Graduate Medical Education Consulting
Elevating your medical education enterprise.
Graduate medical education has a lot of moving parts. Fascend helps residency programs, fellowship programs, and sponsoring institutions bring clarity to the complexity through practical strategy, grounded partnership and effective systems.

Founding principal's track record
Since 2007
in GME leadership
100%
first-submission ACGME approval rate
$1.2M
in federal funding secured for programs
Who we serve
Institutions committed to training physicians that need added capacity or expertise in Graduate Medical Education.
Community Health Centers
From feasibility to Teaching Health Center status, building programs that train and keep physicians in underserved communities.
Community Hospitals
Launching first programs or expanding existing ones, with the institutional infrastructure to sustain them.
New & Expanding Medical Schools
Building the residency pipeline graduates need to stay and practice locally.
Established GME Programs & Sponsoring Institutions
Partnering with DIOs and GME leadership on site visit preparation, program reviews, committee support, and ongoing advisory.
Serving institutions nationwide, on-site and virtually.
How We Help
Five stages, one clear path, plus flexible support whenever you need it.
Feasibility & Strategic Planning
Know whether a program can work before you commit resources.
02 · EstablishInstitutional Accreditation
Build the Sponsoring Institution foundation every program depends on.
03 · BuildProgram Accreditation
Take your residency or fellowship application from first draft to submission.
04 · LaunchProgram Launch
Put day-to-day systems in place through your first cohort's graduation.
05 · SustainOngoing Advisory
Steady support for Sponsoring Institutions and programs.
06 · FlexibleFlexible Support
Targeted projects and hourly advisory when you need them.
Why Institutions Choose Fascend
Principal-led, start to finish
The consultant who scopes your engagement is the one who does the work. No handoffs to junior staff.
Accreditation expertise grounded in regulatory alignment
Built on ACGME requirements, with a 100% first-submission approval record behind it.
Strategic clarity without complexity
Executive-level guidance that turns ACGME requirements into decisions leadership can act on.
Systems built for continuity
Policies, workflows, and documentation your team can run, maintain, and scale after the engagement ends.
How we work
01 — Discover
Understand the people behind the program and the constraints behind the data.
02 — Align
Unite stakeholders around a practical, structured path forward.
03 — Execute
Deliver with discipline against an approved workplan and milestones.
04 — Sustain
Build the systems and skills your team keeps after the engagement.
Institutional Outcomes
Case Study · Federally Qualified Health Center
0 citations
Revised Sponsoring Institution application approved by the ACGME
1st attempt
Family Medicine residency application approved, with 0 citations
Year 2
Residency program launched and currently recruiting its third cohort
What Our Work Makes Possible
Every accredited program is a pipeline: residents trained in the communities that need them, and physicians who stay.
Wherever you are in GME, let's start there.
Exploring a first program, preparing for a site visit, or strengthening an established one: tell us where things stand, and we'll suggest a starting point.