The University of Washington Graduate Medical Education Committee (GMEC) is responsible for overseeing (1) the Accreditation Council for Graduate Medical Education (ACGME) accreditation status of the Sponsoring Institution and its ACGME-accredited programs; (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 experiences in each ACGME-accredited program that lead to measurable achievement of educational outcomes as identified in the ACGME Common and specialty/subspecialty-specific Program Requirements; (4) the ACGME-accredited programs’ annual evaluation and improvement activities; and, (5) processes related to reductions and closures of individual ACGME-accredited programs, major participating sites, and the Sponsoring Institution.
In order to accomplish these responsibilities, the committee must review and approve (1) institutional GME policies and procedures; (2) annual recommendations to the Sponsoring Institution’s administration regarding resident/fellow stipends and benefits; (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 duration of education; (6) additions and deletions of ACGME-accredited programs’ participating sites; (7) appointment of new program directors; (8) progress reports requested by a Review Committee; (9) responses to Clinical Learning Environment Review (CLER) reports; (10) requests for exceptions to duty hour requirements; (11) voluntary withdrawal of ACGME program accreditation; (12) requests for appeal of an adverse action by a Review Committee; and, (13) appeal presentations to an ACGME Appeals Panel.
In addition, the GMEC must demonstrate effective oversight of the Sponsoring Institution’s accreditation through an Annual Institutional Review (AIR). The GMEC must identify institutional performance indicators for the AIR which include: (1) results of the most recent institutional self-study visit; (2) results of ACGME surveys of residents/fellows and core faculty; and, (3) notification of ACGME-accredited programs’ accreditation statuses and self-study visits. The AIR must include monitoring procedures for action plans resulting from the review. The DIO must submit a written annual executive summary of the AIR to the Governing Body.
Lastly, the GMEC must demonstrate effective oversight of underperforming programs through a Special Review process. The Special Review process must include a protocol that: (1) establishes criteria for identifying underperformance; and, (2) results in a report that describes the quality improvement goals, the corrective actions, and the process for GMEC monitoring of outcomes.
The Designated Institutional Official (DIO) serves as Chair of the GMEC. Committee members include selected representation from GME administration, hospital leadership, departmental chairs, ACGME program directors and other members of the UW faculty, program administrators, a quality improvement/safety officer, and residents and fellows. Resident and fellow members include the UW Housestaff Association (UWHA) President, four program-appointed chief residents from the Internal Medicine, General Surgery, Anesthesiology and Pediatrics programs, four peer-selected residents, and four peer-selected fellows. Resident and fellow members shall serve one (1) year terms, and may be re-nominated for subsequent terms. Faculty and other administrative members shall be appointed by the Dean of the School of Medicine for a term of two (2) years, and may be reappointed for subsequent terms. The Chair will serve for an indefinite term. Each voting member of the Committee, including the Chair, has one vote and all votes are equal. All actions of the Graduate Medical Education Committee must be by a majority vote of those present and those voting must reflect a broad representation of faculty, resident and fellows.
Meetings will be held monthly. Minutes must be kept and will be available for review by accreditation site visitors. When possible, resident/fellow members will be released from regular duties so they may attend.
The GMEC will appoint standing and adhoc subcommittees in order to carry out portions of the GMEC’s responsibilities. Subcommittees that address required GMEC responsibilities will include peer-selected residents and fellows. Any actions of subcommittees that address required GMEC responsibilities will be reviewed and approved by the GMEC. The standing GMEC subcommittees include:
- Institutional Resident/Fellow Advisory Committee (IRFAC): IRFAC is responsible for the development of policies relevant to resident and fellow appointment and education, including stipends, fringe benefits, working conditions, supervision, weekend and holiday duty, grievance and termination procedures, quality of patient care, and the particulars of the annual Residency & Fellowship Position Appointment, the agreement that outlines the terms and conditions of resident and fellow appointments to a UW GME training program, including the established educational and clinical practices, policies, and procedures in all training sites to which residents and fellows are assigned.
- Graduate Medical Education Position Allocation Committee (GMEPAC): GMEPAC is delegated to review requests for temporary and permanent increases and/or changes in resident, chief resident and fellow complements and to make recommendations regarding such requests to the Dean. This also includes requests for funding of positions for new residency and fellowship programs.