Administrator Manual

Find your program’s RRC guidelines on the ACGME website at www.ACGME.org (follow the link on the left of the ACGME page to the specific Residency Review Committee).

Please refer to your program files for copies of:

Last RRC site visit Letter of Notification
Last Internal Review results

Other resources and information:

Outcomes Project
Items that must be approved by GMEC/DIO prior to submission to ACGME
Institutional Policy & Procedures for the Administration of Graduate Medical Education
Graduate Medical Education Agreement
Sample competency evaluation form
GME glossary
ACGME Institutional Requirements

Graduate Medical Education nationally has implemented an initiative to transition resident and fellow education from a process-based endeavor to an outcomes-based endeavor. Many refer to this process as “competency-based training.” To learn more about this initiative and its impact on accreditation, please see the following links:

http://www.acgme.org/Outcome/
for more information about “core competencies” or “competency-base training”

Please refer to http://www.acgme.org/
Outcome/assess/Toolbox.pdf
for more information about competency assessment tools

Items that must be approved by GMEC/DIO prior to submission to ACGME

Per ACGME Institutional Requirement IV.B.10, the GME Committee must review and approve, prior to submission to the ACGME:

changes in resident complement
additions and deletions of participating institutions used in a program
appointments of new program directors
progress reports requested by any review committee
responses of all proposed adverse actions
requests for increases or any change in resident duty hours
all applications for ACGME accreditation of new programs and subspecialties
requests for “inactive status” or to reactivate a program
voluntarily withdrawals of ACGME-accredited programs
request for appeal of adverse actions
written appeal presentations to the ACGME

Do not contact the ACGME for approval of the above without prior approval of the Designated Institutional Official (Lorrie Basnight, MD).

GME Committee
· GME Resident Council
· Program Directors &
  Coordinators
  - Program Director
    Responsibilities
  - Administrator Manual
  - Policies
  - 2009 Annual Program Data
    Form
  - Administrative Resources
     + Forms (travel, away
         rotation, etc.)
     + Recruitement Schedule
     + PD & PC phone/contact
         list
     + Visiting Resident
         Checklist
     + Pager Info
     + FMLA Info
· GME Office