Residency

Have a policy for closures and reductions

Residency Program Insider, July 22, 2020

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Editor’s note: The following is an excerpt from The Guide for Graduate Medical Education Offices and Program Coordinators. Click here to order your copy.

In this day of decreased dollars to train resident physicians, you may have to face the elimination of a particular program, of all the programs in your institution, or a reduction in the residency complement. The 2019 closure of Hahnemann University Hospital in Philadelphia demonstrated the acute need for strategic planning in the event that trainees find themselves without a training position. The ACGME tells us that three important points must be delineated in your required policy for closures/reductions:

  1. The administration (DIO, GMEC, etc.) must notify the residents as soon as known that the sponsoring institution intends to reduce in size or close a program
  2. The sponsoring institution must allow the trainees to complete their training
  3. The sponsoring institution must allow the trainees to find another residency/fellowship for them to continue their education



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