Institution Responsibilities:
Graduate Medical Education Committee (GMEC)

Role of the Graduate Medical Education Committee (GMEC)
In accordance with the Institutional Requirements set forth by the Accreditation Council of Graduate Medical Education (ACGME) we are required to have a GME Committee. Voting membership on the committee must include the designated institutional official or his/her designee, a representative sample of program directors, a minimum of two trainees who have been selected by their peers, a quality improvement officer, administrators and other members of the faculty.

Meeting and Attendance: The GMEC must include attendance by at least one resident/fellow representative. The GMEC must maintain written meeting minutes that document execution of all required GMEC functions and responsibilities.

The charge the GMEC is:
Oversight of:
1) ACGME accreditation status of the Sponsoring Institution and its ACGME-accredited
2) The quality of the GME learning and working environment within the Sponsoring Institution, its ACGME-accredited programs and its participating sites;
3) The quality of educational experience in each program that lead to measurable achievement of educational outcomes as outlined in the Common Program Requirements;
4) All processes related to reductions and/or closures of individual ACGME-accredited
programs, major participating sites and the Sponsoring Institution

Review and Approve:

1) Annual recommendations to the Sponsoring Institution’s administration of resident/fellow stipends, benefits and the number of positions funded in each ACGME- accredited program
2) Institutional GMEC policies and procedures
3) Applications for ACGME accreditation of new programs
4) Requests for permanent changes in resident/fellow complement
5) Major changes in ACGME-accredited programs’ structure or length of training education
6) Additions or deletions from each ACGME-accredited program’s list of participating sites
7) Appointments of new program directors
8) Progress reports by a Review Committee
9) Responses to interim Clinical Learning Environment Review (CLER) site visit reports
10) Requests for resident duty hour exceptions
11) Voluntary withdrawal of ACGME –accredited program
12) Requests for an appeal of an adverse reaction by Review Committee
13) Appeal presentations to an ACGME appeals Panel

GMEC oversight of the Annual Institutional Review (AIR) performance indicators:

1) ACGME notification of institutional accreditation status
2) Results of the most CLER visit
3) Results of the most recent institutional self-study visit
4) Aggregate results of ACGME surveys of residents/fellows and faculty members
5) Aggregate results of programs performance indicators

The AIR must include monitoring procedures for action plans resulting from the review. An Executive Summary of the AIR must be submitted annually to the Governing body and the SIE of the Sponsoring Institution.

GMEC oversight of the Annual Program Review (APR):

APR protocol templates should include:
1) ACGME Common Program and Institutional Requirements
2) Most recent accreditation letter and progress report
3) Most recent APR report
4) Reports from previous GMEC Special Reviews of the program
5) Results from internal and external resident/fellow, faculty and patient surveys
6) Annual performance data provided by the ACGME
7) APR protocol should also outline the reporting structure and monitoring procedures after the APR is completed

GMEC Special Review and mentoring process for programs not meeting all standards:

Special Review protocol templates should include:
1) Criteria for initiating a GMEC special review
2) Interviewers: at least one faculty member; at least one resident/fellow; additional internal and external reviewers and administrators which may include the DIO as determined by GMEC
3) Interviewees: the program director; at least two core faculty members; at least one peer selected trainee; other individuals as deemed appropriate.

The protocol must outline a reporting structure, monitoring procedures and a timeline including written recommendations and procedures for follow-up to improve the ACGME-accredited program performance in specific areas.