Committees

GME Committee Buisiness

The SUNY Downstate Medical Center Graduate Medical Education Committee (GMEC) has the responsibility for monitoring and advising all aspects of residency education and assuring full compliance with ACGME institutional and RRC program requirements. The chairperson for the GME Committee is Daniel Rosenbaum, MD.

Appointment and Membership

The GMEC and the GMEC Chair are appointed by the Dean of the Medical School from among clinical department chairs and program directors. Membership also includes the Clinical Associate Deans from the principal affiliated hospitals (Kings County Hospital, University Hospital Brooklyn, Veterans Administration Hospital, Long Island College Hospital, and Staten Island University Hospital). A peer-elected GMEC sub-committee of residents designates five resident representatives for appointment by the Dean to the GMEC.

Committee Meetings

The Committee meets monthly and minutes are kept. From time to time, the Committee invites guests to attend meetings for discussion of specific agenda items or topics identified by it. The committee's meetings are conducted under Roberts Rules of Order.

Confidential GMEC Business

All GMEC discussions, decisions and written materials are privileged information and considered strictly confidential.

Semi-Annual Program Directors/Coordinators Meeting

The DIO, Chair of GMEC and GME Office Staff meets semi-annually with the Program Directors and/or coordinators to address issues related to GME.

GMEC Responsibilities

The responsibilities of the Committee include:

1. Establishment and implementation of general policies that affect all residency programs regarding the quality of education and the work environment for the residents in each program. GMEC subcommittees for education, executive , resident affairs, internal review and research are charged to monitor and make recommendations.
2. Establishment and maintenance of appropriate oversight of and liaison with program directors and assurance that program directors establish and maintain proper oversight of and liaison with personnel of the other institutions participating in programs sponsored by the SUNY Downstate Medical Center. The GMEC has appointed a subcommittee of program directors. See GMEC Subcommittees below.
3. Regular review of all ACGME letters of accreditation and the monitoring of action plans for the correction of citations.
4. Regular internal reviews of all ACGME accredited programs including subspecialtyprograms to assess their compliance with both Institutional Requirements and Program Requirements of the relevant ACGME Residency Review Committee.
   1. Reviews are conducted by subcommittees and include faculty, residents and administrators outside the department in which the residency exists. The review follows a written protocol approved by the GMEC on January 22, 1996, updated in August 2007 and more often if deemed necessary. External reviewers my also be utilized as determined by the GMEC
   2. Reviews are conducted midway between the ACGME program surveys
   3. The following materials and data are used in the review process:
      1. ACGME/RRC Institutional and Program Requirements from the Essentials of Accredited Residency Programs.
      2. Letters of accreditation from previous ACGME reviews.
      3. Most recent annual report to the GMEC.
      4. Reports from previous internal reviews.
      5. Interviews with program director, faculty, and residents in the program and individuals outside the program as deemed appropriate by the committee.
      6. site visits to examine pertinent program and departmental files.
      7. site visits to affiliate hospitals to review adequacy of working environment and ancillary services.
      8. results of document audit conducted by GME Office.
   4. Reviews assess the residency program's compliance with each of the program requirements, and also appraise the following:
   5. The educational objectives of the program.
   6. The adequacy of available educational and financial resources to meet these objectives.
   7. The effectiveness of each program in meeting its objectives.
   8. The effectiveness in addressing citations from previous ACGME letter of accreditation and previous internal reviews.
   9. A written report of each internal review is presented to and reviewed by the GMEC Internal Review Subcommittee for the monitoring of deficiencies and appropriate action. It includes recommendations for correction of any deficiencies identified and the date when the program is required to report back to the GMEC on its progress in addressing these deficiencies.
      1. A draft report is shared with the program director for factual correction and response before submission to the GMEC
      2. The final report with the program director's response is presented to the GME Committee
   10. In addition, each department is required to submit an annual report to the GME Office and present an oral report to the GMEC as scheduled
5. Assurance that each residency program establishes and implements formal written criteria and processes for the selection, evaluation, promotion, dismissal and due process of residents in compliance with both the Institutional and relevant Program Requirements.
6. Assurance of an educational environment in which residents may raise and resolve issues without fear of intimidation or retaliation. This includes:
7. Establishment of a resident subcommittee with peer-elected representatives from each residency program which meets monthly to communicate and exchange information on working environment and educational programs.
8. As directed by the GMEC, the Associate Dean for GME serves as an ombudsman for all resident concerns. Residents are also encouraged to discuss their concerns with the Chair of the GMEC.
9. Establishment and implementation of fair institutional policies and procedures for academic or other disciplinary actions taken against residents (see Due Process Policy).
10. Establishment and implementation of fair institutional policies and procedures for adjudication of resident complaints and grievances related to actions which could result in dismissal or could significantly threaten a resident's career development. (See Due Process Policy)
11. Collecting of intra-institutional information and making recommendation on the appropriate funding for resident positions, including benefits and support services.
12. Monitoring of the programs in establishing an appropriate work environment and the duty hours of residents. This is accomplished by:
13. Site visits in conjunction with Internal Reviews.
14. Regular monitoring by GMEC Resident Subcommittee and GMEC Subcommittee on Resident Affairs which is charged with monitoring working conditions.
15. Quarterly surveys of resident working hours and compliance with ACGME Duty Hours and NYS DOH Section 405 Regulations.
16. Assurance that the residents curriculum provides a regular review of ethical, socioeconomic, medical/legal, and cost-containment issues that affect GME and medical practice. The curriculum must also provide an appropriate introduction to communication skills and research design, statistics, and critical review of the literature necessary for acquiring skills for lifelong learning. The Core curriculum of each program is monitored through annual reports and a GME Office annual document audit site visit that is submitted to the GMEC.