49 Pa. Code § 17.23
The Board is responsible for determining the character of instruction and the facilities possessed by each of the various medical education institutions and hospitals who carry out graduate medical education programs in this Commonwealth. The Accreditation Council for Graduate Medical Education (ACGME) of the American Medical Association possesses the facilities and staffing required to perform evaluations of the qualifications of the various programs and also the mechanism for accreditation of acceptance programs. The Board and the ACGME work cooperatively in evaluating and approving the training programs in this Commonwealth. A comity exists between the Board and the ACGME under which all intended observations of training programs for accreditation are communicated to the Board and the Board makes all requests for accreditation or investigation of training programs to the ACGME. If an investigation of the programs of the various institutions in this Commonwealth is to be conducted, the Board will provide one of its members or appoint an individual to accompany the investigator on each occasion. An institution within this Commonwealth seeking approval of its programs by the ACGME will be informed that action taken by the accrediting agency will be related to the Board.
49 Pa. Code § 17.23