GME role review

Residency Program Insider, November 7, 2006

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GME role review

Whether you are a residency program coordinator, director, or designated institution official (DIO), fostering good communication and taking the time to learn the roles of your colleagues can help change the perspective of your residents and faculty.

While a coordinator's primary purpose may be to support the success of others, he or she is also responsible for a host of other duties, including ensuring that the program meets accreditation standards. Although the coordinator does not have the final say in many situations, he or she does have important influence in the program. The coordinator, program director, and DIO should know the contributions of each role to their particular residency program in order to ensure good communication, professional respect, and program success.

The following is a review of the program director, DIO, and coordinator duties in a typical residency program:

Role of DIO:

  • Interfaces with GME administrators and coordinators.
  • Maintains institution's ACGME accreditation
  • Maintains institution's residency programs' accreditation
  • Improves the institution's educational program
  • Helps develop and support residency program directors
  • Manages the institution's GME budget and advocates for resources
  • Represents the institution's GME enterprise
  • Oversees the well-being of the institution's residents
  • Provides guidance on GME legal matters
  • Functions effectively in the larger medical context

    Role of program director:

  • Oversees and organizes the activities of the educational program in all institutions that participate in the program
  • Provides an accurate description of the program as requested by the Residency Review Committees (RRC) and the ACGME's Accreditation Data System.
  • Ensures the implementation of fair policies, grievance procedures, and due process, as established by the sponsoring institution and in compliance with the institutional requirements.
  • Seeks prior approval of the RRC for any changes in the program that may significantly alter the educational experience of the residents.

    Role of coordinator:

  • Supports the success of others
  • Manages and coordinates the interview season
  • Monitors and documents the evaluation process
  • Deals with adverse evaluations and subsequent actions
  • Understands accreditation, board, and institution requirements
  • Manages resident activities and schedules
  • Understands and monitors work hour regulations
  • Provides reports, summaries and reviews of all training program activities

    Working effectively as administrators includes valuing the skills, knowledge, abilities, and opinions of all GME personnel, and should include a solid understanding of each other's roles.

    All the best,

    Gary D. Smith

    Designated institution official
    John Peter Smith Hospital
    Fort Worth, TX.

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