Comprehensive gap analysis against current ACGME program requirements
  • Self-study preparation including evidence organization and narrative support
  • Annual Program Evaluation (APE) facilitation
  • Written response drafts for ACGME citations and areas for improvement
  • Policy and procedure review and update recommendations
  • Faculty and resident preparation for site visit interviews

How it works

1

Discovery call

Free 30-minute call to understand your program's situation and timeline.

2

Gap analysis

Ashley reviews your current documentation against ACGME requirements and identifies priority areas.

3

Remediation plan

A prioritized action plan with ownership, timelines, and evidence requirements.

4

Hands-on support

Ashley works directly with your team to close gaps, draft responses, and prepare materials.

5

Final review

Pre-submission or pre-visit review of all materials before they go to ACGME.

Frequently asked questions

How quickly can you start if we have an urgent ACGME deadline?

Ashley typically begins new engagements within one week. For urgent situations — active citations or imminent site visits — reach out directly and note the timeline. Expedited engagements are available.

Do you work with programs that have received a warning or are at risk of probation?

Yes. High-stakes compliance situations are where director-level experience matters most. Ashley has worked through serious accreditation challenges and understands both the ACGME process and what surveyors are looking for.

Can you help us build systems so we don't end up in this situation again?

Absolutely. Sustainable compliance is the goal — not just getting through the immediate review. Every engagement includes recommendations for ongoing monitoring and documentation systems.

What specialties and program types do you work with?

Axis Academic Consulting works across medical and surgical specialties, primary care, and subspecialty fellowship programs. ACGME institutional requirements and common program requirements apply broadly — Ashley's expertise transfers across program types.