The Residency Program Director's Handbook, Second Edition

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The Residency Program Director's Handbook, Second Edition

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The Residency Program Director's Handbook, Second Edition

Sara Multerer, MD, FAAP
Linda S. Nield, MD
Jennifer Reemtsma, M.Ed

The Residency Program Director’s Handbook, Second Edition, is an on-the-job manual tailored to residency program directors and administrators. In this updated edition, Sara Multerer, MD, FAAP, Linda S. Nield, MD, and Jennifer Reemtsma, M.Ed, provide expert tips for developing a disciplinary policy, measuring outcomes, evaluating residents and faculty, assessing a curriculum, navigating the program director’s role in the Next Accreditation System (NAS) and Clinical Learning Environment Review (CLER), and other ACGME requirements. This book will streamline the day-to-day responsibilities of graduate medical education and reveal new and innovative teaching strategies to reach your residents.

This updated edition of The Residency Program Director’s Handbook is a complete guide to the director position that includes tips for developing a disciplinary policy, measuring outcomes, evaluating residents and faculty, assessing a curriculum, and implementing the NAS and its various components. This book will also help directors of AOA-accredited programs transition to a single accreditation system.

Table of Contents:

Chapter 1: Graduate Medical Education

  • The Accreditation Council for Graduate Medical Education
  • Residency Review Committees of the ACGME
  • ACGME Policies for Programs


Chapter 2: The Program Accreditation Process Overview

  • Program Evaluation Committee and Annual Program Evaluation
  • New Accreditation for Programs: Site Visits and Citations


Chapter 3: Institutional Requirements: Balancing Your Role, Residents, and Regulatory Responsibilities

  • The ACGME and the Institution
  • Residents and the Institution


Chapter 4: Residency Program Personnel and Resources

  • Program Director
  • Program Coordinator
  • Faculty
  • Other Program Personnel
  • Program Resources


Chapter 5: Sponsoring Institution Requirements of ACGME-Accredited Programs

  • Organization of the Graduate Medical Education Committee
  • Responsibilities for Oversight: GME Policies
  • Resident Contracts/Agreement of Appointment
  • Annual Institutional Review
  • Special Review Process


Chapter 6: Education Program Requirements: Structuring Your Curriculum

  • Didactic Curriculum
  • Developing Goals and Objectives
  • Evaluating Effectiveness/Assessing Strengths and Weaknesses
  • Linking Goals and Objectives to Outcomes


Chapter 7: Measuring Outcomes in Medical Education

  • Entrustable Professional Activities
  • The Core Competencies and Sub-Competencies
  • Milestones


Chapter 8: Clinical Learning Environment Review


Chapter 9: Program Director Duties

  • Resident Recruitment
  • SOAP
  • Visas
  • Resident Orientation
  • Policies
  • Didactic and Clinical Education 
  • Faculty
  • Interface With ACGME
  • Resident Rotation Schedule 
  • Off-Site Rotations
  • Program Letter of Agreement
  • Affiliation Agreements
  • Supervision
  • Scholarly Activity
  • Evaluations 
  • Goals and Objectives 
  • Program Budget 
  • Committees 
  • Transition of Care
  • Alertness Management/Fatigue Mitigation
  • Semiannual Resident Performance Reviews
  • Resident Retreat
  • Resident Graduation


Chapter 10: Committees

  • The Clinical Competency Committee
  • The Program Evaluation Committee
  • The Resident Selection Committee
  • The Graduate Medical Education Committee


Chapter 11: Evaluations

  • Residents
  • Faculty
  • Program


Chapter 12: Developing a Resident Disciplinary Policy

  • Setting Expectations
  • Setting Minimum Performance Standards
  • Developing the Disciplinary Policy   
  • Basics of Grievance Policy


Chapter 13: Surveys

  • Annual ACGME Resident Survey
  • Annual ACGME Faculty Survey
  • Institutional Resident and Faculty Surveys
  • Graduate Surveys
  • Graduate Employer Surveys

 
Chapter 14: Electronic Resources

  • ACGME’s Accreditation Data System
  • Electronic Residency Application Service
  • National Residency Matching Program
  • Fellowship and Residency Electronic Interactive Database 
  • Electronic Residency Program Management Systems


Chapter 15: Graduate Medical Education Funding and Budgeting

  • Budgeting for Your Program


Downloadable Samples:

Policy Template
Special Review Template
Noon Conference Calendar
Resident Conference Evaluation
Resident Evaluation of a Rotation Curriculum
Resident Evaluation of Teaching Faculty
Resident Evaluation of Rotation Stressors
Program Letter of Agreement
Competency-Based Evaluation Form of Resident
Mini-Clinical Evaluation Exercise (CEX)
Patient Evaluation Form
Summative Evaluation of Resident
Medical Educator Evaluation
Annual Program Evaluation
Institutional Resident Survey
Institutional Faculty Survey
Post-Graduate Survey
Graduate Employer Survey

Who Will Benefit:

  • Residency program director
  • Designated institution official
  • Graduate medical education coordinator
  • Residency program coordinator
  • GME administrator
  • GME committee members and leadership
  • Director of medical education


About the Authors:

Sara Multerer, MD, FAAP, is an associate director for the pediatric residency program at the University of Louisville (Kentucky), a position she has held for six years.

After completion of her pediatric residency training at the University of Louisville, she was elected Richard S. Wolf Chief Resident and Lecturer for the program. At the end of her tenure as chief resident in 2009, Multerer stayed in Louisville as faculty in the Division of Pediatric Hospital Medicine, where she is an assistant professor. She is a current participant in Cohort 6 of the Academic Pediatric Association’s Educational Scholars Program (ESP) and will join the ESP Curriculum Committee in 2015. Locally, Multerer has received a Department of Pediatrics Faculty Peer Clinician-Teacher Excellence award for two years in a row.

In her associate program director role, Multerer is the chair of the program’s Curriculum Committee, where she focuses on curriculum development and oversight. Under her leadership, the committee has created and approved 14 new resident rotations in the last five years. Additionally, Multerer is responsible for the program’s oversight and implementation of both the new Individualized Curriculum and the Pediatric Milestone Project, and she has served as the site director for three Longitudinal Education Assessment Research Network (LEARN) projects run by the Association of Pediatric Program Directors.

Linda S. Nield, MD, is a professor of pediatrics and the program director for the pediatrics residency program at West Virginia University School of Medicine in Morgantown, where she has been on faculty since 1993 after completion of her residency. A native of Rhode Island, she is a 1986 graduate of the College of the Holy Cross in Worcester, Massachusetts, and a 1990 graduate of Dartmouth Medical School in Hanover, New Hampshire. Nield has more than two decades of experience with mentoring medical students and residents, especially with career planning, board preparation, and the process of writing for clinical literature.

Jennifer Reemtsma, M.Ed, is the director of graduate medical education at the Christ Hospital Health Network in Cincinnati. She joined the institution in May 2014.

Reemtsma has more than 20 years of experience as an educator, most recently serving as the director of medical education at Children’s Medical Center in Dallas. She also served as assistant principal for the Fort Worth (Texas) Independent School District; education coordinator for the Dallas County Juvenile Justice Education Program; program associate for school improvement at the University of Illinois at Chicago; and educational consultant for the Wright Group “Breakthrough to Literacy” program; in addition, she served as a teacher for Dallas Public Schools.

Reemtsma earned her Bachelor of Arts at Albion College in Albion, Michigan, and her Master of Education at the University of North Texas, where she also earned her Educational Administration Certification.