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Section 10: Graduate Medical Education Committee

10.01 Structure - GMEC/Standing Committees/Internal Review Committees

The Graduate Medical Education Committee (GMEC) serves as the organizational vehicle for the house staff. The missions of the GMEC are:

GMEC recommendations approved by the Dean which will materially change the program are presented by the Dean to the Council of Chairs for their final approval.

The Document Review Subcommittee (DRS) is a standing committee of the GMEC which meets at least quarterly to review Internal Reviews completed in the previous quarter, to review all letters sent to or received from ACGME during the quarter and to compile and organize the various documents for efficient review by the GMEC. The Chair of this committee is the DIO or his designee. In addition to the Chair, the DRS will consist of at least three members of the GMEC including a resident representative.

The Duty Hours Subcommittee is a standing a committee of the GMEC. The Chair of this committee is a Program Director from the GMEC appointed by the DIO. In addition to the Chair, members of this committee includes at least three members of the GMEC including a resident representative.

Ad-hoc Internal Review Committees are formed from members who serve on the GMEC and other faculty and residents as necessary. The purpose of these committees is to complete internal reviews on all training programs and to report their findings to the GMEC for its final consideration.

Other sub-committees of the GMEC may be formed from time to time to address the needs of our residency training programs.  

10.02 Membership

The GMEC, which is chaired by the Associate Dean for GME/DIO or designate, administratively includes the Assistant Dean for GME, Program Directors, and representatives of each of our hospitals.  Residents from each core program and fellows from surgical, internal medicine and pediatric subspecialties are the mainstay of the membership.  They must be peer elected, but they can be from any level of training.  The House Staff Organization elects two of its members to join the GMEC and, like the other elected resident representatives, take an active part in discussing and voting on the issues.  Any resident or fellow may attend the GMEC meeting to present ideas and concerns after notifying the GME Office to provide time on the agenda.  These additional residents and other occasional invited guests are not voting members; however, they are expected to fully discuss their areas of concern. 

10.03 Meeting Schedule/Agenda

The GMEC meets at noon on the third Wednesday of each month. All members of the house staff, any Program Director or faculty member may recommend agenda items and may attend the meeting. Agenda items should be sent to the Committee Chair through the OGME (Suite 327 SOMB) at least five days prior to the next regularly scheduled committee meeting.

10.04 Open Meeting

Committee meetings are open to all residents, Program Directors and faculty. Residents should contact their Program Director and the Committee Chair regarding their plans to attend.

10.05 Records and Minutes

All minutes of the GME Committee meetings, along with associated reports and records, are available for review by members of the house staff, Program Directors and faculty.

10.06 Residents' Suggestions

Residents are invited and encouraged to contact the Assistant or Associate Dean for GME to discuss issues related to the School's policies for graduate medical education or the overall quality of the GME programs.

10.07 GMEC Responsibilities

 The specific responsibilities of the GMEC are required by the ACGME in the Institutional Requirements effective 7/1/07, III.B, and include the establishing and implementation of policies and procedures addressing the following:

 1. Stipends and position allocation: Annual review and recommendations to the Sponsoring Institution regarding resident stipends, benefits, and funding for resident positions

2. Communication with program directors: The GMEC must:

-Ensure that communication mechanisms exist between the GMEC and all program directors within the institution.

-Ensure that program directors maintain effective communication mechanisms with the site directors at each participating institution for their respective programs to maintain proper oversight at all clinical sites

3. Resident duty hours: The GMEC must:

-Develop and implement written policies and procedures regarding resident duty hours to ensure compliance with the Institutional, Common, and specialty/subspecialty specific Program Requirements.

-Consider for approval requests from program directors prior to submission to an RRC for exceptions in the weekly limit on duty hours up to 10 percent or up to a maximum of 88 hours in compliance with ACGME Policies and Procedures for duty hour exceptions.

4. Resident supervision: Monitor programs' supervision of residents and ensure that supervision is consistent with:

-Provision of safe and effective patient care;

-Educational needs of residents;

-Progressive responsibility appropriate to residents' level of education, competence, and experience; and,

-Other applicable Common and specialty/subspecialty specific Program Requirements.

5. Communication with Medical Staff: Communication between leadership of the medical staff regarding the safety and quality of patient care that includes:

-The annual report to the OMS;

-Description of resident participation in patient safety and quality of care education; and,

-The accreditation status of programs and any citations regarding patient care issues

6. Curriculum and evaluation: Assurance that each program provides a curriculum and an evaluation system that enables residents to demonstrate achievement of the ACGME general competencies as defined in the Common and specialty/subspecialty specific Program Requirements.

7. Resident status: Selection, evaluation, promotion, transfer, discipline, and/or dismissal of residents in compliance with the Institutional and Common Program Requirements.

8. Oversight of program accreditation: Review of all ACGME program accreditation letters of notification and monitoring of action plans for correction of citations and areas of  non-compliance.

9. Management of institutional accreditation: Review of the Sponsoring Institution's ACGME letter of notification from the IRC and monitoring of action plans for correction of citations and areas of noncompliance.

10. Oversight of program changes: Review of the following for approval, prior to submission to the ACGME by program directors:

-All applications for ACGME accreditation of new programs;

-Changes in resident complement;

-Major changes in program structure or length of training;

-Additions and deletions of participating institutions;

-Appointments of new program directors;

-Progress reports requested by any Review Committee;

-Responses to all proposed adverse actions;

-Requests for exceptions of resident duty hours;

-Voluntary withdrawal of program accreditation;

-Requests for an appeal of an adverse action; and,

-Appeal presentations to a Board of Appeal or the ACGME.

11. Experimentation and innovation: Oversight of all phases of educational experiments and innovations that may deviate from Institutional, Common, and specialty/subspecialty specific Program Requirements, including:

-Approval prior to submission to the ACGME and/or respective Review Committee;

-Adherence to Procedures for "Approving Proposals for Experimentation or Innovative Projects" in ACGME Policies and Procedures; and,

-monitoring quality of education provided to residents for the duration of such a project.

12. Oversight of reductions and closures: Oversight of all processes related to reductions and/or closures of:

-Individual programs;

-Major participating institutions; and,

-The Sponsoring Institution.

13. Vendor interactions: Provision of a statement or institutional policy (not necessarily GME specific) that addresses interactions between vendor representatives/corporations and residents/ GME programs.