Associate Dean, Graduate Medical Education

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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.
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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.
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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
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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:
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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
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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
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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.
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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.
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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
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