Custom GME Consultation Services 
can include...

GME Oversight and Operations:

Scope: 

The ACGME requires evidence of oversight by the DIO and GMEC. This evidence is provided through documentation of many committees, processes, and policies. The consultant will assist your GMEC and DIO in determining if your institution is meeting these requirements and where improvements can be made to ensure proper oversight and operations.

 Oversight and Operations includes, but is not limited to:

  • Graduate Medical Education Committee (GMEC)
  • Clinical Competency Committee (CCC)
  • Program Evaluation Committee (PEC)
  • Remediation and grievance process review
  • Data Analysis for program quality
  • Database software maximization
  • Policies and procedures
  • Implementing best practices

DIO Mentor On-call:

Scope: 

This service is a continuous relationship with a Mentor. You can call your assigned Mentor with questions, get assistance on special projects, and tap into any of our services. You determine the number of hours that you want to have the Mentor available to you for each month or each quarter. You can authorize individuals within your organization (CEO, DIO, GMEC Chairperson, Program Directors, etc.) to contact the Mentor in the contracted period. This contact can be as needed, or you can arrange for routine meetings. The purpose for this service is to develop your GME leaders to increase your institution’s internal “bench strength” as the Mentor helps you with GME operations and implementing your strategic GME plan.

Financial Management/IRIS Audit

Scope: 

The consultant can audit your IRIS reporting to ensure that you are claiming all potential resident time. This includes a rotation description review, data analysis of all rotations for the fiscal year for all residents, with in-depth review of the counting of vacation, leave of absence, time off duty, time out of the teaching facility, out-rotations, etc.  In addition, budget review and recommendations can be part of this service to maximize the dollars spent on required accreditation requirements.

Strategic GME Planning

Scope: 

The consultant can assist the DIO and CEO with determining the right size for their residency programs to maximize hospital needs and program requirements.  A detailed FTE plan can be developed for a five-year strategic plan.  This service can include the development  of GME partnerships, new program development, budget analysis, grant writing, and much more.

Professional Development:

Scope: 

The consultant assists the institution in the development of appropriate professional development opportunities for program directors, faculty, and/or staff. This can be how to run a successful CCC, developing remediation plans, increasing scholarly activity, teaching proper use of Residency Management Systems, etc.

Document Development or Review

Scope: 

The consultant will serve as a GME Content Expert in the review, editing, and/or production of GME related documents. This includes, but in not limited to:
 

  • Program Applications
  • Annual WebAds Updates
  • Annual Program Evaluations
  • Annual Institutional Reports
  • Resident Remediation
  • Resident Assessment
  • Credentialing

Mock Site Visit: Institutional Accreditation

Scope: 

This is a review of the ACGME sponsoring institution with in-depth document review and direct interviews with stakeholders regarding the current status of the institution, recent improvements, and an analysis of strengths and weaknesses. 

Purpose: 

The purpose of this mock site visit is to prepare the Designated Institutional Officer (DIO) and stakeholders for the site visit and potential questions that will come up in the ACGME site visit. 

The consultant will be verifying that all previous citations and concerns have been addressed and help the program identify any potential issues prior to the ACGME site visit, so that the institution can have time to address the issues prior to the accreditation visit. Best practices may be shared with the DIO as needed to elevate institutional readiness for the accreditation visit.

Mock Site Visit: Residency and Fellowship Programs

Scope: 

This is a review of a single program with in-depth document review and direct interviews with stakeholders regarding the current status of the program, recent improvements, and an analysis of program strengths and weaknesses.  

Purpose: 

The mock site visit serves two purposes:

  1. Prepare the program for the site visit and potential questions that will come up in the ACGME site visit. The consultant will be verifying that all previous citations and concerns have been addressed and help the program identify any potential issues prior to the ACGME site visit, so that the program can have time to address the issues prior to the accreditation visit.  
  2. Familiarize the program director(s), program coordinator(s), and residents with the process of an accreditation site visit.  
    1. Many of these individuals are inexperienced with the accreditation review process, due to long accreditation cycles.
    2. Please note that a mock site visit is not intended to coach participants on how to present their program or what to share with the site visitors. However, the experience provides them with an understanding of the process and the questions that will be asked, providing for a smoother ACGME site visit.

Mock Site Visit: Clinical Learning Environment Review (CLER)

Scope: 

This is an independent review of the ACGME sponsoring institution’s clinical learning environment with on-site tours and conversations with multiple levels of administrators and health care providers in your institution. The consultant will assess the current status for the institution, using the six Focus Areas: Patient Safety; Health Care Quality; Care Transitions; Supervision; Well-Being; and Professionalism. 

 Purpose: 

 All Sponsoring Institutions must undergo CLER visits every 24 months to maintain accreditation. These visits do not currently affect accreditation status in any other way, but this is likely to change in the future. The expectations regarding clinical learning environments have risen significantly, since this program began. The purpose is to prepare the institution and stakeholders for the CLER visit and the potential situations that will come up during this visit. With independent analysis of the learning environment, the institution can use the report as a springboard for discussions and improvements.

Mock Site Visit: Special Reviews
 

Scope: 

This is a targeted review of a single program with declining performance or specific concerns which have triggered the review by GME policy or request of the GMEC. Depending on the issues/concerns that triggered the Special Review, this may include document review and/or direct interviews with stakeholders. Special Reviews are custom designed as needed. A formal recommendation is submitted for GMEC review.

Purpose: 

 The ACGME requires the use of Special Reviews to demonstrate that the GMEC has effective oversight of underperforming programs. An independent reviewer can assist your GMEC with this review by providing an unbiased evaluation of the program.