Item x – November 18, 2005 POSITION DESCRIPTION QUESTIONNAIRE ADMINISTRATIVE FACULTY ALL INFORMATION MUST BE PROVIDED. INCOMPLETE FORMS WILL BE RETURNED TO DEPARTMENT. QUESTIONS? CALL UNR Faculty Human Resources at 784-6082. ******************************************************************************************************************** INSTRUCTIONS: 1. Complete form, sign, and submit to immediate supervisor; 2. Supervisor (chair/director/dean)– review, approve, sign, forward to vice president or vice provost; 3. Pres/Vice Pres/Vice Prov - approve, sign, forward to Placement Committee (c/o UNR HR, M/S 238); 4. Placement Committee recommends administrative salary range and title & forwards to Provost. 5. Approval letters are then sent from HR with final stamped PDQ to Vice President, Dean or Director and supervisor for PAF/Terms preparation. ******************************************************************************************************************** Incumbents’ Name (if applicable): Position #: 16539 Current Title: Assistant Dean, SOM Educational Affairs (76780,1C) Current Range: 6 Department: School of Medicine – LV (CA218.10) College/Division: Office of the Provost Action Proposed: (check all that apply) ( ) New position : Proposed Range: Proposed Title: ( X ) Title Change, Proposed Title: Associate Dean, Graduate Medical Education ( ) Proposed Reassignment from Range to Range ( ) Revised PDQ only (no change in range or title) I certify that the statements in this description are accurate and complete to the best of my knowledge. Employee’s Signature Date I/we have reviewed the statements in this form and they accurately reflect the job assignments. Immediate Supervisor’s Signature Date Director/Chair/Dean John McDonald Vice Pres, Health Sciences / Dean, Medicine Approved for Salary Placement Committee review. Date Pres / Vice Pres / Vice Prov Signature Jannet Vreeland Date Vice Provost Action Approved by the President (Completed by Faculty HR): Position #: EEO Code: Exempt: Yes or No Job Class Code: 77438 Range: 6 Effective Date: 11/1/2005 Title Approved: ASSOCIATE DEAN, GRADUATE MEDICAL EDUCATION Employee’s Signature (Sign & send to HR for personnel file) Revised: 10 / 1 / 2005 Date Position Description – Associate Dean, Graduate Medical Education, Position # 16539 Page 2 1. Summary Statement: State the major function(s) of the position and its role in the university. Attach an organizational chart with positions, ranges, and names for the division which reflects the position in it as well as those supervised in the department. The scope of responsibility of the Associate Dean for Graduate Medical Education extends to the educational, fiscal, and administrative health of the institution’s Graduate Medical Education (GME) enterprise, its compliance with state and federal laws and regulations, the support and development of its residency program directors, and the well being and development of its residents. The Associate Dean advocates for the GME enterprise within and outside the University School of Medicine. 2. List the major responsibilities, including percentage of time devoted to each. Provide enough detail to enable a person outside the department to understand the job. 60% - Manage the School’s Residency Programs Improve the School’s Educational Programs by accessing and maintaining current information about the educational policies and contributions of key organizations. Assists program directors in developing their educational objectives, curricula, and assessment methods. Obtains or helps program directors obtain funding for educational improvements. Improves residents’ participation in teaching medical students and others. Ensures the residency programs follow appropriate procedures in screening and selecting residents. Develops programs to improve resident wellness within the institution through education of residents and program directors Develops institutional policies and procedures as well as resources for residents with personal problems, non-succeeding residents, HIPAA, immigration and visas. Works effectively with the School’s legal staff. Ensures compliance with the ACGME requirements in support of resident well being. Monitors institutional resources in support of maintenance of resident well being. Follows institutional and state policies for physician impairment. Oversees institutional policy for due process. Works effectively with residents and institution’s staff to effect referrals where appropriate. Sustains effective mechanism of communication with human resources and appropriate legal authorities regarding resident discipline. Develops sound policies and procedures governing resident duty hours, resident fatigue, and moonlighting, and articulates the rationale. Oversees the monitoring of resident duty hours; communicates ACGME requirements and institutional policies to residents, faculty, and program directors and to external entities. Oversees monitoring of resident moonlighting and compliance with ACGME requirements and institutional policies. Develops and sustains processes that ensure residents’ ability to confidentially raise and resolve personal and professional issues, without fear of intimidation or retaliation. Provides a mechanism for the residents’ organization to regularly communicate and exchange information regarding the work environment and educational experience. Works with hospitals and other resident clinical sites to achieve adequate food, resident call rooms, security, and patient care support services. Serves as a resource to residents for confidential discussion of personal or professional issues. Provides a mechanism for anonymous, confidential reporting by residents of Institutional, GMEC or program policy violations. Develop and Support Residency Program Directors by developing competencies and performance standards for program directors and identifying training needs to ensure that the competencies and performance standards are met. Disseminating information regarding professional development opportunities at a national level. 25% - Manage the School’s Graduate Medical Education (GME) Operations Oversees the functioning of the GME office, including hiring, supervision, and personnel evaluations. Maintains institutional accreditation files. Knows institutional policies and procedures as well as resources for residents regarding HIPAA, immigration and visa issues. Position Description – Associate Dean, Graduate Medical Education, Position # 16539 Page 3 Communicates effectively with program-level administrative staff regarding institutional policies and procedures. Collects data through surveys and other methods regarding program and institutional operations to use in strategic planning and management. Serves as a resource for the institution’s programs, as point of contact for training sites, regulatory bodies, etc. Oversees management of institutional electronic information management system, training, website, etc. Works effectively with key leaders and the governance structure in setting organization values, direction, and performance expectations to further the improvement of GME within the institution. Knows sources of support for GME from institution, Departments and outside grants. Meets ACGME requirements, working effectively with the GMEC to establish policies, oversee program directors, review and approve submissions to ACGME. Develops and justifies the GME budget, sets the salaries of GME staff, and conducts strategic planning for GME resource acquisition and distribution. Advises the School Administration of the GME vision of financial needs 15% - Maintain the Accreditation Council for Graduate Medical Education (ACGME) Accreditation Advocates for Graduate Medical Education (GME) in the institution, strengthens institutional commitment, and negotiates successfully for resources. Ensures that protected health information is maintained confidential, and that access is on a need-to-know basis only. Meets ACGME requirements by: 1. Documenting the internal review committee, its review protocol, the timing of the review, the materials used in the review, the review process including interviews conducted, and the review report. Assisting programs with development of effective action plans for correction of identified deficiencies, and tracking improvements. 2. Working effectively with the Graduate Medical Education Committee (GMEC) to establish policies, oversee program directors, monitor program accreditation, orient and develop new program directors, and review appropriate submissions to ACGME. 3. Maintaining accreditation for all the institution’s residency programs with few or no citations. Building upon accreditation requirements to improve individual residency programs and the quality of the institution’s overall GME operations. 3. Describe how the decisions and judgments made by this position and the results of work performed impact the department, division and/or the university as a whole. The Associate Dean for Graduate Medical Education has a critical role in decisions and judgments regarding: • • • • • • Insuring and contributing to quality teaching experiences for students or residents Program development and implementation of goals and objectives for residents and students Acting as the ACGME Designated Institutional Official for accrediting and overall supervision of GME Insuring GME policies, processes and procedures are properly developed and applied Guiding resident selection National Resident Matching Program (NRMP) process Encouraging and supervising appropriate resident/student teaching interactions These core management areas supervised by the Associate Dean for Graduate Medical Education are fundamental to maintaning accreditation and quality education. Their failure would result in damage to programs and to the School of Medicine. The education/training environments are threatened if not accredited by undergraduate Liaison Committee on Medical Education (LCME) and Position Description – Associate Dean, Graduate Medical Education, Position # 16539 Page 4 graduate ACGME accrediting bodies. This means that students and residents would not attend, and the School of Medicine and residency programs could be closed. Quality student/resident programs enhance the quality image of the hospitals that house them, improve the health of state and local citizens by broadening the delivery of care, provide practitioners for Nevada from graduating residents, and by virtue of state support for the School of Medicine, demonstrate that the state is contributing to the health and welfare of its inhabitants. 4. Describe the knowledge, skills and abilities essential to successful performance of this job. Knowledge: Knows and understands the requirements of state licensing board(s) governing residents Knows and understands the Educational Commission for Foreign Medical Graduates (ECFMG) process, timeline, and responsibilities of the School Knows and understands current ACGME Institutional Requirements and program requirements for SOM sponsored programs Knows of personal/professional development opportunities offered by AAMC and other organizations Knows state regulations regarding physician discipline. Knowledgeable in institutional and GMEC policies regarding due process Knowledge of ACGME requirements for program directors and ensures that all program directors appointed meet minimal applicable Resident Review Board (RRC) standards Skills: Skilled in accessing and understanding current information about the educational policies and contributions of key organizations. Assisting program directors in developing their educational objectives, curricula, and assessment methods. Obtaining or helping program directors obtain funding for educational improvements. Strong personal interactive skills enabling a cooperative and supportive attitude to develop even with divergent situations Abilities: Ability to understand the implications of state and federal policies for GME. Ability to contribute to policy discussions inside the institution, in professional organizations, and in state and federal legislative/regulatory venues Ability to understand institutional and Graduate Medical Education Committee (GMEC) policies regarding due process Ability to manage diversity, conflict, and rapid change 5. Describe the type of personal contacts encountered in performing the duties of the job. Explain the nature and purpose of these contacts: i.e., to provide services, to resolve problems, to negotiate. A. Students and Residents: providing services relevant to overall education, communication as to what the student and resident can and should expect; identifying rules; enforcement of discipline and remediation; negotiation and conflict resolution; evaluation of outcomes of learning; counseling, guidance, mentoring and support services. B. Faculty and Administration: Programs and the School of Medicine: reporting outcomes; planning; cooperation with operational management of the entire teaching/learning process; problem resolution; collaboration in planning and reporting. Position Description – Associate Dean, Graduate Medical Education, Position # 16539 Page 5 C. Institutional Facilities (hospitals and clinics): negotiation, liaison services for resident and student functions regarding patient care; strategic planning for programs; management and reconciliation of rules and regulations and their application; collaboration. D. Key agencies and private organizations such as state Medicaid departments, Center for Medicare and Medicaid Services (CMS), Health Resources and Services Administration (HRSA), etc. to obtain information. 6. Indicate the minimum qualifications which are necessary in filling this position should it become vacant. Please keep in mind the duties/responsibilities of the position rather than the qualifications of the incumbent. a. Minimum educational level, including appropriate field, if any. Postgraduate MD Degree from a regionally accredited institution b. Minimum type and amount of work experience, in addition to the above required education necessary for a person entering this position. Five years of substantial managerial experience required, with more experience preferred Ten years of clinical medicine experience preferred. Substantial engagement with patient care institutions (hospitals, clinics) Primary experience in medical education as part of a School of Medicine system, or hospital(s) integrated with others. c. Indicate any license or certificate required for this position. Specialty or General Medical Certification, current State Licensure At least one (or more) national education or clinical practice organizational memberships At least one formal course, symposium or conference on the subject of medical education management provided in a state/national setting Documentation of continuing education and memberships preferred