The review of institutions that are single-program sponsoring institutions (sponsors only one ACGME-accredited specialty program or one ACGME-accredited specialty program and its subspecialty program(s)) is carried out as part of the review of the specialty program by the relevant Review Committee. Internal review: The internal review is a formal mid-cycle review conducted at the institutional level by the Graduate Medical Education Committee (GMEC) and does not substitute for the annual self evaluation that each program is required to conduct (see CPR ). The GMEC- sponsored internal review group must include at least one faculty member and at least one.