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

These guidelines govern the maintenance by Southern Illinois University School of Medicine (hereinafter called the “School”) of records and disclosure of information about Residents and Fellows (hereinafter called “Residents”) who participate in Residency and Fellowship Programs (hereinafter called “Residency Programs”) operated by the School of Medicine and its affiliated hospitals. 1. Records of evaluation of a Resident by the School (hereinafter called “Evaluation Records”) required by Section C.1. of the Agreement With Physician (hereinafter called the “Agreement”) shall be stored

Scope This policy was developed for SIU Medicine. SIU Medicine collectively applies to the SIU School of Medicine (SIU SOM), including the Federally Qualified Health Center (FQHC), and SIU HealthCare (SIU HC). These entities are collectively referred to as SIU in this document. This document applies to SIU staff, faculty, trainees, agents, officers, directors, interns, volunteers, contractors, and any other individual or entity engaged in providing teaching, research and health care items and services at SIU. These individuals are collectively referred to as SIU personnel in this document

Under the direction of the GMEC, the Office of Graduate Medical Education (OGME) schedules Internal Reviews of residency programs and subspecialty programs to occur as directed by the GMEC Program Oversight and Review Policy. OGME recommends a Chairperson and at least two other committee members (1 resident and/or 1 faculty) to serve on the Internal Review committee, in addition to an OGME staff person. Internal Review committee members will not be from the GMEC program being reviewed. Whenever possible, the committee will be from a different department than the GME program being reviewed

For these purposes a disaster is defined as an event or set of events causing significant alteration to the residency or fellowship experience at one or more SIU training programs. Because of the devastating impact of natural or manmade disaster on information systems, programs are strongly encouraged to keep backup copies (either written or electronic) of important program and residency files at a different physical location than their residency office. In the event of a disaster, the Designated Institutional Official (DIO), SIU officials and leadership of the affected affiliated hospitals

Scope This policy was developed for SIU Medicine. SIU Medicine collectively applies to the SIU School of Medicine (SIU SOM), including the Federally Qualified Health Center (FQHC), and SIU HealthCare (SIU HC). These entities are collectively referred to as SIU in this document. This document applies to SIU staff, faculty, trainees, agents, officers, directors, interns, volunteers, contractors, and any other individual or entity engaged in providing teaching, research and health care items and services at SIU. These individuals are collectively referred to as SIU personnel in this document

Scope This standard was developed for SIU Medicine. SIU Medicine collectively applies to the SIU School of Medicine (SIU SOM), including the Federally Qualified Health Center (FQHC), and SIU HealthCare (SIU HC). These entities are collectively referred to as SIU in this document. This document applies to SIU staff, faculty, trainees, agents, officers, directors, interns, volunteers, contractors, and any other individual or entity engaged in providing teaching, research and health care items and services at SIU. These individuals are collectively referred to as SIU personnel in this document