GRADUATE MEDICAL EDUCATION COMMITTEE
CC 3
Greenville Health System
8:00 AM – 10:00 AM, Thursday, 9/24/2015
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 Representative
Guests:
☒Edward W. Bray III, MD
☐Shannon Burgess, MD
☒Vincent Green, MD
☒Irfan Asif, 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
☒Ryan Otto,
☐Brenda Thames
☐James McCallum, MD
☒Okey Uzor
☒Mark Alcorn
COM- Communication with Medical Staff
☒Ann Griffith
☒Aaron Creek, MD
☒Derek Payne
☐India Robinson, MD
☐Franklin Sease, 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
☐John Tokish., MD
☐Brian Burnikel, MD
☐Jennifer Hudson, MD
☐John Williams, MD
☐Ben Griffeth, MD
☐Peter Tilkemeier, MD
☐Thomas Wheeler III, MD
☒Chris Bray, MD
PQ- Patient Safety & Quality
R&C- Reductions & Closures
RC/B- Resident Compensation/Benefits
RS- Resident Supervision
R Stats- Resident Status
☐Jon Lucas, MD
VI- Vendor Interactions
CLE- Clinical Learning Environment
☐Melissa Janse, MD
☐Greg Hawkins
☒Kristi Young
☒Susan Hearn
DIALOGUE
Welcome & Review Minutes
Dr. Edward Bray
Meeting was called to order. The review of the August minutes was deferred. Dr. Bray
welcomed our guests from the Reimbursement Office and from Germane Solutions.
Duty Hours Report Review
Dr. Edward Bray
Duty hours reports were reviewed.
No significant problems were noted.
OUTCOME/
ASSIGNMENTS
GMEC
CODE
DH
AO
IA Mgmt
CLER Moment – CMS GME
Reimbursement: IME/DME
Derek Payne
House Senate Report
Dr. Aaron Creek
ACGME Communications
Dr. Edward Bray
Procedure Competency
Documentation
Robert Mobley, MD
Derek Payne provided a presentation regarding the CMS Reimbursement/IME/DME/Cap
overall picture of GME funding. GHS continues to provide significant amounts of funding
for GME programming including the supplemental teaching monies above the federal funding
cap of 112.51. Direct GME funding for FY15 is $4.8 million. Indirect GME funding for FY15
is $10.4 million. GHS receives $5.2 million in direct Medicaid GME funds and $6.5 million in
indirect funds. The supplemental teaching program funds are calculated based on Medicaid
charges for teaching physicians. GHS received disproportionate share funding of $62.4
million which is received to recognize the significant number of unfunded or underfunded
patients who receive treatment here and are seen by our residents in GHS clinics. Mr.
Payne reported that our total expense for residency programs is approximately $50 million
for FY15 which brings GHS funding the loss of $23.3 million in GME programs. Mr. Payne
reported that the Shared Academic Health Center that is being attempted to create with
our academic partners would be a separate LLC which could offer GME services under a
consortium and allow us to apply for new GME funded slots. Mr. Payne’s PowerPoint
presentation is available on GMEC SharePoint.
Dr. Creek reported that the House Senate working on the development of quality curriculum
in support of CLER report. Their intent is to recruit volunteers from each program for QIfocused presentations for resident–directed conferences. The House Staff are also
discussing giving back to the community projects for Thanksgiving and Christmas.
C/PD
CLE
AO
IA Mgmt
Resident-directed QI
presentations being
developed
PQ
C&E
Dr. Bray thanked the programs for meeting their ADS update deadlines in August.
The DIO response to our resent CLER visit and CLER Report is due by October 2. The
response is posted on the GMEC SharePoint. Dr. Bray asked if there were any specific
additions needed from GMEC.
DIO CLER Response to
ACGME due by
October 2
CLE
AO
IA Mgmt
Dr. Sease stated that interviews would be occurring the next day for the new Peds
Residency Program Director. A new Program Director should be announced by the next
GMEC Meeting.
Dr. Robert Mobley announced that GMEC had performed the needed actions regarding
procedure competency documentation and thanked everyone for their input and work
in developing this new process as an improvement with regard to our recent Joint
Commission citation. Dr. Mobley reported that the action plan developed had been
approved by Joint Commission. Dr. Cull reported that the concern is with nurse
education regarding the new process. Dr. Mobley assured his staff will take care of
cascading the information and training the nurses. Dr. Bray reported that he too had
spoken with Michelle Taylor Smith regarding our New Innovations documentation of
procedure competency and how nurses could access the written documentation.
New Pediatrics Program
Director search
underway
New Innovations
procedure competency
documentation
improvement in place
C/PD
PQ
AO
IA Mgmt
2
A Site Visit
Dr. James McCallum
Dr. McCallum reported that applications for 1.8 Psychiatry and 1.0 Family Medicine are
approved for federal funding. Dr. McCallum reported that these two programs had
presented the needed documents and standard forms required to request these
additional funds. Others can participate; however, the window to secure federal
funding has passed for this budget year. For others wanting to participate in VA
funded rotations, Dr. McCallum stated he and Tom Wiseman would be on campus on
October 8 to discuss options. Also during the site visit meeting, Mr. Wiseman will be
training Program Directors and Coordinators how to on-board appropriately their
residents into the VA system. Dr. McCallum thanked Ms. Griffith for helping with the
process and for setting up the October 8 site visit.
1.8 Psychiatry and 1.0
Family Medicine VAfunded slots approved
RC/B
C&E
IA Mgmt
AO
NRMP Professionalism
Statement
Dr. Edward Bray
Dr. Bray reported that the NRMP has been activated and that the NRMP had
disseminated their statement of professionalism to all users. Dr. Bray stated that the
statement is posted on SharePoint and to please take time to review the statement
and the tips for avoiding match violations. Dr. Bray stated that match violations are
serious and that as we move into interview season it is important that this be shared
with all interview committee members.
Dr. Brays asked the Program Director if after their review of Board Vitals, they would
like to proceed with the purchase of this library resource. Board Vitals would be
library funded and the library needs acknowledgment that this resource would be used
if purchased. Dr. Sease reported that ARP offers better question bank but that the
Peds residents would be allowed to use this additional resource. Dr. Keiser stated
that it would also serve as an additional resource for OB. Dr. Earle stated that Board
Vitals is also applicable to MOC. Surgery, Ortho, and Family Medicine reported that
they would promote and use Board Vitals. With a show of hands, all but four
Program Directors would use Board Vitals.
Program Directors to
review NRMP statement
of professionalism with
all resident interview
committee members
IA Mgmt
AO
Program Directors
support purchase of
Board Vitals
C&E
IA Mgmt
AO
Board Vitals Revisited
Dr. Edward Bray
3
ort Presentations
Dr. Edward Bray
Dr. Dane Smith presented the Annual Report for General Surgery. He stated
that there had been no faculty changes and highlighted the various awards
presented to residents and faculty. Dr. Smith reported Board pass rates and
reported that all ACGME survey trends are moving upward. Dr. Smith stated
that their CCC had met and that with their self-evaluation they are updating
their curriculum and identifying at risk Board exam issues.
Dr. Alfredo Carbonell presented the Annual Report for Minimal Invasive Surgery.
Minimal Invasive is a non-GME program in its 6th year. The program has 2
fellows per year. The program has a site visit from the Fellowship Council
and the program continues their accreditation for three additional years. The
fellow this year did not pass boards; therefore, goal is to bring board pass
rates back to 100%. Dr. Carbonell reported active scholarly activity regarding
presentations and research.
The programs evaluations within New Innovations
are very good. Dr. Carbonell reported no changes in faculty for the Minimal
Invasive Fellowship.
Dr. Michael Fuller presented the Annual Report for Internal Medicine. Dr. Fuller
stated that the program matched for 12 categorical and 4 preliminary
positions this year and was very pleased with the number of application and
quality of residents that the program reviewed. There were no disciplinary
actions this past year. Dr. Fuller reported that six residents presented at the
annual meeting and all 6 were awarded. Faculty surveys reveal the faculty
would like more feedback on their effectiveness and Resident surveys noted
desire for more protected time. The future action plans for Internal Medicine
include improvement on Hemoc and inpatient experience to increase scores,
global assessment, and a direct observation program to provide additional
feedback.



Dates to Remember
Dr. Edward Bray
-
-
Annual Reports
 General Surgery
 Minimal Invasive
Surgery
 Internal Medicine
VA Site Visit – Oct 8 3:00p ST42
Dinner with Courtney (For Program Directors only) - Oct 22 (More info to come)
Green Lights, Yellow Blinkers, Red Flags: How to Select the “Right Fit” Residents –
October 23
Professionalism and Resident Physicians: Milestones, Strategies and Results
Teleconference – Sept 29 1:00-2:00 CC5
Streamlining the GME Office: Effective Management and Retention of Resident
Files Teleconference – December 8 1:00-2:00 CC5
2016 Graduation – June 3
2016 Resident Orientation – June 24-28
2016 Departmental Orientation – June 29-30
IA Mgmt
AO
C/PD
C/PD
AO
IA Mgmt
4
Other Business
Dr. Edward Bray
Dr. Bray noted that Germane Solutions had been engaged to look at ways to increase GME
funding. For the next three months the consultants will be reviewing expansion needs. Art
Boll will be engaging with departments going forward and he will present his study in
presentation during the November GMEC Meeting.
Germane Solutions
conducting GME
funding feasibility study
and will report during
November GMEC
Meeting
C/PD
AO
IA Mgmt
Dr. Fuller asked if others were experiencing issues with recruitment vouchers. There have
been reports that limits to hotel arrangements are causing issues. Derek Payne stated that
he would look into these issues.
Dr. Jeray asked about academic dollars being used for computers. After discussion
regarding appropriate use of educational allowance, Derek Payne stated that he would
discuss the issue further with IT for purchasing resident computers. Dr. Bray thanked Derek
for working on this computer purchase issue and reiterated that in today’s learning
environment residents’ use of computers is like their access to books when the educational
allowance fund was generated. All the resources needed are now found on the computer.
Adjourn
Dr. Edward Bray
There being no further business, the meeting adjourned at 9:30 AM.
Next Meeting:
10/22/2015; 8:00 AM in CC3.
AO
IA Mgmt
C/PD
5