I. Welcome – Dr. Goldman
II. DIO News – Dr. Paidas
III. CMO/Affil. Hosp Comments
(Qtrly)
IV. Reports
AGENDA ITEM
Minutes: The minutes of the September 12, 2012 meeting were reviewed; motion was made and seconded to approve. Motion passed and minutes approved.
 Reminders:
- Requests for Increases in Resident Complement (to TGH in November) Dr.
Paidas again reminded programs that any requests for an increase in complement
(especially at TGH) should be sent to him by the end of November.
- Evidenced-Based Medicine Course – Dr. Paidas advised that he was working with the CTSI program in possibly developing an EBM course and asked Program Directors to check with their residents on the interest level. A brief survey on potential interest, time of day, day of week, etc., would be sent to PDs.
 GME Summit – Oct 19 – CAMLS – Dr. Paidas advised on the recent GME Summit hosted by Representative Cathy Castor to discuss the physician manpower shortage in the State of Florida. Invited guests included Atul Grover and Len Marquez from the
AAMC and Chancellor Frank Brogan.
Larry Carey, MD, ACOS-E, James A Haley VA Hospital was present and gave a brief update on resident slots at the JAHVA. With 200 residents currently at the JAHVA, the VISN was in the process of looking at unfilled slots and the potential for “re-distribution” where the needs are greatest. In terms of resident education, Dr. Carey advised that a faculty member was removed from teaching privileges this past year and he asked that program directors advise if there were any areas of concern with current faculty in this regard. With Dr. Carey reducing to three days a week, Dr. Henry Park would be “groomed” as the Acting ACOS-E. Dr. Carey felt that Dr. Park was an extremely good fit as he was also the Quality and Patient Safety fellow the past year. In closing, Dr. Carey stated that the number of available slots may be increasing slightly with the increase in the number of veterans in the State of Florida.
VA Affairs – Dr. Brock noted that three positions were approved through the ACR Committee and there was a Senior Leadership meeting on Thursday to discuss the affiliation agreement.
GME Resident Advisory Committee – Report
Dr. Byron Moran was present and noted that the planning for the annual Halloween Party was progressing very well and that discussions about the meal card distribution at TGH was ongoing.
Faculty Development – Dr. Mai (No report as Dr. Mai was out of town.)
Internal Review – Dr. Flannery noted that he has not received the information as requested from Cardiology when they were asked for a response to the GMEC by the 9/12 meeting regarding deficiencies in the resident survey for 2012. Since there has been no response specifying what changes have been made and what corrective action plans have been documented in response to the deficiencies noted on the survey, Dr. Flannery asked that Dr.
Goldman / Dr. Paidas send a request for this information. Dr. Flannery also noted that the
ACGME Institutional
Requirement
III.A.3. (GMEC)
II.B. (Financial Support)
I.A.1.
(Sponsoring Institution)
III.B.2.b) (GMEC)
IV.A.1.
(Internal Reviews)
II.E.2.a) (Resident
Participation in Prof Activity)
I.V.A.4.g).(3)
(Faculty Development)

V. New Business
Internal Review for Geriatric Psychiatry was scheduled for October 25, 2012.
Citation Tracker – Dr. Flannery
(See Draft Policy under New Business)
Resident Probation Report
1.
Duty Hours Rules and Violations a.
Report on Duty Hours Not Logged past 30-days (Fine from Education Funds) – the list of non-reports for duty hours was reviewed, with the addition noted that $200 of the program’s educational funds were taken away as a result of the violations.
2.
Revision to GME Policy 218 (Disciplinary and Appeal Policy & Procedures)
GME-218 was reviewed, with the major revision being to include a review by General
Counsel for written warning to residents. After review, a motion was made and seconded to approve; motion passed.
3.
GME and ACGME Citation Trend Reporting – Ms. Middleton reviewed the trends with the number of citations by the ACGME in 2009 (161) versus the number of citations for 2011 (115). With major deficiencies still noted in the ACGME categories, these numbers would not likely decrease in the coming year due to the revised site visit schedules.
Dr. Goldman asked for PD assistance in three areas to help with correcting these deficiencies: 1) Increased attendance at the Lunch n Learn’s to help faculty development; 2) Increase use of standardized forms which are helpful tools to address the ACGE requirements and suggested perhaps a sub-committee to look at the various forms, and 3) Develop a group of PDs that were interested in helping other programs develop guidelines as the new ACGME criteria under NAS.
4.
Budget for CAMLS – Ms. Middleton advised that GME wished to be transparent on how
CAMLS funds are allocated and noted that there was currently $100,000 that was not targeted for specific programs. Program Directors were asked to submit any special requests for simulation training to Dr. Paidas or Sue within the next 30 days to utilize these funds.
Related to resident training and education, Dr. Drucker reviewed the GME Grant Program and noted that the quality of proposals received was very high and that the Committee was meeting next week to compare notes and rank the top submissions. These grants would be funded as of January 1 next GMEC meeting. st and a list of the awardees would be presented at the
5.
NRMP and All-In Policy
Program Participation/Exceptions and Schedule of Dates for 2013 Main Match –
Presented for information only, the All-In Policy was reviewed and will be distributed to all Program Directors.
6.
Request for Complement Change: a.
Emergency Medicine: Request for a temporary increase to take one off-cycle resident to begin in January 2013 due to the resignation of another resident and
III.B.8.
(Accreditation Oversight)
II.D.4.e).(1)
(Resident Appointment)
II.D.4.i) (Duty Hours)
III.B.8.
(Accreditation Oversight)
III.B.10.e)
(GMEC)
III.B.10.e)
(GMEC)

VI. Old Business
VII. Consensus Calendar
VIII. 2012 Calendar would be effective through December 31, 2015. Motion was made and seconded to approve increase in complement; motion passed.
7.
IRB Approval a.
“
”, Principal Investigator: Dr.
Benjamin Djulbegovic (Pro00000220) – Reviewed by Dr. Goldman for resident protection issues and proper informed consent, a motion was made and seconded to approve the study; motion passed.
8.
Student Loan Repayment options through AAMC - presented as information only, material was relevant to a question brought up related to how residents can re-pay student loans. Options were presented through the AAMC and serving in rural areas.
See handout for additional details.
1.
Psychiatry and 7F – Dr. Goldman inquired if any further discussions were underway with
TGH about the closing of 7F; Dr. Stock indicated that the unit will not close by
2.
decreasing funding for services and that the impact of the closing was still unclear.
Pictures on I-Phones: Ms. Cerullo indicated that there were no new updates but Dr.
Houston advised that TGH was working on these issues and noted that the only place they could be downloaded was onto EPIC. TGH was also working with the IT folks for a secure way to send text messages. An upgrade to EPIC will be requested but it is not in the current budget cycle. Dr. Goldman reminded Housestaff to use secured cameras that are available at the various affiliated hospitals for patient-related photos.
ACGME Letters:
1.
Hematopathology: Letter dated September 25, 2012 from the RRC advising of a site visit on January 31, 2013 conducted by Dr. John Beernink.
2.
Colon and Rectal Surgery: Letter dated October 4, 2012 from the RRC advising that the case logs have been reviewed, the program commended for meeting the required minimums in all areas, and the annual review will be conducted in approximately one year.
3.
Allergy and Immunology: Letter dated October 8, 2012 from the RRC acknowledging of the inclusion of USF Health-Morsani and the deletion of USF COM as rotation sites.
4.
Rheumatology: E-mail dated October 2, 2012 from the RRC advising of Continued
Accreditation and a detailed report of notification would be posted within 60 days of this date.
All ACGME Letters noted.
WebADS/Other Changes:
1.
Physical Medicine & Rehabilitation: Added H. Lee Moffitt Cancer Center
2.
Vascular Surgery: Added Florida Hospital-Tampa
3.
Vascular Surgery (integrated) : Added Florida Hospital-Tampa
November 14 December 12
III.B.11. (GMEC)
III.B.8.
(GMEC)
III.B.10.d)
(GMEC)

GMEC Meeting Attendance – October 10, 2012
MDC 2301
Charles Brock, MD, Neurology, Member
Michael Flannery, MD, Internal Medicine, Member
Allan Goldman, MD, Chair, GMEC, Member
David Leffers, MD, Orthopaedic Medicine, Member
Henry Park, MD, JAHVA
Larry Carey, MD, ACOS-E, JAHVA
Nishit Patel, MD, PGY-3, Member
Michele Cerullo, Gen Counsel, Guest
Vesna Vrcel, MD, Pathology, Member
Paul Boyev, MD, Otolaryngology, Member
Saundra Stock, MD, Child/Adol Psychiatry, Guest
Byron Moran, MD, Internal Medicine, PGY-1, Member
Mitch Drucker, MD, Ophthalmology, Member
Midhir Patel, MD, PGY-1, Member
Stacy Parker-DeRaps, Educ Coordinator, Member
Jean Fils, MD, Geriatric Psychiatry, Guest
Colleen Stevens, GME, Guest
Kay Isaac, Education Coordinator, Psychiatry, Member
Joann Valeriano, MD, Rheumatology, Guest
Ken Zuckerman, MD, Hematology-Oncology, Guest
Charles Paidas, MD, GME, Member
Kristen Morda, GME, Guest
Morton Plant Mease
Eileen Morroni, Educ Coord, Member
All Children’s
Marjorie Peak, Education Coordinator, Guest
STC 5051C
William Spellacy, MD, OB/GYN, Member
Isis Marrero, MD, Psychiatry, Member
Sue Middleton, GME, Member
Twyla Sumpter, Educ Coord, NeuroSurgery, Member
Kristine Barry, GME, Guest
Amy Fioramonte, GME, Guest
Erika Abel, MD, Med-Peds, Guest
James Palmer, MD, Ob/Gyn, Guest
J Ryan Williams, MD, PGY-5, Member
David Ciesla, MD, Surg Critical Care, Guest
John Cha, MD, Surgery, Member
Sally Houston, COS, TGH
Mona McCullough, MD, PGY-7, Member
Cuc Mai, MD, Internal Medicine, Member (Brad Clark)
Excused
Basil Cherpelis, MD, Dermatology, Member
Doug Letson, MD, EVP, Phy-in-Chief, Moffitt, Member
Vincent Perron, MD, Assoc. CMO, TGH
Fernando Vale, MD, NeuroSurgery, Member
James Benenati, MD, Vasc/Int Radiology, Miami, Guest
Joaquin Gomez-Daspet, MD, Endocrinology, Guest
Jorge Marcet, MD, Colon-Rectal Surgery, Guest
Kelly O’Keefe, MD, Emergency Medicine, Member