Administrative Information: Role of the Graduate Medical Education Committee (GMEC)

In accordance with the Institutional Requirements set forth by the Accreditation Council of Graduate Medical Education (ACGME) we are required to have a GME Committee.  Voting membership on the committee must include the designated institutional official or his/her designee, program directors, trainees who have been selected by their peers, administrators and other members of the faculty. The GMEC meets on a monthly basis and the charge of this group is:

• Stipends and position allocation:
• Annual review and recommendations to Sponsoring Institution regarding trainee stipends, benefits and funding for trainee positions.
• Communication with program directors:
• Ensure communication mechanisms exist between the GMEC and all program directors within the institution.
• Ensure that program directors maintain effective communication mechanisms between site directors at each participating institution for their respective programs to maintain proper oversight at all clinical sites.
• Resident duty hours:
• Develop and implement written policies and procedures regarding resident duty hours to ensure compliance with the Institutional, Common Program 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. 
• Resident supervision:
• Monitor programs’ supervision of trainees and ensure that supervision is consistent with: provision of safety and effective patient care; educational needs of the residents; progressive responsibility appropriate to trainees’ level of education, competence and experience and other applicable Common and specialty/subspecialty-specific Program Requirements.
• 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 trainee participation in patient safety and quality of care education and the accreditation status of programs and any citations regarding patient care issues. 
• Curriculum and evaluations:
• Assurance that each program provides a curriculum and an evaluation system that enables trainees to demonstrate achievement of the ACGME general competencies as defined in the Common and specialty/subspecialty-specific Program Requirements. 
• Resident status:
• Selection, evaluation, promotion, transfer, discipline, and/or dismissal of trainees in compliance with the Institutional and Common Program Requirements.
• 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 noncompliance.
• Management of institutional accreditations: 
• 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. 
• Oversight of program changes:
• Review of the following for approval, prior to submission to the ACGME by program directors:
  a) all applications for ACGME accreditation of new programs; b) changes in resident complement; c) major changes in program structure or length of training; d) additions and deletions of participating institutions; e) appointment of new program directors; f) progress reports requested by Review Committee; g) responses to all proposed adverse actions; h) requests for exceptions of resident duty hours; i) voluntary withdrawal of program accreditation; j) requests for an appeal of adverse action and; k) appeal presentations to a Board of Appeal or the ACGME. 
• Internal Review:
• Must develop, implement and oversee internal review process (see further details in this manual)
• Experimentation and innovation:
• Oversight of all phases of educational experimentations and innovations that may deviate from Institutional, Common and specialty/subspecialty-specific Program Requirements including: a) approval prior to submission to the ACGME and/or respective Review Committees; b) adherence to Procedures for “Approving Proposals for Experimentation or Innovative Projects” in ACGME Policies and Procedures; and, c) monitoring quality of education provided to trainees for the duration of such a project. 
• 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.
• Vendor interactions:
• Provision of a statement or institution policy (not necessarily GME-specific) that addresses interactions between vendor representatives/corporations and trainees/GME programs.