Changes that Require Designated Institutional Official (DIO)/ACGME Approval February 13, 2026 19:45 Program Director (must be initiated by the DIO) Complement/approved positions (must be initiated by the Program Director) Voluntary withdrawal (must be initiated by the Program Director) Program length/format changes Related articles Program's Complement (Approved Positions) Change Change or Correct a Person's Name in ADS Frequently Asked Questions about Sponsorship Changes and Sponsoring Institution or Program Name Changes Sponsor/Program Name Changes and Sponsorship Transfers Program's Accredited Length of Training Change