Graduate Medical Education Organizational Chart
Graduate Medical Education Mission Statement
The Wake Forest Baptist Medical Center (WFBMC) faculty and staff are committed to providing excellence in Graduate Medical Education (GME), so that residents and fellows have the opportunity to develop into highly skilled, compassionate and dedicated professionals and to become leaders in their fields of endeavor. We value accreditation for our institution and for each of our GME programs by the Accreditation Council for Graduate Medical Education (ACGME) and we seek to monitor and align GME programs with the strategic needs of Wake Forest University Health Sciences and North Carolina Baptist Hospital. To achieve these goals the Graduate Medical Education Committee will:
- Provide oversight for all WFBMC ACGME-accredited programs.
- Monitor and advise on all aspects of residency education.
- Maintain liaison with members of the Chiefs of Professional Services so that concerns related to residents/fellows can be communicated to the GMEC.
- Establish and implement policies and procedures regarding the quality of education and the work environment for the WFBMC residents/fellows in all ACGME-accredited programs.
- Review annually and make recommendations to the Sponsoring Institution on resident stipends, benefits and funding for resident/fellow positions to assure that these are reasonable and fair.
- Establish and maintain appropriate oversight of and liaison with Residency Program Directors.
- Assure that Program Directors establish and maintain proper oversight of and liaison with appropriate personnel of other institutions participating in the WFBMC ACGME-accredited programs.
Establish and implement formal written policies and procedures governing resident duty hours in compliance with the Institutional and Program Requirements. The GMEC must assure that the following requirements are met:
Each ACGME-accredited program must establish formal written policies governing resident duty hours that are consistent with the Institutional and Program Requirements. These formal policies must apply to all participating institutions used by the residents/fellows and must address the following requirements:
The educational goals of the program and learning objectives of residents/fellows must not be compromised by excessive reliance on residents to fulfill institutional service obligations. Duty hours and call schedules must be monitored by both the Sponsoring Institution and programs and adjustments made as necessary to address excessive service demands and/or resident fatigue. Duty hours, however, must reflect the fact that responsibilities for continuing patient care are not automatically discharged at a specific time. ACGME-accredited programs must ensure that residents are provided appropriate backup support when patient care responsibilities are especially difficult or prolonged; and,
Resident duty hours and on-call time periods must be in compliance with the Institutional and Program Requirements. The structuring of duty hours and On-call schedules must focus on the needs of the patient, continuity of care and the educational needs of the resident/fellow.
The GMEC must develop and implement procedures to regularly monitor resident duty hours for compliance with WFBMC’s policies and the Institutional and Program Requirements.
The GMEC must develop and implement written procedures to review and endorse requests from programs prior to submission to an Residency Review Committee (RRC) for exceptions in the weekly limit on duty hours up to 10 percent or up to a maximum of 88 hours. All exceptions requested must be based on a sound educational rationale. The procedures must outline the process for endorsing an exception in compliance with the ACGME policies and procedures for duty-hour exceptions.
- Assure that ACGME-accredited programs provide appropriate supervision for all residents/fellows that is consistent with proper patient care, the educational needs of the residents/fellows, and the applicable Program Requirements. Supervision of residents must address the following:
- Residents/fellows must be supervised by teaching staff in such a way that the residents assume progressively increasing responsibility according to their level of education, ability, and experience.
- On-call schedules for teaching staff must be structured to ensure that supervision is readily available to residents on duty.
- The teaching staff must determine the level of responsibility accorded to each resident/fellow.
- Assure that each program provides a curriculum and an evaluation system to ensure that residents/fellows demonstrate achievement of the six general competencies.
- Establish and implement formal written institutional polices for the selection, evaluation, promotion, and dismissal of residents/fellows in compliance with the Institutional and Program Requirements.
- Regularly review all ACGME program accreditation letters and monitor action plans for the correction of concerns and areas of noncompliance.
- Regularly review the WFBMC Letter of Report from the Institutional Review Committee and develop and monitor action plans for the correction of concerns and areas of noncompliance.
- Review and approve prior to submission to the ACGME:
- all applications for ACGME accreditation of new programs and subspecialties
- changes in resident complement
- major changes in program structure or length of training
- additions and deletions of participating institutors used in a program
- appointments of new Program Directors
- progress reports requested by any Review Committee
- responses to all proposed adverse actions
- requests for any increases or any change in resident duty hours
- requests for “inactive status” or to reactivate a program
- voluntary withdrawals of ACGME accredited programs
- requests for an appeal of an adverse actions
- appeal presentations to a Board of Appeal to the ACGME
- Conduct Internal Reviews of all ACGME-accredited programs including subspecialty programs to assess their compliance with the Institutional Requirements and the Program Requirements of the ACGME Residency Review Committees.
- The GMEC is responsible for the development, implementation and oversight of the Internal Review process. There must be a written report of each ACGME-accredited specialty and subspecialty program.
- The written report of each Internal Review must be presented to and reviewed by the GMEC to monitor the areas of noncompliance and recommend appropriate action.
Please contact the House Staff Office with any questions or concerns.