The Residency Program Director's Handbook, Third Edition

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The Residency Program Director's Handbook, Third Edition

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The Residency Program Director's Handbook, Third Edition

Residency program directors, who are full-time physicians themselves, are tasked with splitting their time between teaching residents, practicing medicine, and fulfilling their administrative duties. Understanding this to be no small task, authors Linda S. Nield, MD, and Jennifer L. Reemtsma, M.Ed., crafted The Residency Program Director’s Handbook, Third Edition, to be an on-the-job manual for residency program directors and administrators.

This book helps program directors make the most of their time by focusing on the issues and topics that most pertain to them and their residents’ needs. Perfect for both new and seasoned program directors, this revised edition includes tips and best practices for developing a disciplinary policy, measuring outcomes, evaluating residents and faculty, assessing a curriculum, and understanding the program accreditation process and its various components.

As the graduate medical education arena continues to evolve, Nield and Reemtsma have revised this resource to keep pace with the challenges that residency program directors face today. New to this edition is important information on the single accreditation system, the All-In Policy and waiver application processes, and managing physician and resident wellness, as well as practical tips for residency recruitment.

This book will:

  • Help new program directors gain a broad overview of graduate medical education
  • Provide actionable insight into the topics residency program directors are most likely to encounter on a day-to-day basis
  • Explain the single accreditation system and how programs can comply with its standards
  • Offer guidance on the program director’s role in facilitating physician and resident wellness

Published: June 2019

Page count: 148
Dimensions: 8.5x11
ISBN: 978-1-68308-952-0

About the Authors:

Linda S. Nield, MD, is a professor of medical education and pediatrics at West Virginia University (WVU) School of Medicine in Morgantown, West Virginia. She is the assistant dean for admissions for the MD degree and the co-director of the Pediatrics Residency Rural Scholars Program. Nield has been on faculty at WVU School of Medicine since 1993 and was the pediatrics residency program director from 2010 to 2015. A native of Rhode Island, she is a 1986 graduate of the College of the Holy Cross and a 1990 graduate of Dartmouth Medical School. Nield has served as chair of multiple departmental and graduate medical education committees, including the Promotion and Tenure Committee and the Health Care Disparities Committee. Nield is the chair of the medical student and resident section of the West Virginia American Academy of Pediatrics and serves as a peer reviewer for multiple national journals. She has numerous medical publications and nearly three decades of experience mentoring medical students and residents. Nield is a member of the Alpha Omega Alpha Honor Medical Society, a past recipient of the David Z. Morgan Mentor Award, and the 2017 West Virginia Pediatrician of the Year.

Jennifer L. Reemtsma, M.Ed, is the director of graduate medical education at The Christ Hospital Health Network (TCHHN) in Cincinnati. She joined TCHHN 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 has 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, educational consultant for the Wright Group Breakthrough to Literacy pro­gram, and teacher for Dallas Public Schools. She earned her Bachelor of Arts at Albion College in Michigan and her Master of Education at the University of North Texas, where she also earned her Educational Administration Certification.

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
Accreditation for New Programs

Chapter 3: Institutional Requirements: The Program Director’s Role
Annual Institutional Reviews
Residents and the Institution

Chapter 4: Residency Program Personnel and Resources
Program Director
Program Coordinator
Chief Resident
Departmental Chair and Vice Chair
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
Residents as Teachers
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
Core Competencies and Subcompetencies

Chapter 8: Clinical Learning Environment Review
The Six Focus Areas
Before the CLER Site Visit
The CLER Site Visit
After the CLER Site Visit

Chapter 9: Resident Wellness
Monitoring Wellness
Strategies to Promote Wellness

Chapter 10: Program Director Duties
Resident Recruitment
Resident Orientation
Didactic and Clinical Education
Interface With ACGME
Resident Transfers
Changes in Resident Complement
Resident Rotation Schedule
Off-Site Rotations
Scholarly Activity
Goals and Objectives
Program Budget
Transition of Care
Alertness Management/Fatigue Mitigation
Semiannual Resident Performance Reviews
Resident Retreat
Resident Graduation

Chapter 11: Single Accreditation System
Becoming ACGME-Accredited
The Match

Chapter 12: Committees
The Clinical Competency Committee
The Program Evaluation Committee
The Resident Selection Committee
The Graduate Medical Education Committee

Chapter 13: Evaluations

Chapter 14: Developing a Resident Disciplinary Policy
Setting Expectations
Setting Minimum Performance Standards
Developing the Disciplinary Policy
Basics of a Grievance Policy

Chapter 15: Surveys
Annual ACGME Resident Survey
Annual ACGME Faculty Survey
Institutional Resident and Faculty Surveys
Graduate Surveys
Graduate Employer Surveys

Chapter 16: 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 17: Graduate Medical Education Funding and Budgeting
Budgeting for Your Program