The University of Washington Graduate Medical Education Committee (GMEC) is responsible for overseeing:
- the Accreditation Council for Graduate Medical Education (ACGME) accreditation status of the Sponsoring Institution and its ACGME-accredited programs;
- the quality of the Graduate Medical Education (GME) learning and working environment within the Sponsoring Institution, its ACGME-accredited programs, and its participating sites;
- 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 Program Requirements;
- the ACGME-accredited programs' Annual Program Evaluation (APE), Clinical Learning Environment Review (CLER) reports and all quality improvement activities; and,
- processes related to reductions and closures of ACGME-accredited programs, major participating sites, and the Sponsoring Institution.
In order to achieve this oversight, the Committee must review and approve:
- institutional GME policies and procedures;
- Presence of other learners in the ACGME clinical and educational environment;
- applications for ACGME accreditation of new programs;
- requests for permanent changes in resident/fellow complement;
- major changes in ACGME-accredited programs' structure or duration of education;
- additions and deletions of ACGME-accredited programs' participating sites;
- appointment of new program directors;
- progress reports requested by a Review Committee;
- responses to Clinical Learning Environment Review (CLER) program reports;
- requests for exceptions to clinical and educational work hour requirements;
- voluntary withdrawal of ACGME program accreditation;
- requests for appeal of an adverse action by a Review Committee; and,
- 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:
- results of the most recent institutional self-study site visit;
- Results of the most recent Clinical Learning Environment Report (CLER);
- results of ACGME surveys of residents/fellows and core faculty; and,
- 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 Designated Institutional Official (DIO) must submit a written annual executive summary of the AIR to the Governing Body. As part of our Commitment to GMEC, the DIO will present the AIR to the governing bodies of the UW School of Medicine and its consortium of hospitals.
Finally, the GMEC must demonstrate effective oversight of underperforming programs through a Special Review process. The Special Review process must include a protocol that:
- establishes criteria for identifying underperformance; and,
- 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 the Chair of the GMEC. Committee members include selected representation from residents and fellows, hospital leadership, clinical chairs, ACGME program directors and other members of the UW faculty, GME administration, program administrators, UW Medicine Compliance, and a quality improvement/safety officer. Resident and fellow members should include the UW Housestaff Association (UWHA) President, the Network of Underrepresented Residents and Fellows (NURF) President, the Housestaff Quality and Safety Committee (HQSC) co-chairs, four program-appointed chief residents from the Internal Medicine, General Surgery, Anesthesiology and Pediatrics programs, and other peer-selected residents and fellows. Resident and fellow members serve one (1) year terms, and may be re-nominated. Faculty and other administrative members should serve a term of two (2) years, and may be reappointed.
Each voting member of the Committee, including the Chair, has one vote and all votes are equal. All actions of the GMEC 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 subcommittees to accomplish portions of the Committees' 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 presented to and approved by the GMEC. Standing GMEC subcommittees include:
The GMEC may appoint ad hoc taskforces to accomplish specific, time-limited projects that are essential to the work of the Committee, and reflect the evolving GME landscape. The GMEC will give each Taskforce a clear charge. Any actions or recommendations by a Taskforce will be presented to and approved by the GMEC.