GRADUATE MEDICAL EDUCATION COMMITTEE
GMEC Responsibilities Legend
CC 3
Greenville Memorial Hospital
7:00 AM – 8:00 AM, Thursday, 6/26/2014
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:
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
☒Lyle Jackson, MD
☒Robert Mobley Jr, MD
☐Brenda Thames
☐Karin Matheson
☒Ann Griffith
☐Sean Bryan, MD
☒Derek Payne
☐David Forstein, DO
☐Kyle Jeray, MD
☐Kenneth Rogers, MD
☒David Cull, MD
☐Jay Crockett, MD
☐Joshua Knott, MD
☒Laura Copeland, MD
☒ Christianna Novakovic
DIALOGUE
Welcome & Review Minutes
Dr. Edward Bray
Duty Hours Report Review
Dr. Edward Bray
House Senate Report
Dr. Laura Copeland
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
Dr. Edward Bray called the meeting to order and May minutes were deferred until next
meeting.
Dr. Edward Bray reported on duty hours. All numbers were mostly good, better than
previous, but there were several compliance issues in Orthopaedics. Dr. Porter offered to
speak with two residents.
Announcement of new officers: Dr. Laura Copeland from Med/Peds is the newly elected
president. Dr. Shannon Burgess, Med/Peds was elected Vice President and Dr. Trey Gurich,
Orthopaedic Surgery was elected Secretary. Dr. Copeland reported that the June Senate
meeting focused on orienting the new officers to their Senate positions. The new officers
also presented during new resident orientation.
OUTCOME/
ASSIGNMENTS
Minutes were deferred
GMEC
CODE
IA Mgmt
AO
DH
New Senate Officers:
Laura Copeland, MD;
Med/Peds - President
Shannon Burgess, MD;
Med/Peds - Vice
President
Trey Gurich, MD;
Orthopaedic Surgery Secretary.
IA Mgmt
AO
RS
Com
C/PD
ACGME Communications
Dr. Edward Bray
Dr. Bray announced the Ob/Gyn Program Director change: David Forstein, DO to Sharon
Keiser, MD has been finalized in ACGME ADS effective July 1, 2014.
AAMC ERAS Invitations
Dr. Edward Bray
Other (Program Directors):
ERAS on-line invitations have been sent but will expire in a week. Responses should be
completed as soon as possible. After the week deadline, new invitations will be required in
order for programs to participate in ERAS/Match.
Academic Council Update
Derek Payne
CLER Moment: New Resident
CLER Orientation
Ann Griffith
Derek Payne reported on the Clinical Learning Environment subcommittee and GME
expansion approval process for new residency discussion to include UMG for new
residency approvals. During Academic Council Barbara Strelec was introduced as the
new Director of Clinical Trials.
Ann Griffith reported that new residents were introduced to CLER during new resident
orientation. CLER training during new resident orientation included information
regarding resident responsibilities during CLER visits. The PPT information from the
CLER session is available on SharePoint.
The poverty simulation was a success, with much positive feedback from the residents
and faculty involved. The evaluation summary from this learning activity is posted on
the GMEC SharePoint. This simulation activity along with Dr. Sinopoli’s Triple Aim
lecture and other Day II lectures provide information to the residents regarding how
residents will be addressing and eliminating disparities.
Overall, the orientation went
well.
Emergency Medicine Expansion
Sub-committee
Dr. Kerry Sease
Dr. Kerry Sease reported on the Emergency Medicine Expansion subcommittee. The
committee consisting of Emergency Medicine Department faculty and other residency faculty
from residencies that rotate through the emergency department meet to discuss our
current residencies’ concerns regarding the learning environment for all groups. The
committee recommends the proposal move forward with an increase with the number of
attendings in the emergency department. A motion was made by Dr. Dane Smith, seconded
by Dr. Desmond Kelly, and the vote was passed unanimously to accept the newly revised
changes that reflect an increase in attending physicians to provide needed education for
the Emergency Medicine Residency and the other rotating residents from our current
residency departments.
New Ob/Gyn Program
Director: Sharon
Keiser, MD effective
July 1, 2014
AAMC new ERAS online process invitations
have been distributed.
Program Directors must
respond to participate
in 2015 Match
processes
Barbara Strelec named
new Director of Clinical
Trials
Resident responsibilities
during CLER visits
presentation included
in New Resident
Orientation
Day II of New Resident
Orientation focused on
the three foci of the
Triple Aim and
advocating for quality
patient care to
eliminate disparities.
Motion approved to
send Emergency
Medicine Residency
proposal to Academic
Council with the
changes regarding
increasing the number
of attending physicians
to accommodate
adequate training for
both new and existing
residency training
needs.
IA Mgmt
AO
Com
C/PD
IA Mgmt
AO
Com
C/PD
RStat
IA Mgmt
AO
Com
C/PD
C&E
IA Mgmt
AO
Com
C/PD
2
Colorectal Surgery Residency
Dr. David Cull
Dr. David Cull presented on the developing colorectal residency program. In the past, the
department was not ready administratively but have built the infrastructure. The Department
is asking for final approval to submit the application for the program to the American
Board of Colorectal Surgeons. The department also has plans to structure their vascular
fellowship program in order to better support the colorectal program. The question of
financial support was raised and Derek Payne expressed that although the CTL is unsure of
where the funding would come from, the funding would be available.
Motion to send the
Colorectal Surgery
Residency application
to the American Board
of Colorectal Surgeons
was approved.
IA Mgmt
AO
Com
C/PD
Program Directors
asked that the same
Friday in June be
reserved at the Gunter
Theatre/Loft for next
year’s graduation.
C&E
C/PD
Questions regarding decentralization of funding were discussed and it was explained that
the CTL already greatly decentralizes funding, but the hospital needs to maintain some
oversight. Another question was raised over the possibility of the fellowship not being
approved and strategic planning was discussed as possible hurdle, depending on the
direction in which the institution chooses to go. It was confirmed that the program will be
seeking full accreditation by the ACGME. A motion to send the program proposal to the
board was made by Dr. Kelly, seconded by Dr. Smith, and the motion passed in a
unanimous vote.
Graduation/Orientation Debrief
Dr. Bruce Hanlin
Ann Griffith
Ms. Ann Griffith reported that the graduation was a success and had a much higher
attendance than previous years. The only difficulty that arose was ushering guests and
graduates to the reception. Ms. Griffith asked if the Peace Center should be reserved for
the same Friday for 2015. Program Directors agreed that the location and reception were
greatly appreciated by graduating residents.
Orientation is progressing well, so far the residents appear to be an eager group. As
orientation is not yet over, more will be reported on it in next month’s meeting. Dr. Scott
Porter raised the question of a formal evaluation of the simulation activities for record
keeping purposes for site visitors, etc. Ms. Griffith reported three evaluations will be
provided to the Program Directors – results of a plus/delta exercise at the end of general
orientation, the simulation checklists and attestation cover sheets, and the poverty
simulation pre and post tests results. Ms. Griffith shared that a Plus/Delta evaluation was
implemented at the end of the five-day general orientation and that will be used to
incorporate changes in next year’s orientation.
Dates to Remember
Dr. Edward Bray
GME Office moves Thursday, July 10.
C/PD
AO
IA Mgmt
Annual reports deadline is August 30. Ms. Grifffith stated that with New Innovations
upgraded features the annual report template may be able to be streamlined further
since Dr. Smith’s Annual Report sub-committee had met. Ms. Griffith stated that she
and Mrs. DaSilva will be reviewing the new New Innovations features to determine if
more items can be eliminated from the annual report template to reduce duplications
of reporting. New templates will be available by July 31st.
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Other Business
Dr. Edward Bray
Dr. Porter raised the issue of the New Innovations evaluation system. Faculty are finding the
process cumbersome and the thoroughness of evaluations could be in jeopardy. Ms.
Griffith stated that Dr. Cull had recently reviewed the value of New Innovations against
several other residency management systems and suggested to the Academic Council that
the New Innovations System stay in place as the residency programs transitions through
ACGME-required milestone evaluations. Dr. Cull recommended re-visiting the software system
in about a year. Dr. Porter questioned the possibility of finding a new system. Dr. Bray
stated that for CLER and ADS aggregate data all programs needed to be using the same
system. Dr. Bray recommended that Dr. Porter look into other residency management
systems to discuss at the next meeting and to also touch base with Dr. Cull regarding his
recent review of various systems.
Also discussed was the Culture of Safety Survey which will be distributed in August. Dr.
Mobley recommended that Program Directors set aside time in meetings with their faculty
to complete it as that has been found to be an effective method. Ms. Griffith also noted
that the House Senate was instrumental in increasing this past year’s response rate
because of their leadership in encouraging residents during their departmental resident
meetings to complete the survey.
Adjourn
Dr. Edward Bray
There being no further business, the meeting adjourned at 8:00 AM.
Next Meeting:
7/24/2014; 8:00 AM in CC3.
Dr. Porter to
investigate other
residency management
systems to discuss at
the next meeting.
AO
IA Mgmt
Program Directors to
discuss the August
2014 Culture of Safety
Survey with residents
and faculty.
AO
IA Mgmt
C/PD
4