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GME PROGRAM DIRECTOR (PD)

POSITION SUMMARY

The GME Program Director (PD), under the direction and supervision of the Director of Medical Education DME), is responsible for the administration and maintenance of an educational environment conducive to educating residents in each of the ACGME competency areas and in conformance with Driscoll Childrens hospital policies and procedures, including GME policies.

Selected duties may be delegated to faculty or training program administrators, however, the Program Director is responsible to the Designated Institutional Official (DIO), the Graduate Medical Education Committee (GMEC), and to the ACGME’s Specialty Residency Review Committee for the timely and accurate completion of all tasks and their quality.

Essential Duties and Responsibilities

Oversight of Education

1. Oversee and ensure the quality of didactic and clinical education in all sites that participate in the program;

2. Review, update, and revise didactic and clinical educational curricula as needed;

3. Select and oversee work of associate program directors and core faculty; evaluate their GME-related performance annually;

4. Approve a local site director at each participating site who is accountable for resident education; and must comply with Driscoll Childrens Hospital GME protocol for approval of training sites;

5. Approve the selection and, based on annual evaluations of faculty performance, the continuation of program faculty as appropriate; and maintain an accurate current list of core faculty for accreditation purposes (through the ACGME Accreditation Data System (ADS));

6. Complete an annual program evaluation and document it annually in New Innovations; establish and monitor action plans through completion;

7. Adopt appropriate evaluation tools and ensure evaluations of residents by faculty are completed on a timely basis;

8. Provide each resident with documented, semiannual, competency-based evaluation of performance, providing the evaluation both in-person and in New Innovations;

9. At the completion of the program, provide the residents with a final summative evaluation in New Innovations that also documents the resident’s performance during the final period of education, and verify that the resident has demonstrated sufficient competence to enter autonomous practice without supervision;

Participation in GME Governance

1. Manage program coordinator and administrative assistant (if applicable) in the program office; ensure protected time for administrative staff to attend monthly GME Committee and / or Program Coordinator Council meetings;

2. Attend at least 75% of Driscoll Childrens Hospital RGV GME Committee meetings;

3. Participate in one or more Driscoll Health System Special Reviews of residency / fellowship program(s) and associated meetings as assigned by DIO; 4. Serve as mentor for new program director(s), associate program director(s); 5. Comply with Driscoll Health System and Driscoll GME written policies and procedures governing GME, including those specified in the Institutional Requirements; in particular, adhere to the terms of the academic action, grievance and due process procedures; notify the GME Office of any academic actions pertaining to residents and collaborate with Driscoll Health System GME on development of corrective action plans;

Compliance with Regulatory Requirements affecting GME

1. Provide accurate information on resident schedules and rotations in support of GME reimbursement from Medicaid, and others. This is accomplished by ensuring correct and timely entry of schedules in New Innovations pertinent to quarterly rotation data submission;

2. Ensure faculty document their supervision of residents / fellows, in accordance with regulatory bodies, in the medical record;

3. Create resident schedules in compliance with clinical and educational work hour regulations established by ACGME;

Maintenance of Accreditation

1. Monitor resident supervision at all participating sites;

2. Ensure the supervision of residents through distribution of explicit written descriptions of supervisory lines of responsibility for the care of patients to all faculty and residents;

3. Provide residents with prompt, reliable systems for communicating and interacting with supervisory physicians;

4. Establish and maintain a standing Clinical Competency Committee to assess resident achievement of milestones on a twice yearly basis, at minimum; maintain minutes of the meetings; enter milestone assessments in New Innovations;

5. Monitor resident record of all required index cases and / or procedures and ensure data is entered in ADS (if required by the ACGME) or New Innovations; in accordance with guidelines established by specialty; adjust schedules or assignments as required to ensure residents achieve adequate case volumes; establish

6. Complete summative competency-based assessment for graduating residents and submit “Final Evaluation” form (available in New Innovations) to GME Office; respond promptly to inquiries for qualitative recommendations for graduates; consult with GME office in cases where there were performance concerns that were not resolved during training or delayed completion of training;

7. Implement and monitor policies and procedures consistent with the institutional and program requirements for resident clinical and educational work hours and the working environment, including moonlighting, and, to that end, must :

a) distribute these policies and procedures to the residents and faculty;

b) monitor resident clinical and educational work hours in accordance with the determinations of the GMEC and / or GME Office;

c) adjust schedules as necessary to mitigate excessive service demands and / or fatigue and ensure that the schedule in New Innovations is updated; respond to requests for information regarding violations from the GMEC and / or GME Office in a timely fashion; educate all residents and faculty about fatigue mitigation and fitness for duty;

d) if applicable, monitor the demands of at-home call and adjust schedules as necessary to mitigate excessive service demands and / or fatigue;

8. Monitor the need for and ensure the provision of back up support systems when resident patient care responsibilities are unusually difficult or prolonged; 9. Ensure data is submitted and / or updated through New Innovations on a timely basis, including but not limited to : program information, residents’ demographics, schedules, clinical and educational work hours, evaluations, procedures;

10. Prepare and submit all information required and requested by the ACGME, including but not limited to annual updates to ADS, and ensure that the information submitted is accurate and complete;

11. Abide by any and all program matching requirements of the NRMP and / or applicable matching programs;

12. Prepare and submit by the applicable deadline all information required and requested by the Driscoll Graduate Medical Education Office in an accurate and complete manner;

13. Participate in the annual budgeting resident allocation process; manage program operating budgets within established guidelines and in consultation with sponsoring site academic and administrative leadership, and;

14. Carry out budgeting and budget management processes in close consultation and collaboration with the Graduate Medical Education Office;

15. Obtain review and approval of the sponsoring institution’s GMEC / DIO before submitting to the ACGME information or requests for the following :

a) all applications for ACGME accreditation of new programs;

b) changes in resident complement;

c) major changes in program structure or length of training;

d) progress reports requested by the Review Committee;

e) responses to all proposed adverse actions;

f) requests for increases or any change to resident duty hours;

g) voluntary withdrawals of ACGME-accredited programs;

h) requests for appeal of an adverse action;

i) appeal presentations to a Board of Appeal or the ACGME;

j) proposals to ACGME for approval of innovative educational approaches;

16. Obtain DIO review and signature on all specialty-specific applications and / or program letters of agreement (PLAs), as well as any correspondence or document submitted to the ACGME that addresses :

a) program citations, and / or

b) request for changes in the program that would have significant impact, including financial, on the program or institution;

17. Be familiar with and comply with ACGME and Review Committee policies and procedures as outlined in the ACGME Manual of Policies and Procedures.

POSITION EDUCATION :

• MD or DO degree
• Current certification in the specialty for which they are program director by the appropriate medical board, i.e. American Board of ______ or by the American Osteopathic Board of ______, including ABMS or AOA certification.
• Current Texas medical licensure, DEA license, and appropriate medical staff appointment at Driscoll Childrens Hospital Rio Grande Valley
• Specialty expertise and at least three years of documented educational and / or administrative experience in Graduate Medical Education (GME) in an ACGME-accredited residency program
• Additional training in Faculty Development a plus
• Ongoing clinical activity