Graduate Medical Education Organization
The College of Medicine at UAMS is the sponsoring institution for residency/fellowship programs and assures ultimate responsibility for programs of graduate medical education. All accredited residency/fellowship programs must be approved for sponsorship by the Dean, College of Medicine, and are ultimately under his authority and control. The Dean has designated the Associate Dean for Graduate Medical Education as the institutional official for oversight and administration of the GME programs. The Graduate Medical Education Committee (GMEC) is a standing committee of the College of Medicine. The associate dean and the GMEC comprise the organized administrative system that has authority and responsibility for assuring compliance with ACGME requirements.
The College of Medicine is committed to substantially complying with the requirements of the Accreditation Council for Graduate Medical Education (ACGME) and ensuring that the ACGME-accredited programs are in substantial compliance with their individual program requirements.
Sponsoring Institutional Commitment to Graduate Medical Education
The mission of the College of Medicine is to provide exemplary, comprehensive and continuing educational opportunities in an environment enriched by scholarly activity for medical students, graduate students in sciences basic to medicine, postdoctoral students in clinical medicine and basic sciences, and practicing physicians. Integral to this mission are the provisions of superior health and medical services to meet the needs of our patients in the state and region, and the conduct of programs of research in human health and disease. It is our commitment that the conduct of graduate medical programs (residency education programs) furthers our mission of providing the highest quality medical care to our patients and supports our mission of educating future generations of physicians to serve our community and Arkansas.
We hereby commit ourselves to offer graduate medical education programs in which physicians in training develop personal, clinical and professional competence under the guidance and careful supervision of the faculty and staff. The programs ensure the safe, ethical care of patients and the progression of resident physician responsibilities consistent with each trainee’s demonstrated clinical experience, knowledge and skill. In addition, we are a part of a comprehensive university. As faculty of the University of Arkansas for Medical Sciences College of Medicine, we engage in scholarly activity including research and will make available to resident physicians opportunities to participate in the scholarship of our medical community. We support the governing authority, the administration, and the GME leadership of the sponsoring institution to oversee all residency programs through the activities of the Graduate Medical Education Committee and the Designated Institutional Official. Assuring compliance with the ACGME Common, specialty/subspecialty-specific Program, and Institutional Requirements is the authority and responsibility of the Graduate Medical Education Committee and the Designated Institutional Official. The Sponsoring Institution is dedicated to providing sufficient institutional resources, adequate communication resources and technological support, and appropriate reference material in print and electronic format for the faculty and residents. We commit necessary educational, financial and human resources to support the residents, their educational environment, and the programs.
This statement of commitment, developed by the Graduate Medical Education Committee, is supported by the governing authority, the administration, and the teaching faculty and staff.
(Approved by the Graduate Medical Education Committee and the Executive Committee of the College of Medicine, May 1999. Endorsed by the Faculty, College of Medicine, June 1999. Revised, June 2001. Reviewed by the Graduate Medical Education Committee, October 2003, Revised June 2006, Revised September 2007, Reviewed February 2013, Revised August 2013).
Dan Rahn, M.D. G.
Richard Smith, M.D.
Dean, College of Medicine
James A. Clardy, M.D.
Associate Dean for Graduate Medical Education
Designated Institutional Official
Frederick R. Bentley, M.D.
Chair, Graduate Medical Education Committee
The Graduate Medical Education Committee (GMEC) is a standing committee in the College of Medicine. The GMEC in collaboration with the Designated Institutional Official (DIO) forms an administrative system that has the authority and responsibility for the oversight and administration of each of the Sponsoring Institution’s ACGME-accredited programs, as well as for ensuring compliance with the Institutional Requirements and Specialty/Subspecialty-specific Program Requirements.
The GMEC has the following responsibilities, which are based on the ACGME Institutional Requirements:
- The accreditation status of the Sponsoring Institution (SI) and each accredited program;
- The quality of the learning and working environment within the SI, each program and at participating sites;
- The quality of educational experiences that lead to outcomes identified in requirements;
- Annual Program Evaluation and Improvement activities;
- Reductions and closures of programs, sites or the SI;
- Oversight of the SI Annual Institutional Review
- Underperforming programs.
Review and approve:
- Institutional GME policies and procedures
- Annual recommendations to the SI regarding stipends and benefits
- Applications for accreditation of new programs
- Requests for permanent changes in complement
- Major changes in programs’ structure or duration
- Additions and deletions of participating sites
- Appointment of new program directors
- Progress reports requested by a Review Committee
- Responses to Clinical learning Environment Review reports
- Requests for exceptions to duty hour requirmenets
- Voluntary withdrawal of program accreditation
- Requests for appeal of an adverse action by a Review Committee
- Appeal presentations to an ACGME Appeals Panel.
The Dean of the College of Medicine appoints all members to the GMEC each academic year. Voting members are clinical faculty members, program directors, peer selected residents, a quality improvement officer, DIO, GME Director, Assistant Dean for HS Affairs, Program Coordinator Organization chair and a member from the public. Also included are representative administrators from the major participating hospitals who act as a liaison between the GME Committee and the medical staff/governing body of the hospital.
Some voting members of the GMEC chair the advisory groups who provide support for GME related functions. Any GMEC responsibility that an advisory group acts upon is first reviewed and approved by the GMEC. Advisory groups are:
- Quality Improvement: Define & identify ongoing QI curricular leaders, and model curricular educational programs in resident/fellow education, identify ways to streamline and interconnect the process of hospital & GME CQI goals, identify opportunities for resident education and support in QI, identify opportunities for faculty development in CQI.
- Resident Council: Composed of peer-elected residents/fellows solicited from each program in July. The Council provides a forum for resident/fellow discussion and input into all matters pertaining to GMEC activities. The Council works to assure effective communication among residents/fellows and provides a step in the process for addressing concerns in a confidential manner. Members of the Resident Council may also serve on one of the other GMEC advisory groups. Non-peer-elected residents may be appointed to represent special groups (AAMC-ORR, AMA Resident Section).
- Duty Hours: Oversee duty hour monitoring for the Sponsoring Institution.
- Finance Subcommittee: Develops GME budget for next fiscal year, monitors disbursement of GME funds, reviews extramural rotation requests, transfers and approves filling of positions outside of the Match. Meets monthly. Membership consists of: associate dean for GME , assistant dean for housestaff affairs, representatives from ACH, UAMS Medical Center and CAVHS who have the authority to commit resources, the current chair of the GMEC, the director of GME, and the chair of the Resident Council. The subcommittee will recommend stipends and administrative budget to the RPAC.
- Clinical Learning Environment Review (CLER): Determine and carry out logistical preparations for the CLER visit. Prepare the response to the CLER report, define and carry out appropriate actions resultant from deficiencies identified in the CLER report.
- Accreditation: Reviews Review Committee accreditation correspondence and approves responses; reviews Annual Program Reviews for compliance with requirements and requests any necessary follow up.
Residents who serve on the Resident Council may serve on an additional advisory group if they so choose.
GMEC members are expected to attend at least 50% of the GMEC meetings. Advisory group members are expected to attend at least 50% of the advisory group meetings. At least one resident will be in attendance at every meeting. A meeting may not be held without resident attendance.
Clinical Department Chairs assure that faculty and resident/fellow members are free from departmental duties to fully participate in GMEC activities.
The GMEC meets monthly, the second Monday at noon. Advisory groups usually meet at a minimum during the months of October, December, February, and April. Additional meetings may be added as necessary.
The Associate Dean for GME submits a written annual executive summary of the Annual Institutional Review to the Governing Body of the sponsoring institution and periodically reports to the Clinical Department Chairs group.
Urgent Action Mechanism
When urgent issues arise that require a quick action, the GME Committee can be represented by a collective decision made by the DIO, GMEC Chair and GME Director.