The Graduate Medical Education Office Handbook

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The Graduate Medical Education Office Handbook

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The Graduate Medical Education Office Handbook 
Author: Vicki Hamm, GME program administrator for University of Nebraska Medical Center

Seamlessly achieve ACGME compliance!

The Graduate Medical Education Office Handbook provides the office of graduate medical education (GME) the guidance it needs to successfully run its GME program. Author Vicki Hamm, C-TAGME, provides GME office staff with how-to guidance and tools for implementing ACGME Institutional Requirements, institutional policies, crafting resident/fellow contracts, and other daily duties of the GME office. This book contains over 20 sample policies and forms to customize for your institution.

This book will guide your GME operations so that you can achieve compliance with ACGME requirements; support your program coordinators, directors, and faculty; and most importantly, produce trainees who become skilled physicians as they move from the educational continuum to the independent practice of medicine.

This handbook will help GME officials:

  • Meet ACGME institutional requirements through solid policies and procedures
  • Develop strategies for protecting the time of program directors, coordinators, and faculty
  • Prepare for new NAS requirements, including a CLER visit
  • Conduct special internal reviews to help underperforming programs
  • Establish a competent and confident GME committee


Table of Contents:

Chapter 1: What’s New: How NAS Affects the GME Office

  • Web-Based Reporting of Program Performance Measures (WebADS) 
  • Outcome-Based Evaluations: Milestones 
  • Clinical Competency Committee (CCC) 
  • Clinical Learning Environment Review (CLER) 
  • Ten-Year Self Study and Self-Study Site Visits for Accredited Programs 
  • Institutional Self-Study and Institutional Site Visit


Chapter 2: Right-Sizing Your GME Office Staff

  • GME Office Support


Chapter 3: GME Finance and Workforce Committee

  • Program Director Protected Time 
  • DIO Protected Time 
  • Core Faculty Protected Time 
  • Program Coordinator Protected Time


Chapter 4: Program Coordinator and Program Director Support

Chapter 5: The ACGME Institutional Requirements/Graduate Medical Education Committee

  • Structure of Educational Oversight of the ACGME Institutional Requirements 
  • The Graduate Medical Education Committee 
  • GMEC Meeting Attendance 
  • GMEC Agenda 
  • Oversight of the GMEC 
  • Institutional Resources 
  • Resident/Fellow Forum 
  • Work Environment 
  • Support Services and Systems 
  • Resident/Fellow Learning and Working Environment 
  • The Six Focus Areas of the CLER


Chapter 6: Institutional GME Policies and Procedures

  • Resident and Fellow Recruitment
  • Crafting an Eligibility and Selection Policy
  • Agreement of Appointment/Contract
  • Grievance and Due Process


Chapter 7: ACGME Resident and Faculty Surveys

Chapter 8: Special Internal Review

  • Membership on the SIR
  • Interviews
  • Special Internal Review Report


Chapter 9: Clinical Learning Environment Review (CLER)

  • The Site Visit
  • The Six Focus Areas of CLER
  • The Site Visit Report


Chapter 10: Evaluation and the Next Accreditation System

  • Program Evaluation Committee
  • Annual Program Evaluation Committee
  • Annual Program Review


Chapter 11: Annual Institutional Review

  • ACGME Institutional Review Visits


Meet the author:

Vicki Hamm is the graduate medical education (GME) program administrator at the University of Nebraska Medical Center in Omaha. Hamm began her career in GME in 1976 and has remained in her present position for more than 38 years.

She helps maintain institutional oversight of 46 training programs and 500 house officers.  She works closely with the 42 program coordinators in all facets of administering the residency and fellowship programs at the University of Nebraska Medical Center.

Hamm has been active in the Association for Hospital Medical Education and in the Association of American Medical Colleges’ Group on Resident Affairs.

She is the author/coauthor of several HCPro publications, including The Resident’s Orientation Handbook, first, second, and third editions, The Graduate Medical Education Committee Handbook, and Program Information Form Made Simple