ABFM attestation requirements take effect June 2026. New competency documentation standards are coming—is your program ready? See the ABFM Attestation demo →
Residency management for the CBME era Track growth, not just time.
AI-native. Mobile-native. Competency-first. Built for CBME. Save hours every week—for Program Directors, Coordinators, Faculty, and Residents alike.
Five forces are reshaping medical education
The convergence is unprecedented. Programs that adapt will thrive. Those that don't will struggle with compliance, burnout, and attrition.
CBME Mandate
ACGME requires competency-based evaluation. Legacy systems track time, not growth. The gap is widening.
Market Disruption
90% market share held by legacy platforms—built to track time, not growth. Zero AI. Consolidation is adding uncertainty. Programs want out, but alternatives are sparse.
AI Readiness
Foundation models are production-ready. The barrier has collapsed. What matters now is application.
Administrative Burden
Residents admin instead of learning. Faculty complete forms instead of teaching—on platforms that don't even work on the devices they carry. AI and mobile-first design could change this.
Fragmented Journey
Each stage runs on disconnected systems. No continuity. No portability. The market wants better.
We're starting where purpose-built tooling matters most
The most programs, the most accessible buyer, and the widest gap between what programs need and what they have.
Small programs, same burden
FM skews small and community-based. A coordinator at a 6-6-6 program has the same ACGME and ABFM requirements as a 30-resident program—with a fraction of the staff. These are the programs managing milestones in spreadsheets.
Your program, your decision
Most FM residencies make their own technology decisions at the program or sponsoring institution level—no enterprise committee required. And with training distributed across community sites with varying IT infrastructure, mobile-first tooling isn't a luxury—it's a necessity. When you need better tools, you can go get them.
The most complex requirements in medicine
ABFM attestation, CoC tracking, supervision matrices by PGY year, full-spectrum training across all ages and settings. No generic platform handles this well. We didn't build generic—we built for FM.
The 12-month launch calendar
Three phases. Concrete dates. Pilot programs in each phase shape the product before it opens to everyone.
Purpose-built for the CBME era
Forget the burden of managing, upgrading, or bolting AI onto legacy software. Our platform is AI-native—purpose-built for agentic intelligence, competency visualization, and the high-stakes reality of modern residency training.
Competency-First Design
Visual milestone progression, growth narratives, and AI that identifies gaps early. Built for the question legacy platforms can't answer: "Is this resident becoming competent?"
Agentic AI
AI agents that do the work while you make the calls. Predicts violations 48 hours ahead. Auto-drafts evaluations. Returns clinical hours to patient care.
Specialty Editions
Launching with Family Medicine—purpose-built around the 50 features that matter most for your specialty. Psychiatry, Pediatrics, and Med-Peds editions are on the roadmap.
Action Rail™
Voice-enabled natural language that turns friction into flow. Log a procedure in under 30 seconds—hands-free, even at 11 pm.
Insight Rail™
Conversational AI that makes everyone self-sufficient. Ask questions, get answers—no dashboard hunting or email ping-pong.
Resident-Centric Focus
Residents build a portable portfolio—every procedure, evaluation, and certification—validated and theirs to carry forward. The foundation for a seamless career journey.
Mobile-Native App
All four personas on mobile from day one—not a companion app, a full mobile-native experience. Two-Rail AI on every screen, offline-first, with 28+ interactive screens in a live prototype.
Quantified impact for your program
Moving beyond promises to deliver measurable outcomes. Our Agentic AI handles the administrative heavy lifting so you can reclaim your time for what truly matters: mentoring the next generation and caring for patients.
Ready to see this for your program?
30-minute personalized demo · No commitment · We'll reach out within 2 business days
Natural language that works the way you do
Purpose-built for every role. No more hunting through menus or filling out endless forms.
Command interface for taking action. Logging procedures, requesting time off, generating reports—all through natural language. Voice input supported.
📱 Also on mobile — native bottom sheet with Shake to Log, voice input, card-based actions, and full offline support.
Dual-mode conversational AI. Program Data mode (blue) for status, progress, and analysis. Help & Support mode (green) for how-to questions and support tickets. Copy, share, or export any answer.
📱 On mobile: Morning Briefing delivers a single AI-generated summary replacing 6–8 individual notifications. Ask anything, anywhere.
Built for the realities of residency training
Every feature designed for the specific workflows of Family Medicine programs.
CCC Workflow with Bias Mitigation
ACGME-AlignedComplete Clinical Competency Committee workflow with built-in anchoring alerts, availability bias checks, and groupthink prevention. Structured discussion enforces speaking order starting with junior members. AI prepares the evidence; your committee makes fair, defensible calls.
AI-Drafted Evaluations with Voice Log
3 min vs. 15 minAI synthesizes rotation data, procedure logs, and prior evaluations into draft narratives with milestone mapping. Faculty tap record after a clinical moment—the AI transcribes, tags competency, and holds it as a private draft. At evaluation time, those notes weave directly into the AI-drafted narrative. Observations captured fresh, not reconstructed from memory. 60% time savings returned to teaching.
One-Click APE Report
45 min vs. 3–5 daysAnnual Program Evaluation that used to take days now generates in one click. All 15 ACGME-required sections with AI-generated narratives, data freshness indicators, and direct export to PDF and Word.
ABFM Attestation Tracker
4 min per residentEvidence aggregation across all 14 ABFM Core Competencies* with strength indicators per competency. AI-generated readiness summary, gap identification, and audit-ready documentation when the June 2026 deadline arrives.
Predictive Duty Hours
48-hour warningAI predicts ACGME violations 48 hours in advance—80-hour limits, rest requirements, 24+4 shift caps. Proactive schedule adjustments before violations occur. Three-tier alerts with automated corrective action documentation.
Lifetime Portable Portfolio
35+ year valueUnlike legacy systems where data belongs to the institution, residents own their portfolio forever. Cryptographically verified credentials follow physicians from residency through fellowship and career transitions. Physician as the Source of Truth™.
CoC Tracker & Predictor
6-month forecastReal-time Continuity of Care tracking with panel management, visit attribution, and predictive modeling. Residents see their progress against PGY-level targets; PDs forecast graduation readiness across the cohort months in advance.
Early Warning System
3–6 months earlierAI identifies at-risk residents months before traditional reviews surface concerns—milestone gaps, evaluation patterns, procedure deficits, and wellness signals. Proactive intervention replaces reactive remediation.
Teaching Physician Billing
Revenue RecoveryAutomated attestation capture with GC/GE modifier support, real-time compliance alerts, and audit-ready reports. Plus built-in support for G2211 visit complexity add-ons and APCM care management codes—new revenue streams from 2024–2025 that many programs aren't capturing yet. Revenue that was always yours, and revenue that's newly yours—now captured.
AI Co-pilot for Coordinators
Variable Autonomy™An overnight AI cycle resolves routine tasks while you sleep — duty hour chases, eval reminders, rotation gap detection. Wake up to an AI report showing what was auto-resolved, what was sent, and what needs your judgment. Batch actions execute dozens of tasks in one click, saving ~45 minutes daily. AI handles the routine; you handle the exceptions.
13 Pre-Loaded Clinical Data Sets
Day 1 ReadyLegacy systems ship empty—programs spend 12–16 weeks configuring before seeing value. GME Manager ships with curated, regulatory-aligned data including the G2211 and APCM codes that went live in 2024–2025. New program launching under the Medicare cap expansion? Everything flows end-to-end from day one: procedures → supervision → logging → billing → CCC review → attestation.
Mobile-Native App
All 4 Personas · 3 PhasesNot a companion app. Not a desktop wrapper. A mobile-native experience built from scratch for how residents, faculty, PDs, and coordinators actually work—between patients, in hallways, post-call. Two-Rail architecture (Action + Insight) delivered as mobile bottom sheets with voice, text, and card inputs. Predictive Pre-Fill Engine auto-populates 5 of 6 procedure fields. Offline-first with full functionality and smart sync.
GME Manager Agent Studio
The full GME Manager platform remains our primary offering. Agent Studio gives programs a second entry path: start with a single purpose-built AI agent and grow into the full experience over time. A credit card decision, not a procurement decision.
GME Manager
Comprehensive competency-based residency management. Milestone tracking, CCC meetings, AI-drafted evaluations, ACGME exports, duty-hour compliance, procedure logging. For programs ready to replace their current system.
Agent Studio
Start with the problem that's most urgent. Activate a single purpose-built AI agent and be running within an hour. Each agent solves a specific problem on its own. Together, they compound.
Each agent makes every other agent smarter
Every agent reads from and writes to a shared data mesh. Four foundation agents—Lifelong Portfolio, Data Gateway, Action Rail™, and Insight Rail™—ship with every purchase. Every other agent plugs into them. That's not a bundle. That's a flywheel.
Agentic AI and predictive analytics that coexist with legacy systems—syncing data both ways, surfacing intelligence inside the workflow your residents and coordinators already know. No migration. No retraining. No disrupted resident workflow. Adopt one agent, or a dozen, on top of what you already have.
Four more agents. One foundation.
After the GME Manager flagship pilots launch June 15, four purpose-built agents follow in October—each taking a workflow currently running on tools that weren't built for the residency programs of today, and rebuilding it on the same agent that runs GME Manager.
The agents that do the heavy lifting for your program
Six workhorse agents built around the work Program Directors and Coordinators actually do every week — not the work AI vendors wish they did.
And underneath: the agents that capture the moment, so the workhorses have something to work with.
Most residency platforms ask faculty and residents to re-enter, three weeks later, what they already did in clinic. These five agents capture it the first time — in seconds, from a phone — and feed it forward to every agent above.
Plus more agents covering scheduling, recruiting, remediation, and the five-agent Reimbursement Suite (Ledger, Leakage Hunter, IRIS Scribe, Affiliate Billing, Forecaster) — each preloaded with curated data, each making every other agent in your stack a little smarter.
Variable Autonomy™
The AI does the work. You make the calls.
Healthcare organizations are naturally risk-averse regarding AI—and rightfully so. We believe AI only delivers value when it is adopted with confidence. Our Variable Autonomy framework puts Program Directors in the driver's seat, allowing you to calibrate each agent's independence. This ensures trust is earned incrementally rather than demanded upfront, transforming AI from a source of risk into a trusted partner.
AI synthesizes evaluation data and suggests milestone levels; CCC reviews and must explicitly approve each determination.
AI automatically processes routine evaluations but escalates those with significant discrepancies for PD review.
AI processes duty hour submissions, validates compliance, and sends reminders with PD oversight limited to exceptions.
The exact approach risk-averse healthcare organizations need to say yes.
Enterprise-Grade Security & PD Control
Plugged into the hStream ecosystem.
GME Manager is built on the hStream ecosystem from HealthStream — the workforce platform your health system likely already uses for credentialing, learning, and compliance. From day one, GME Manager plugs in for identity, single sign-on, and secure data sharing.
Identity & Single Sign-On
Residents, faculty, and coordinators sign in with the same hStream credentials your health system already issues. No new passwords. No separate identity store for IT to manage. The login your staff knows is the login GME Manager uses.
Secure Data Sharing
Encrypted, audited data exchange between GME Manager and the broader hStream ecosystem — built to the same standards HealthStream applies to its enterprise customers. Your security and compliance teams recognize the framework before they read the BAA.
Person Services & API Access
Authorized API access to HealthStream Person Services — the system-of-record for credentials, privileging, and primary source verification — plus the curated data and learning content your institution already licenses. Your data finds GME Manager instead of you keying it in.
Day-one credibility with the people who say yes or no. When your CIO, CISO, and GME office hear “built on hStream,” the conversation starts in a different place.
The deal is genuinely simple.
Pilots are free for 90 days. All we ask is honest feedback at three points across the 90 days, via a simple online form.
Programs that join are not signing up to be sold to — they're signing up to make the product better for everyone who comes after them.
Early-pilot sites help shape the product. In return, they get 180 days of free access instead of 90.
Decide on Friday. Run on Monday.
We believe if your product needs an implementation team, your product isn’t good enough.
No BAA Required
We never store, process, or transmit Protected Health Information. No procurement committee. No security review bottleneck.
Free 90-Day Pilot
The LaunchPad Pilot is free, self-guided, and yours for 90 days. A credit card, not a procurement cycle.
AI-Powered Setup
Enter your specialty, state, and class list. The AI configures itself. Running with real residents by Monday morning.
Ready to see what's possible?
Watch a walkthrough for your role, explore our mobile-native experience, share it with your team, or skip straight to a personalized live demo. Either way—you'll see why programs are making the switch.
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Choose your role and see how GME Manager works for you.
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