The Johns Hopkins Department of Medicine's internal medicine residency program has received full accreditation for three years from the Residency Review Committee for Internal Medicine (RRC-IM) of the Accreditation Council for Graduate Medical Education (ACGME) The committee's letter specifically "commended the Designated Institutional Official, Department Chair, and Program Director for the significant changes made to the residency and the program's demonstrated substantial compliance with the Essentials of Accredited Residencies in Graduate Medical Education." The committee has requested a report in September 2004 that demonstrates the program's continued full compliance with the duty hour standards, although the next formal site visit for the program will not take place until February 2006. A complaint from an intern in July, shortly after new duty hour standards were implemented, prompted the committee to conduct a site visit and issue a "summary withdrawal" of accreditation, which was to take place in July 2004. Documentation of compliance submitted by Hopkins resulted in interim probationary status. Another site visit was conducted in October, resulting in resumption of full accreditation. In a letter to the Johns Hopkins Medicine "family," Dean/CEO Edward D. Miller, M.D., and Vice Dean for Education David Nichols thanked all "who worked so hard in preparation for the repeat site visit in October. You clearly demonstrated that, in addition to the many changes implemented by the internal medicine program to comply with work hour rules both before and after July 1, we have redoubled our efforts to assure compliance with those rules. We are delighted that the program once again has attained full accreditation, a status it has enjoyed since 1955." According to Miller and Nichols, Johns Hopkins Medicine is "devoting enormous amounts of time and financial resources not just to meet, but to exceed, the ACGME standards. We have allocated many more staff to monitor duty hours and reorganized the Graduate Medical Education Committee structure to provide closer and better oversight of our residency programs." A full time compliance officer has been hired and a team appointed to verify information provided by each residency program on an ongoing basis. Their letter continued: "We believe that standards for resident duty hours are essential to a residency program that strives to provide compassionate patient care, advance scientific research and professionalism, and assure the best possible educational experience for residents. "We know that hundreds of you as residents, faculty and staff are working hard not only to maintain educational and clinical excellence, but also to achieve total compliance with ACGME standards. In many cases, this work goes beyond your own programs and extends to sister programs and to the institution as a whole. Only your faith in the promise of very talented house staff and fellows can explain this level of devotion."