II. The Graduate Medical Education Committee (GMEC)
1. The Graduate Medical Education Committee will oversee the conduct and management of all residency and fellowship programs for which Michigan State University’s College of Human Medicine (MSU/CHM) is the sponsoring institution. To accomplish this mission, the College will sponsor graduate medical education programs that meet the health care needs of the people of the State of Michigan. The College will ensure that all residency programs for which MSU/CHM is the Sponsoring Institution are accredited by the Accreditation Council for Graduate Medical Education (ACGME).
2. The Graduate Medical Education programs of the College are conducted under the aegis of its Dean and as delegated to the Associate Dean for Graduate Medical Education
The GMEC shall ensure that MSU/CHM-sponsored resident training programs are:
1. quality graduate educational experiences for residents.
2. managed in a manner that promotes full compliance with the institutional and program requirements of the ACGME.
3. regularly reviewed between each accreditation program survey.
The Graduate Medical Education programs of CHM are conducted under the aegis of its GMEC and Dean (or as delegated Associate Dean for GME), and governed by the authority granted by the Dean. The GMEC may demand an Internal Review of a Program at any time that the GMEC finds that the program has failed to comply with requests and/or actions of the committee, or is in lack of compliance with ACGME Program Requirements.
1. Membership on the GMEC will include the:
a. Associate Dean for Graduate Medical Education (or his/her designee).
b. Program Director for each MSU/CHM institutionally sponsored residency program.
c. Chairperson of the academic clinical department for the sponsored residency programs (or his/her designee).
d. Residents from each of the MSU/CHM sponsored residency programs to be elected by his/her peers
e. Director for Medical Education for CHM
f. Directors for Medical Education for Participating Institutions
2. The Associate Dean for Graduate Medical Education shall chair the GMEC or the Dean of the College of Human Medicine shall name a chair of the GMEC. In the absence of the Associate Dean, the MSU/CHM Director for Medical Education will chair the meetings.
3. The Chair of the GMEC will establish the agenda and call meetings of the Committee. Members are to be given at least ten (10) calendar days prior notice of regular meetings and five (5) calendar days’ notice of special meetings. A quorum for the conduct of business shall be the members present at a properly called meeting. All members shall have a vote on matters brought before the Committee. However, the Chair of any meeting shall cast his/her ballot only when necessary to resolve a tie vote.
4. Length of membership on the GMEC shall be coterminous with one’s administrative or training position.
The GMEC will meet at least quarterly, and more frequently as needed. Written minutes of each meeting will be kept and submitted for approval at each quarterly meeting. Once approved, minutes will be made available to all members.
The major responsibilities of the GMEC shall include:
1. Establishment, implementation and monitoring of policies that affect all sponsored residency programs regarding the quality of education and the work environment for the residents.
2. Regular review of all residency programs to assess their compliance with both the Institutional Requirements and Program Requirements of the ACGME/Residency Review Committees.
3. Making recommendations, taking action as appropriate, and reporting to the Dean on matters of importance to the College’s sponsored residency programs.
4. Review and act on requests from programs prior to submission to an RRC for exceptions in the weekly limit on resident duty hours.
5. Reporting annually to the organized medical staffs of all major Participating Institutions.
6. Serving as the representative body within CHM that sets forth the process and procedures related to the hearing and resolution of resident grievances. (See Section XVII and XVIII.)
7. Review annually and make recommendations to the Sponsoring Institution on resident stipends, benefits, and funding for resident positions to assure that these are reasonable and fair.
8. Establish and maintain appropriate oversight of and liaison with program directors and assure that program directors establish and maintain proper oversight of and liaison with appropriate personnel of other institutions participating in the ACGME-accredited programs of the Sponsoring Institution establish and implement formal written policies and procedures governing resident duty hours in compliance with the Institutional and Program Requirements. The GMEC must assure that each ACGME-accredited program establishes formal written policies governing resident duty hours that are consistent with the Institutional and Program Requirements. (see ACGME GME Directory)
9. assure that ACGME-accredited programs provide appropriate supervision for all residents that is consistent with proper patient care, the educational needs of residents, and the applicable Program Requirements. Supervision of residents must address the following: a) Residents must be supervised by teaching staff in such a way that the residents assume progressively increasing responsibility according to their level of education, ability, and experience. b)On-call schedules for teaching staff must be structured to ensure that supervision is readily available to residents on duty. c)The teaching staff must determine the level of responsibility accorded to each resident.
10. Assure that each program provides a curriculum and an evaluation system to ensure that residents demonstrate achievement of the six general competencies listed in Section III.E and as defined in each set of Program Requirements.
11. establish and implement formal written institutional policies for the selection, evaluation, promotion, and dismissal of residents in compliance with the Institutional and Program Requirements.
12. Regularly review all ACGME program accreditation letters and monitor action plans for the correction of concerns and areas of noncompliance.
13. Regularly review the Sponsoring Institution's Letter of Report from the IRC and develop and monitor action plans for the correction of concerns and areas of noncompliance.
14. Review and approve prior to submission to the ACGME all applications for new programs and subspecialties, 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 RRC, responses to all proposed adverse actions, requests for increases or any change in resident duty hours, requests for “inactive status” or to reactivate a program, voluntary withdrawals of ACGME-accredited programs, requests for an appeal of an adverse action; and appeal presentations to the ACGME.
15. Conduct internal reviews of all ACGME-accredited programs including subspecialty programs to assess their compliance with the Institutional
F. Internal Reviews
The GMEC shall conduct internal reviews of each sponsored program in accord with the approved Protocol for the conduct of Institutional Reviews available on the GME web page
http://gme.chm.msu.edu/gme/internal_review_protocol.htm
to determine their compliance with both the Institutional Requirements and Program Requirements of the relevant ACGME Residency Review Committees (RRCs). The review will be conducted by the GMEC or a body designated by the GMEC, which shall include faculty, residents, and administrators, both within and outside the department in which the residency exists. The review will be conducted between ACGME program surveys.
When the composition of an Internal Review Team has been approved by the Associate Dean for GME an ad hoc Internal Review Committee of the GMEC will be established. In addition to the categories of members listed above, committee members may include:
1. MSU/CHM Sponsored Residency Program Directors, or Program Directors of the College’s affiliated residencies within the same specialty.
2. An external reviewer not affiliated with CHM or its affiliated programs
The Chairperson of the Internal Review shall present a written report to the Chair of the GMEC, with a copy to the Director of the reviewed program and his/her Department Chair, at the next appropriate GMEC meeting. The report will be presented and discussed at a GMEC meeting by the Chair of the Internal Review Team. The Program Director will then respond to questions and/or to address the resolution of deficiencies that may have been identified. The GMEC may request action plans or specific follow-up.