Graduate Medical Education Committee Charter The Graduate Medical Education Committee is accountable for overseeing all aspects of residency education in a manner to meet the needs of the residents^, programs and hospitals, and to ensure compliance with Accreditation Council for Graduate Medical Education (ACGME) Institutional, Common, Program and Recognition Requirements. Major responsibilities include: Establishing and implementing standards and policies that affect all programs regarding the quality of education, learning and work environment for the residents in each program and at all

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Program directors may receive feedback about their program via a variety of instruments. The ACGME Resident Survey is administered directly by the ACGME to residents. As long as programs have four or more residents respond and have 70% or greater participation, they receive aggregate feedback and national data for comparison. These are administered between February and April of any calendar year and results are released to all programs in May or June. See also the Survey section of this manual. The ACGME Faculty Survey is administered directly by the ACGME to faculty. In order to receive the

ACGME Annual Surveys: ACGME Surveys are conducted annually between February and April by the ACGME. Faculty and trainees are surveyed online on a number of program-specific requirements. These surveys are an additional method used by the ACGME to monitor graduate medical education and provide early warning of potential non-compliance with ACGME accreditation standards. All specialty and subspecialty programs (regardless of size) are required to participate in these surveys each academic year. The survey link is sent directly to faculty and trainees to email addresses provided by the program in

The quality of the faculty’s teaching and clinical care is integral to the quality of the program and the quality of the residents’ future clinical care. All faculty members who interact with residents must be provided feedback on their contribution to the mission of the program. Therefore, the program has the responsibility to evaluate and improve faculty members’ teaching, scholarship, professionalism and quality care. That responsibility lies with the program director. As taken from the ACGME Common Program Requirements (July 1, 2023 version): The program director is responsible for the

Information pertaining to residents, fellows, and medical training programs is electronically gathered annually via two secure web-based applications. This data is used for monitoring, planning and research purposes, as well as for use in structuring graduate medical education programs. Program directors and/or coordinators are responsible for reviewing, adding, updating, and approving resident and program information for the following electronic systems. GME Track The American Medical Association (AMA) and the Association of American Medical Colleges (AAMC) jointly created GME Track to gather

PLA GUIDELINES 1. There must be a program letter of agreement (PLA) between the program and each participating site (outside of the Sponsoring Institution) that governs the relationship between the program and the site providing a required assignment. (Core) (I.B.2.) A participating site is defined as an organization providing educational experiences or educational rotations for residents. There must be a PLA for any away rotation, whether it is required or elective. A PLA is not required for the following on/off campus sites as long as the supervising physician has a faculty appointment at

Click here for some very useful ADS update information. ACGME Accreditation The ACGME utilizes a continuous assessment model for programs and sponsoring institutions, consisting of annual program review, Self Study and Accreditation Site Visit. Each Residency Review Committee (RRC) conducts an annual evaluation of programs utilizing the following metrics: Faculty and resident scholarly activity – From ADS Clinical experiences (e.g. case logs) – From ADS Resources (including faculty qualifications, attrition, and clinical resources) – From ADS Milestone reporting compliance - From ADS Resident

Annual Institutional Review The ACGME charges the Graduate Medical Education Committee (GMEC) with oversight of many program activities and holds GMEC accountable for individual program quality. As part of the Annual Institutional Review process, GMEC reviews: RRC notification letters Other RRC letters Any progress reports sent to the RRC ACGME resident surveys ACGME faculty surveys SIU End of Year Evaluation (aggregate feedback) Programs’ APE action plans and progress thereof Clinical and educational work hour compliance Quarterly Transitions of Care monitoring Results or feedback from

Demonstration of Patient Safety Experiences Substantial Disruptions in Patient Care (Disaster Plan for Springfield Based Residents) Guidelines for Maintenance of Records and Disclosure of Information about Residents and Fellows Resident File Standards Institution and Program Closure/Reduction Non-Accredited Fellowships Program Oversight and Review Policy Selecting a Program Director