McGaw GMEC Policies(Microsoft Word Doc. 19K) All residents, subspecialty residents, and fellows will be paid the published stipend rate appropriate to postgraduate year level for the clinical training program to which they are appointed. Approved, GMEC 12/14/01 Approved as edited, Hospital Affairs Committee 1/21/02 (Microsoft Word Doc. 20K) If a decision is made to reduce the complement of trainees in a program, or to close a training program, all trainees in that program will be notified as soon as possible. Current trainees in the program, including trainees who have not yet initiated training but who have been notified that they are accepted into the program, will be permitted to continue their education until completion of the total number of years defined by the ACGME for that program. In the event that a trainee chooses to leave the program, the program director shall assist the individual’s efforts to matriculate in another ACGME accredited program. Approved, GMEC 11/9/01 Approved, Hospital Affairs Committee 1/21/02 (Microsoft Word Doc. 20K) House staff are considered eligible for appointment to accredited programs if they are graduates of U.S. or Canadian LCME accredited medical schools, of U.S. colleges of osteopathic medicine accredited by the American Osteopathic Association, or of non U.S. or Canadian medical schools if they have a currently valid ECFMG certificate, a currently valid visa (J-1, H-1B, or O-1, or alternatively, Immigrant [permanent resident] status), and a currently valid license from the Illinois Department of Professional Regulation. Eligibility will be determined by each individual training program and will be based on preparedness, ability, aptitude, academic credentials, communication skills, and personal qualities such as motivation and integrity. Programs shall not discriminate with regard to sex, race, age, religion, color, national origin, disability, or veteran status. Selection of residents should occur through the National Resident Matching Program (NMRP) if that program is included in the NRMP. Program directors shall comply with the regulations and the spirit of the NRMP. Approved, GMEC 12/14/01 Presented to Hospital Affairs Committee 1/21/02 (Microsoft Word Doc. 20K) A program desiring to petition its specialty RRC for an exception to the Common Program Requirements regarding duty hours, i.e. for up to a 10% increase in total weekly hours averaged over four weeks for one or more specific rotations, must first submit a written request to the GMEC for endorsement. The narrative to be submitted to the GMEC must follow the format requested by the ACGME, as provided on the ACGME.org web page under the title “RRC Procedures for Granting Duty Hours Exceptions”, and include sections 1 through 5 as listed under “Required Documentation”. Such requests, if submitted by the last day of the month, will be considered by the GMEC at the next regularly scheduled monthly meeting. If the GMEC endorses the request, the petition may be forwarded to the specialty RRC signed by the program director and by the Chair of the GMEC. No modifications may be made in training hours until approval has been granted in writing by the specialty RRC. The prerequisites to GMEC consideration of endorsement are as follows: The program must have full accreditation and no warning language based on the most recent RRC accreditation letter. The program director must provide a plan for monitoring duty hours on the specific rotation(s) for which exception is to be granted and the frequency with which this will be performed to ensure that there is complete compliance within the limits of the exception, if granted.
Approved, GMEC 4/9/04 Approved, Hospital Affairs Committee 6/22/04 (Microsoft Word Doc. 20K) Any of the permissible leaves of absence listed in the Housestaff Reference Manual, if excessive, may lead to the necessity to extend training beyond the final year in order to make up training time. Most specialty certifying boards have limits on the duration of absence from training that may not be exceeded if the individual is to be eligible to sit for the certifying examination. Even if there is no certifying board restriction in the duration of absence, a housestaff member may be required to extend training if total leave for any reason in any one training year exceeds that allotted to vacation, education, and sick leave and if the program director judges that this has resulted in the resident missing essential training. In that event, the program director must file a plan for training extension with the Graduate Medical Education Committee. During extension of training, a housestaff member will receive the regular stipend and benefits except that vacation time will not accrue. It is the responsibility of program directors to be knowledgeable of the specialty board’s rules and to inform residents of limits, if any, in allowable absences. If there is a resident or fellow who requires extension of training in an ACGME-accredited program, the program director must inform the RRC of the implications regarding the total complement of trainees. Approved, GMEC 4/9/04 Approved, Hospital Affairs Committee 6/22/04 (Microsoft Word Doc. 21.5K) Part-time or shared training positions in individual training programs may be considered if all the following prerequisites are met: 1. The program director of the training program, in conjunction with the Chair, has deemed the program appropriate for part-time training by a qualified candidate, or shared training by two qualified candidates. In making this decision, the program director should take into account the size of the program, the educational resources available to the program, the appropriateness of education over an extended period of time for the candidate(s), and the impact of alternative training on other residents and/or fellows. 2. The program director must have written permission from the specialty RRC or other accrediting organization for this training which addresses complement and educational plan, and written acknowledgment from the applicable certifying board that the individual(s) will be eligible to sit for the certifying examination at the completion of the modified training program. In the event that there is no external accrediting organization, the program director must submit a written plan to the GMEC for approval. 3. Except in unusual circumstances, the individual(s) requesting a part-time or shared position should make the request known to the program director prior to signing the letter of agreement (training contract) or, in the case of a position obtained through the NRMP, prior to engaging the match process. 4. Except in unusual circumstances, part-time training should be 0.5 of a full-time equivalent, and the minimum duration of part-time status should be one full training year. Approved, GMEC 4/9/04 Approved, Hospital Affairs Committee 6/22/04 (Microsoft Word Doc. 20.5K) Every training program must comply with the current duty hours requirements specified by the Accreditation Council on Graduate Medical Education (ACGME). A request for exception to these requirements must be first approved by the GMEC and then by the ACGME specialty Residency Review Committee (RRC).1 The program director from each training program must: file a detailed duty hours policy with the GMEC which covers all major assignments and which specifies the means by which duty hours and fatigue will be monitored. file an updated policy annually with the GMEC, or more often if a change in the training program occurs that impacts on duty hours ensure that faculty and residents or fellows in the program have received education in the effects of fatigue ensure that residents respond to surveys regarding compliance with duty hours from the ACGME and from the GMEC
The GMEC shall: approve and maintain a duty hours policy from each training program periodically survey residents and fellows regarding compliance with duty hours, provide program directors with the results, and request follow-up when appropriate review the results of externally conducted surveys of residents and fellows regarding duty hours and request follow-up when appropriate review a program’s compliance with the duty hours policy at the time of Internal Review
1 See separate GMEC policy on Duty Hours Extension Approved as revised, GMEC 3/11/05 (Microsoft Word Doc. 41K) |