GRADUATE MEDICAL EDUCATION COMMITTEE
GMEC Responsibilities Legend
CC 3
Greenville Health System
8:00 AM – 10:00 AM, Thursday, 9/25/2014
Minutes
ATTENDANCE:
GME Admin:
Family Medicine:
Internal Medicine:
Med/Peds:
OB/GYN:
Ortho:
Peds:
Psychiatry:
Surgery:
MIS:
Vascular:
Dev Peds:
Sports Medicine:
Emergency:
House Staff:
Quality:
Education Asess.
Academic Development:
Guest:
☒Edward W. Bray III, MD
☒Bruce Hanlin, MD
☒J. Michael Fuller, MD
☒Russell Kolarik, MD
☒Sharon Keiser, MD
☐Scott Porter, MD
☒Kerry Sease, MD
☒Julius Earle Jr., MD
☒Dane Smith, MD
☒Alfie Carbonell, MD
☒Chris Carsten, MD
☒Desmond Kelly, MD
☒Kyle Cassas, MD
☐Melissa Janse, MD
☐Laura Copeland, MD
☒Robert Mobley Jr, MD
☒Ryan Otto
☐Brenda Thames
☒Latonya Garrett
☒Ann Griffith
☒Irfan Asif, MD
☒Derek Payne
☒Jeffrey Elder, MD
☐Kyle Jeray, MD
☐Kenneth Rogers, MD
☐David Cull, MD
☐Jay Crockett, MD
AO - Accreditation Oversight of Programs
C&E – Curriculum and Evaluation
Com – Communication with Medical Staff
C/PD – Communication w/Program Directors
DH – Duty Hours and Related Issues
IA Mgmt –Institutional Accreditation Mgmt.
Inno – Innovative Projects/Experimentation
IRP – Internal Review Process & Reporting
PC – Program Changes prior to ACGME
PQ – Patient Safety and Quality
R & C - Reductions & Closures
RC/B – Resident Compensation/Benefits
RS – Resident Supervision
R Stats – Resident Status
VI – Vendor Interactions
☒Greg Hawkins
☒Sharon Dunning
DIALOGUE
OUTCOME/
ASSIGNMENTS
GMEC
CODE
Welcome & Review Minutes
Dr. Edward Bray
Dr. Edward Bray called the meeting to order at 8:07 am.
Dr. Bruce Hanlin introduced Dr. Irfan Asif, Vice Chair Academics for Family Medicine and Dr.
Sharon Keiser introduced Dr. Jeffrey Elder, Associate Program Director for Ob/Gyn.
IA Mgmt
AO
Duty Hours Report Review
Dr. Edward Bray
Ms. Griffith reported that Mrs. DaSilva stated that this duty hours period didn’t match our
reporting timeline; therefore, duty hours monitoring was postponed this month. Two periods
will be reviewed next month.
DH
House Senate Report
Dr. Laura Copeland
House Senate report deferred.
ACGME Communications
Dr. Edward Bray
Dr. Edward Bray reiterated the importance of reviewing and updating participating sites in
ADS to include required clinics and ancillary training sites. Criteria for a qualified site
include having site faculty teaching or instructing the residents.
C/PD
IA Mgmt
AO
In lieu of Natalie Carey presenting on Visiting Resident onboarding processes, Dr. Edward
Bray asked if any department was having trouble accommodating visiting students and/or
residents. He stated that all 3rd year students should be automatically taken from our
program, but 4th year students could be with invitation from the Program Director from any
recruitment area. Dr. Julius Earle asked if drug screens and fitness for duty screens were
completed on visiting students. Ms. Griffith stated that Student Services performs onboarding
processes via Natalie Carey. There were no other reports of problems or concerns by the
group.
Academic Council Update
Dr. Desmond Kelly
Derek Payne
PC
Dr. Edward Bray announced the medical school affiliation on the ADS Website has been
changed from USC Columbia to now reflect USC School of Medicine Greenville.
Medical school
affiliation on ACGME
ADS has been changed
to USC School of
Medicine Greenville
Dr. Bray reported that the Colorectal Surgery Fellowship initial Site Visit has been scheduled
for October 14.
Colorectal Surgery
Fellowship Site Visit
October 14.
Dr. Desmond Kelly reported that the last Academic Council meeting was cancelled; however
the Transitions of Care and Duty Hours Subcomittee had met since the last meeting. An
ADHOC Sub-Committee has been established to address competencies for senior residents,
patient handoffs and/or transitions without faculty present as sited by CLER. Dr. Kelly also
stated that the committee will also create templates and logos with appropriate standard
branding.
Derek Payne stated all GME Expansion Residency/Fellowship Programs had been approved
except for Emergency Medicine. He explained that the financial forecasting for this program
is being revisited and that Dr. Sasser would be working with revisions of the proposal for
Emergency Medicine. Mr. Payne stated that FY15 Budget had been finalized and the GME
budget was increased. Budget information has been distributed to the coordinators;
however, salaries and benefit information would be finalized on September 30th. A motion
was made by Dr. Desmond Kelly to approve moving forward with Urology, Child Psychiatry
and Colorectal Programs. The motion was second by Dr. Hanlin. All voted in favor of the
three new expansion programs.
C&E
DH
GMEC approved the
following GME
Programs: Urology,
Child Psychiatry, and
Colorectal Programs
IA
AO
Dr. Julius Earle stated that Dr. Rogers will be the interim Director for Child Psychology
Program.
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CLER Moment: Bringing GME
into GHS Quality Agenda
Dr. Robert Mobley
Dr. Robert Mobley discussed that quality performance hospital-wide was at its lowest and it
has lost all its USNews rankings. He provided a handout that identified 17 areas in the
GHS Strategic Performance Improvement Initiatives. Dr. Mobley stated that improvements had
to be made in processes of reporting. He gave examples where patient complications were
being coded instead of progression of patient care, which negatively affects the quality of
care rating. He stated that a lot of the negative quality of care coding was a direct result
of denial of payment and simplistic statements by the attending physician.
PQ
Dr. Kerry Sease stated that feedback and education was needed. Dr. Mobley stated that he
can work on providing the additional training needed. Dr. Bray stated that it is critical for
the organization to improve this prior to the next accreditation visit scheduled for 2016.
Event Reporting
Sharon Dunning
Ms. Sharon Dunning presented the group with a presentation showing trends in event
reporting. She stated that reporting had increased among residents, fellows and interns
but is leveling. She says that in Risk Management they are more concerned with near
misses and serious incidents, but track all reports. Ms. Dunning said that they are able
to create specific reports to meet any requests made by the department. She reported
that Ob/Gyn is robust in reporting and echoed that serious safety event awareness is
crucial. Dr. Sharon Keiser asked why there is no feedback regarding what happened
after a report was made. Ms. Dunning stated that they get approximately 1400 reports
per month and that there is not a good standard email response that would be
appropriate to send out. There is a system generated email distributed to say that the
event is closed. Ms. Dunning stated that complaints have a system generated email
that they may use as a guide. Dr. Julius Earle expressed a concern that event
reporting goes to managers and as a result there is some reluctance by the residents
to report. Ms. Dunning stated that all event reporting can be completed anonymously
entering a name is not required. Ms. Dunning stated currently events are reported to
Physical Managers, Ancillary Manager if there is one and the Director, but can be
revised.
C/PD
IA Mgmt
PQ
Dr. Bray stated that CLER will look at these numbers as we could be sited for them in
the future.
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Annual Reports
Dr. Bray
Dr. Edward Bray presented the Orthopaedic Surgery-Annual Report stating that the
report in its entirety can be found online. He reported that Orthopaedic Surgery-has
not had any attrition in several years, and 100% program completion by residents.
Total Joint Arthroplasty and Orthopaedic Sports Medicine will now be a part of GME. It
was formerly operated by the hospital is housed over at Steadman Hawkins location.
The current Program Directors will be added to GMEC. PGY5 year residents will
complete clinical rotations at Blue Ridge Bone and Joint Surgery for Clemson
University Athletic Teams.
GMEC approved
the following
Annual Reports:
Orthopaedics,
Psychiatry, and
Ob/Gyn.
IA Mgmt
IRP
Dr. Julius Earle presented the Psychiatry-Annual Report stating that they had received
citation in the past for a lack of scholarly activity primarily because they were clinical.
They currently have more scholarly activity including directing courses. They have
formed a Clinical Competency Committee and is working with School of Medicine to
refine evaluations and competencies
Dr. Sharon Keiser presented the Ob/Gyn Annual report stating that they had 1-PGY4
transfer out of the program to repeat the PGY3 year in a slower environment. They
had 28 resident articles published in peer reviewed journals. They had received a
citation in the past (2 years ago) regarding utilizing simulation and drills. She reports
that they have increased in that area as well as in Quality Improvement Projects.
AO
Dr. Edward Bray asked for a motion to approve the three summations of the Annual
Reports. Motion was so moved and was second by Dr. Bruce Hanlin; and all agreed to
accept the reports.
Business in Medicine Planning
Committee
Ann V. Griffith
Ms. Griffith reports that the committee is working with a financial consultant
regarding several topics that would need to be scheduled. She asked when is the best
time to schedule those trainings for the departments. Dr. Dane Smith stated Friday
mornings at 7 am would be ideal for the upper level residents. Drs. Sharon Keiser and
Kerry Sease both agreed and added that Wednesdays at 7 am would be another option as
well.
PC
C/PD
C&E
Ms. Griffith announced that TEDMED had held seminars last week discussing various
medical topics. She stated that there was a link on SharePoint to access the three days of
potential business in medicine topics for your departments and personal interest.
Dr. Bray added that HR had approved looking at the new proposed disability insurance
policy for senior residents. He stated Wake Forrest and the Medical University of South
Carolina (MUSC) already utilizes this policy because of its affordability. He stressed that the
policy will only be available if there is a high number of participation.
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Program Coordinator Retreat
Ann Griffith
Ms. Ann V. Griffith stated that the coordinators will have an offsite retreat/training on
Nov. 3rd. The retreat will use the Mice on Main as a learning tool for leadership and
teambuilding skills. They will also have speakers to address Conflict Resolution,
Business Ethics and Team Building.
Program Coordinator
Retreat scheduled for
November 3, 2014
C/PD
Com
C&E
Resident Meals
Dr. Edward Bray
Dr. Edward Bray reported that residents had meal purchase overages totaling $3255
for this year. He stated that the residents are given $300 per month to be used
whether they are on call or not. The residents are notified at the time of purchase
that they are over their limit, but coordinators can give permission to allow.
AO
IA Mgmt
Dates to Remember
Dr. Edward Bray
AHME Teleconference “The ABC’s of Clinical Competency Committees”- Oct. 7th 1-2 pm
Colorectal Site Visit (Oct. 14) ½ day
Research Roundtable "eIRB SC Research Software feature”- Oct. 16 at CC2
GME Expansion Requests Updates- The paperwork will be available in Oct. Must have
turned into GMEC by Dec 1st
AHME Teleconference “GME Financing” – Dec. 2; 1-2 pm
Match Deadlines: Jan 31 11:59 pm Quota Change/Rank Order List Feb. 25
ACGME Annual Mtg: Feb 26- March 1, 2015 held in San Diego, CA
C/PD
AO
IA Mgmt
wider
or/Near
Miss
Reporting
Other Business
Dr. Edward Bray
Dr. Kerry Sease questioned if EPIC training during Orientation. Ms. Griffith stated EPIC will
need 2 days for training. Ms. Griffith stated that hopefully the training will be able to be
divided so that EPIC fundamentals can be presented during general orientation and the
EPIC representatives can conduct the training in each of the departments for departmental
specific needs.
IA Mgmt
AO
C/PD
Dr. Dane Smith asked about posters seen throughout the hospital for CBT. He stated that
there needs to be direct communication if these CBTs are required.
Adjourn
Dr. Edward Bray
Dr. Bray stated that Orthopaedics receives scholarship grants to sponsor residents to
complete AO courses. He asked if any other programs receive these grants. Dr. Chris
Carsten stated that they receive grants in Surgery. Dr. Bray explained that the Philanthropy
Department had handled these in the past but now you would need to contact the Grant
Office regarding this process. Angela Freeman is the contact.
There being no further business, the meeting adjourned at 9:25 AM.
Next Meeting:
10/23/2014; 8:00 AM in CC3.
AO
IA Mgmt
C/PD
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