GRADUATE MEDICAL EDUCATION COMMITTEE
CC 3
Greenville Health System
8:00 AM – 10:00 AM, Thursday, 10/22/2015
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:
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
☐Jon Lucas, MD
☒Edward Bray, MD
☒Julius Earle, MD
☐Kenneth Rogers, MD
☐Camiron Pfennig, MD
☒Robert Mobley Jr, MD
☒Ryan Otto,
☐Brenda Thames
☒Amanda Duncan
☒Ann Griffith
☐Aaron Creek, MD
☒Freeman T. Changamire, MD
☐Franklin Sease, MD
☐David Cull, MD
COM- Communication with Medical Staff
☐Derek Payne
☒India Robinson, MD
C/PD- Communication w/Program Directors
DH - Duty Hours & Related Issues
IA Mgmt- Institutional Accreditation Mgmt.
Inno- Innovative Projects/Experimentation
☐ Brian P. McKinley, MD
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
☒Matthew Grisham, MD
☐Peter Tilkemeier, MD
☐Thomas Wheeler III, MD
☐Chris Bray, MD
☐Brian Burnikel, MD
☐Jennifer Hudson, 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
☐John Williams, MD
☐Ben Griffeth, MD
☐Melissa Janse, MD
☐Greg Hawkins
☒Megan Reichert
☒Don Reichert
DIALOGUE
Welcome & Review Minutes
Dr. Edward Bray
Duty Hours Report Review
Dr. Edward Bray
The meeting was called to order at 8:11am by Dr. Bray. The review of the September
minutes was deferred to next month’s meeting. Dr. Bray introduced Amanda Duncan,
temporary administrative assistant for GME and Dr. Matthew Grisham, new program director
for Pediatrics.
Duty hours reports were deferred to next month’s meeting because Kelli DaSilva is
attending conference this week.
OUTCOME/
ASSIGNMENTS
GMEC
CODE
C/PD
DH
House Senate Report
Dr. India Robinson
The House Senate is emphasizing event reporting to residents and are developing a survey
to distribute to residents to determine what is hindering them from submitting reports. The
Senate is also working on Quality Improvement Practices with CBTs and conference
presentations. With the holidays coming up, the Senate will participate in a canned food
drive for Thanksgiving and a clothing, gift, and coat drive for Christmas.
Capital Designs Associate Group
Megan Reichert spoke about what Capital Design Associates have to offer residents. They
offer financial workshops covering four areas – assets, liabilities, cash flow, and cash need.
They also offer disability insurance for residents through Standard Insurance. Capital
Design Associates and GHS had to be vetted in order to offer this product. There is no
medical underwriting for this insurance. There is an electronic, 5-page application to
completes. The insurance premium has a 15% discount and offers a unisex rate. If a
resident has been denied life or disability insurance, they will not be able to get this
product. Ms. Reichert asked for an opportunity to speak with residents in November or
December regarding the disability insurance and again in April and May regarding the
business workshops. A Survey Monkey needs assessment survey will be sent out in
January to residents to determine workshop topics and content. Ms. Reichert asked to
schedule about an hour and a half meeting for each of these purposes. She will be
contacting the Program Coordinators to schedule with each department.
Megan Reichart to
schedule meetings with
Program Coordinators
for:
- Disability insurance
- Business in Medicine
Workshops
C&E
RC/B
AO
IA Mgmt
CLER Moment – CLER
Response Review
Dr. Edward Bray
The submitted DIO CLER Response is posted on GMEC SharePoint. Dr. Bray thanked CLER
Sub-committee physician leaders for their input regarding the response.
CLE
AO
IA Mgmt
ACGME Communications
Dr. Edward Bray
Pediatrics Resident Program Director Change – Matthew Grisham, MD
DIO CLER Response
submitted to ACGME
by Oct. 2 deadline and
a copy is posted on
GMEC SharePoint
Matthew Grisham, MD
Don & Megan Reichert
C/PD
AO
IA Mgmt
AO
IA Mgmt
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Academic Council Update
Ann Griffith
Desmond Kelly, MD
Ms. Griffith reported that due to her involvement with the Program Coordinator Retreat
she was unable to attend the Academic Council; however, several pending issues from
the last meeting have been discussed with Derek Payne. Ms. Griffith reported that the
issues with vouchers seem to have lessened. The Coordinators indicated during the
retreat that they have not had further problems. Ms. Griffith stated that Derek Payne
has discussed why the budget for GME recruiting is housed within Physician
Recruitment rather than the GME budget and that he is working on moving this budget
item to GME for next year. Also, Mr. Payne has discussed resident purchases of
computers with IT. Computers may be purchased out of educational allowance funds
but the devices will need to be programmed through IT to have the GHS securities
software installed. Residents are allowed to take the computer with them upon
graduation. The discussion regarding using the money allocated for iPads to purchase
the phones instead of depleting the educational funds was accepted. Mr. Payne is
negotiating IT purchase of computers for residents so educational funds are not
depleted and IT securities are more controlled. Residents have a certain amount of
money set aside for meetings, purchase computers, and towards further educational
activities. Residents can use these funds to attend conferences when they are not
presenting. Academic funds are allocated for papers but not posters.
RC/B
AO
IA Mgmt
Desmond Kelley reported that LCME visit, site visits and governance of GHS were
discussed at the Academic Council Meeting.
Residency Coordinator Retreat
Ann Griffith
Ms. Griffith reported that the Coordinators had an enjoyable coordinator retreat. The
Residency Coordinators are working on a coordinator training manual that they refer
to as a survival tool kit. Survival Tool Kit chapters to be included were reviewed at
the retreat and each Coordinator will continue to work on a section. The theme for
the retreat was Survivor: Shifting Toward Conscious Professionalism. Sharon Wilson,
GHS Director of Conscious Leadership presented mini-presentations or snip-its on
various conscious leadership concepts during our Segway tour. Dr. Bray presented
lessons from leadership concerning recent GHS governance issues and the realignment
of Program Coordinator positions to Academics. The goal is to realign the
coordinator positions with Academics to report under Derek Payne instead of with the
hospital.
C&E
AO
IA Mgmt
Program Directors expressed their concern if this realignment does not occur. GME
has already lost several coordinators due to the belated attention to the upgrade of
these positions. Clerkship Coordinators are being paid at a higher rate because they
are academic coordinators. After considerable discussion the Program Directors voted
in favor of sending a motion to Derek Payne in support of the change - “GMEC
supports realignment of the residency coordinator positions from hospital status to
academic status. Program Directors recommend that supervisory authority for these
positions be transferred to Academics.” The Program Coordinators will continue to
report in the departments to the Program Directors.
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Annual Report Presentations
Dr. Edward Bray
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
Dr. Chris Carsten presented the Annual Report for Vascular Surgery. He
stated that there had been no faculty changes. Two students graduated.
Two applicants matched for next year. No disciplinary actions. Board pass
rate for the past 5 years is 100%. ACGME report went up in all categories
for faculty and residents with no area for significant improvement. ACGME
site visit last year had no citations and the program earned continued
accreditation for 4 years. Areas for improvement were the elective rotation
and rotation length.
Dr. Scott Porter presented the Annual Report for Orthopaedic Surgery. The
program has 4 resident positions every year for 5 years. 100% pass rate for
last 5 years. Dr. Porter reported active numbers in research with 20 residents
and 28 faculty members involved in scholarly activities. The Clinical
Competency Committee has had 3 meetings and this group continues to meet
and is beginning to yield fruit. Graduates matched 4 fellowships this year with
Sports Medicine being the most popular fellowship.
Dr. John Tokish presented the Annual Report for Ortho Sports Medicine. Dr.
Tokish offered a PPT presentation and reported that the program has 9 core
faculty members. This past year the program moved that status of their
sponsoring institution from an independent program to GHS as a sponsored
program with this GMEC. 100% rated overall evaluations at highest level.
Graduated all 4 fellows in August. Exit interviews were good. No citations
since 2010. The program receives 150 applications a year. ACGME allows the
program to take 6; but usually we recruit only 4. The program’s recruitment
match goes no lower than 7 on the rank list. The program offers one-on-one
operative experience with 500 cases per year. The program has been
approved for one International sports medicine research fellow for next year.
Annual Reports:
- Vascular Surgery
- Orthopaedic Surgery
- Ortho Sports
Medicine
IRP
AO
IA Mgmt
R Stats
CLE
Upcoming annual reports are as follows:
November

Family Medicine

Primary Care Sports Medicine

Obstetrics and Gynecology

Psychiatry
December

Pediatrics

Development – Behavioral Pediatrics

Combined Internal Medicine/Pediatrics
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Dates to Remember
Dr. Edward Bray
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Other Business
Dr. Edward Bray
Adjourn
Dr. Edward Bray
Dinner with Courtney (RSVP Program Directors only) Oct 22, 6pm High Cotton
Green Lights, Yellow Blinkers, Red Flags: How to Select the “Right Fit”
Residents – October 23, 1pm-4:30pm MSA
Streamlining the GME Office: Effective Management and Retention of Resident
Files Teleconference – December 8, 1pm-2pm CC5
2016 Graduation – June 3
2016 Resident Orientation – June 24-28
2016 Departmental Orientation – June 29-30
C/PD
AO
IA Mgmt
None
There being no further business, the meeting adjourned at 9:13 AM.
Next Meeting:
11/19/2015; 8:00 AM in CC3.
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