Residency

Responsibilities of specific GMEC members

Residency Program Insider, April 26, 2019

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The following is an excerpt from The Complete Guide to Continuous GME Accreditation. For more information, click here.

The graduate medical education committee (GMEC) is an Institutional Requirement for sponsoring institutions (SI) with multiple accredited programs and single program SIs—those with one accredited program. Establishment of a GMEC is required in order to review and approve institutional and program compliance and meet ACGME requirements. The GMEC is used as a vehicle to identify, develop, or revise institutional policies and procedures in order to meet ACGME requirements. In addition, the GMEC is responsible for reviewing and monitoring program actions, such as correction of noncompliance to program requirements, and can serve as support and guidance for the resident forum.

The following are the specific responsibilities of each member of your GMEC:

  • The chair serves as the public face for the committee and ensures that it appropriately complies with ACGME requirements for GMEC structure and function. He or she is responsible for appointing subcommittees and delegating responsibilities to committee members. The chair serves as the team builder and facilitator for the committee. He or she also serves as the liaison for the committee to the administration of the SI. The chair may or may not be the DIO.
  • The DIO ensures that the committee maintains compliance with ACGME or accrediting agency standards. He or she collaborates with the GMEC and has authority and responsibility for the oversight and administration of each SI’s ACGME-accredited programs. The DIO works with the chair if he or she is not the chair and must sign any program curricula changes that PDs make before they are presented to the ACGME. The DIO is also a voting member of the GMEC and must prepare the written annual executive summary of the annual institutional report to the governing body.
  • Non-voting members may be appointed on an ad hoc basis for communication and input. These members are usually asked to leave the meeting room for closed sessions or when critical confidential information is being discussed. Examples of helpful non-voting members include the president of the medical staff, chief medical officer, chief financial officer, additional house staff representatives, QPS representatives, nursing, and program coordinators (PC).
  • PDs are responsible for communicating important changes discussed by the GMEC to faculty and residents within their programs. PDs appointed to the GMEC must commit to regular attendance and participation in the GMEC and its function. He or she reports changes in program schedules, resident numbers, department guidelines, curricula, and evaluations, as well as any concerns or suggestions that relate to GME.
  • Resident representatives of the GMEC are appointed by their peers to represent ideas and concerns of the graduate medical trainees within the institution. They must be committed to attending GMEC meetings. The duration of appointment is usually one year, and these individuals may be administrative members of the RF.
  • Administrative members serve as links between the administration and the GMEC. These members are usually GME personnel. They may present institutional changes and concerns; report new strategies, policies, and procedures within the institution; and often communicate back to the larger body. Administrative representatives may serve as advocates for the committee among executive leaders.
  • The GMEC coordinator is responsible for scheduling meetings, notifying members of the meetings, and keeping written minutes of all meetings, reports, motions, and votes that occur during the meetings. He or she is responsible for maintaining all records of the GMEC, including new policies and guidelines, and ensuring that they are aligned with institutional policies. In addition, this person is also responsible for collecting and maintaining minutes of all appointed GMEC subcommittees.
     



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