GRADUATE MEDICAL EDUCATION COMMITTEE
CC 3
Greenville Health System
8:00 AM – 10:00 AM, Thursday, 8/27/2015
GMEC Responsibilities Legend
AO- Accreditation Oversight of Programs
C&E- Curriculum and Evaluation
Minutes
ATTENDANCE:
GME Admin:
House Staff:
Family Medicine:
Sports Medicine:
Surgery:
MIS:
Vascular
Internal Medicine:
Med/Peds:
OB/GYN:
Ortho:
OSM/Total Joint:
Peds:
Dev Peds:
Psychiatry:
Child Psych.:
Emergency:
Quality:
Education Assessment:
Academic Develop:
VA Rep:
Guests:
☒Edward W. Bray III, MD
☐Shannon Burgess, MD
☒Vincent Green, MD
☐Franklin Sease, MD
☒Dane Smith
☒Alfredo Carbonell, DO
☒Chris Carsten, MD
☒J Michael Fuller, MD
☒Russ Kolarik, MD
☒Sharon Keiser
☒Scott Porter, MD
☒Richard Hawkins, MD
☒Kerry Sease, MD
☒Desmond Kelly, MD
☒Julius Earle, MD
☐Kenneth Rogers, MD
☒Camiron Pfennig, MD
☒Robert Mobley Jr, MD
☐Greg Hawkins
☐Brenda Thames
☐James McCallum, MD
☒Teri Noble
☒Kristen Hauck
COM- Communication with Medical Staff
☒Ann Griffith
☒Aaron Creek, MD
☒Irfan Asif, MD
☒Derek Payne
☐India Robinson, MD
☐David Cull, MD
☐ Brian P. McKinley, MD
C/PD- Communication w/Program Directors
DH - Duty Hours & Related Issues
IA Mgmt- Institutional Accreditation Mgmt.
Inno- Innovative Projects/Experimentation
IRP- Internal Review Process & Reporting
PC- Program Changes prior to ACGME
☐Mark Call, MD
☐William Schmidt, MD
☐Jeffrey Elder, MD
☐Kyle Jeray, MD
☐Brian Burnikel, MD
☐Jennifer Hudson, MD
☐John Williams, MD
☐Ben Griffeth, MD
☐Peter Tilkemeier, MD
☐Thomas Wheeler III, MD
☒Chris Bray, MD
☐John Tokish, MD
☐Jon Lucas, MD
PQ- Patient Safety & Quality
R&C- Reductions & Closures
RC/B- Resident Compensation/Benefits
RS- Resident Supervision
R Stats- Resident Status
VI- Vendor Interactions
CLE- Clinical Learning Environment
☐Melissa Janse, MD
☐Ryan Otto
☐Mike Casteel
DIALOGUE
Welcome & Review Minutes
Dr. Edward Bray
Meeting was called to order at 8:11am.
Minutes posted.
No issues.
Duty Hours Report Review
Dr. Edward Bray
Duty hours reports in good shape. Orthopaedics had 3 or 4 noncompliant incidents
reported. The Program Director is emailing the resident regard the duty hour violations.
Dr. Bray encouraged the Program Directors to continue to monitor compliance intensely.
OUTCOME/
ASSIGNMENTS
August 2015 minutes
approved as written
GMEC
CODE
IA Mgmt
AO
Orthopaedics following
up on several
noncompliant duty
hour documentations
DH
House Senate Report
Dr. Shannon Burgess
Dr. Aaron Creek reported that Dr. Burgess reviewed the CLER preliminary results with the
House Senate and they have begun working on some ideas regarding quality education.
Dr. Creek is working on resident representatives on committees list. When finalized the list
will be sent to Ms. Griffith. CLER will be on next month’s meeting agenda as well.
House Senate working
on additional Quality
Improvement Training
sessions
Dr. Bray reported that the response to ACGME is due by October 2.
GMEO Meeting
Ann Griffith
Ms. Griffith reported that the GMEO will meet once every 3 months to disseminate
information and that the first GMEO was held on August 20th. Discussions included
updated vouchers for recruitment hotels and restaurants, date for the interviewing tips
training, changes with iGreenTree and the limited privileges of Program Coordinators.
Program Coordinators can post resident positions within the HR software for resident
recruitment only.
C&E
CLE
IA Mgmt
AO
GMEO held on August
20th
C&E
IA Mgmt
AO
Psychiatry Site Visit
IA Mgmt
AO
C/PD
C&E
Dr. Pfennig reported that Emergency Medicine is having issues hiring a coordinator. Waiting
until October 1st to recruit and hire for the coordinator position. Dr. Pfennig reported that
she has interested applicants but has no idea of timeframe for moving forward with this
hire to advance the Emergency Medicine development. Dr. Pfenning reported that HR has
delayed progress and that this is frustrating when trying to meet the ACGME deadlines for
accrediation.
Ms. Griffith reported that Kelli DaSilva provided New Innovations and ERAS updates and that
Dr. Bray provided GMEC and CLER updates. Coordinators brainstormed retreat training
topics and activities. Kitty Wolcott distributed final budgets. Ms. Griffith reported that she
discussed dates to remember.
Dr. Bray reported that HR is working toward restructuring supervision alignment for Program
Coordinators. Mike Casteel says this issue is on the top of the to-do list.
ACGME Communications
Dr. Edward Bray
Dr. Bray reviewed ACGME Communication items:

Psychiatry Site Visit – makings of outstanding program. Needs to grow scholary
(need more faculty research projects). Dr. Earle reported that the program needs
to tighten up with regards to record keeping and formalize a few things. Next RRC
meeting is scheduled for February and will learn where the Psychiatry accreditation
stands at that time.

Dr Bray congratulated and extended thank yous to programs completing ADS
Updated at the end of August

Minimally Invasive Surgery Fellowship Accrediation/Citations received approval in
July for 3 years continued accreditation with minor recommendations

Vascular Surgery andPeds received self study letters - no citations

Program Director Change deferred to next meeting
Continued accreditation
Minimally Invasive
Surgery Fellowship
2
Change in Program Transfer
Process
Dr. Edward Bray, MD
Dr. Bray asked that there be more communication between program directors when
residents show interest in changing programs. Dr. Bray asked that lines of communication
not get to the level of escalation that recent Pediatric and Family Medicine incident had.
Continue the coaching of career decision-making but exhibit courtesy and transparent
communication during program change request.
Resident program
change request
courtesy
C/PD
CLER Moment – Quality
Update and New Metrics
Kristen Hauck
Kristen Hauck reviewed results of Quality Team CLER results. Ms. Hauck reported that we
have learned several new reporting metrics that should be tracked as a result of this CLER
visit and that these metrics will be added to future GMEC reports. She reported that
resident event reports have increased since the previous CLER visit. The GMEC Event
Report revealed the top 10 of resident reporting events. Ms. Hauk reported that she had
met with House Staff to discuss lab events. 10 types of events (complications, omissions,
medications) have been reported from July 2014 to June 2015. There have been 36
anonymous reports out of 13,309. Ms. Hauck reported feedback thus far has been to
enter reviewed cases within the system.
New event reporting
metrics to be added to
GMEC Event Reporting
Report
CLE
PQ
IA Mgmt
AO
Program Directors asked what happens next. Learning cycle needs to be closed by
providing feedback to these physicians that the incidents are being tracked.
Kristen Hauck advised that there is a notification that cases are entered. One suggestion
was to report leaernigs in a newsletter. Program Directors stated that info needs to go
directly back to whom reported.
Dr. Bray stated that we will be cited if this process is not improved where residents receive
feedback and learn from events reported. The expectation of the programs is to receive
guidance of what’s reportable. Program Directors asked if there is a pocket-sized book or
job-aide of event types that should be reported. Program Directors asked if Kristen Hauck
could come to conferences to discuss reported events.
Dr. Bray reported information from the recent AHME CLER webinar regarding the purpose of
the feedback and the learning loop for residents. Speakers made a point that regardless
of the question from residents regarding uncomfortable reporting events, these events
should be reported. Program Directors asked when should Risk Management be involved.
Ms. Hauck stated that whenever something doesn’t go as intended, then report. If there is
actual harm – call Risk Management. The Risk Management office will work with families
and meet with families. The Risk Management staff are trained in how to prevent red flag
issues from patients and the staff are able to create a level of comfortabilty between Risk
Managers and patients in the issue of liabilities.
Travel Policy Updates
Dr. Edward Bray
Deferrred
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2016 Resident Graduation
Dr. Edward Bray
Dr. Bray reported that there has been discussion regarding the amount of money for
end-of-year graduation events/parties. Program Directors were urged to review the
amount of money spent on these events and find alternatives because budgets are
being reviewed and are becoming more restrictive.
End-of-year graduation
events being reviewed
AO
IA Mgmt
C/PD
VA Site Visit
Dr. James McCallum
Ms. Griffith reported that since the GHS affliation agreement was approved in July that
Family Medicine and Pyschiatry have met the application deadline to receive VA funds.
Ms. Griffith stated that several dates are being reviewed for a VA site visit. Dr.
McCallum and Tom Wiseman would like to meet with the Program Coodinators and
Program Directors to discuss the VA onboarding process. Suggested dates in October
are the 5th, 8th, 9th, and 15th. A Doodle scheduler will be sent to finalize the site visit
date. Dr. McCallum is also inviting other programs interested in future opportunities.
Internal Medicine and Med Peds expressed interest in future VA rotations.
VA site visit during
October to provide
orientation for resident
on-boarding and
clearance processes
required for VA
rotations
C&E
PQ
CLE
Board Vitals
Dr. Edward Bray
Dr. Bray aked about interest in Board Vitals which provides a system of questions for
board review. Board Vitals will cost about $22,000 a year and would be a library
budget expense. Program Directors will receive access for a trial period. The Medical
School is interested. Program Directors discussed that this cost was more reasonable
and that they are willing to use it as a parallel to current resource systems. Dr. Bray
asked that the Program Directors participate in the trial and give feedback if they wish
to continue Board Vitals use.
Program Directors to
participate in Board
Vitals trial and provide
feedback to Faye
Towell regarding
anticipated use.
C&E
AO
IA Mgmt
Interviewing for Success
Ann Griffith
Ms. Griffith reported that she has coordinated with Courtney Boerher, Director of HR at
Stryker, to provide a session regarding honing resident interview skills. Ms. Boerher
can present during the first week or the last week of October. Ms. Boerher is
providing the training gratis for Program Directors, Coordinators and faculty.
Interview skills training
session to be
scheduled 1:00 pm4:30 pm the 3rd week
of October.
C&E
C/PD
AO
IA Mgmt
Dr. Porter asked if we could provide a dinner for the Program Directors to ask more
specific questions of Ms. Boerher. Ms. Griffith asked if the group wanted to meet
during GMEC or another time other than GMEC. Program Directos asked that there be
a half day session where they could invite core faculty. Arrangments need to be
made this week in order to solidify on calendars. Program Directors asked Ms. Griffith
to schedule an afternoon meeting, 1:00pm-4:30pm the 3rd week of October.
Dates to Remember
Dr. Edward Bray





Annual reports Due – Sepember 15
Professionalism and Resident Physicians Milestones, Strategies and Results
Teleconference – September 29th 1:00pm-2:00pm
2016 Graduation – June 3rd
2016 Resident Orientation – June 29th-30th
2016 Departmental Orientation – June 29th – 30th
C/PD
AO
IA Mgmt
4
Other Business
Dr. Edward Bray
Adjourn
Dr. Edward Bray
Ms. Griffith reported that about three departments have not turned in procedure lists
for the New Innovations resident procedure competency documentation. Ms. Griffith
stated that she and Mrs. DaSilva have created an evaluation form within New
Innovations that Program Directors will need to complete to verify resident
competencies. Mrs. DaSilva demonstrated in New Innovations how the evaluation form
will be used. The form has a yes/no format in which to document residents’
competencies. Residents will be able to show nurses this documentation within the
New Innovations software system. Let Kelli know about any updates so she can
update the evaluation form templates for your program’s use.
There being no further business, the meeting adjourned at 10:00 AM.
Next Meeting:
9/24/2015; 8:00 AM in CC3.
PQ
AO
IA Mgmt
C&E
AO
IA Mgmt
C/PD
5