Graduate Medical Education

GMEC Program Oversight

The ACGME Institutional Requirements (effective July 1, 2014) section 1.B.4. a) (GMEC Responsibilities) includes but is not limited to: oversight of the institution and ACGME-accredited programs (1.B.4. a (1)), the quality of the working environment (1.B.4.a (2)), the quality of the educational experiences (1.B.4.a (3)), and the ACGME-accredited programs’ annual evaluation and improvement activities (1.B.4.a (4)). Missing are requirements for an internal review at the mid-point of a program's accreditation cycle. New to the requirements is a demonstrated oversight of "underperforming" programs with special reviews (1.B.6.a).


So, the GMEC must:

  • Assess the quality of the working environment in all ACGME-accredited programs
  • Assess the quality of the educational experience in all ACGME-accredited programs
  • Review the Annual Program Evaluation (APE) for all ACGME-accredited programs
  • Conduct Special Program Reviews (SPR) for underperforming ACGME-accredited programs
  • Implement a process for Continuous Improvement for all ACGME-accredited programs

Oversight of programs in the NAS consists of:

The month of a programs Annual Program Evaluation (APE) has been assigned by the GMEC.  In addition, any Periodic Program Review (PPR) will occur in the same assigned month.  For example, Anesthesiology is assigned to January.  Therefore, the APE for Anesthesiology will always be due in January.  Also, the PPR for Anesthesiology will always occur in the month of January.  Please see the GMEC Oversight Calendar for assignments.


SWOT Analysis

A SWOT analysis (alternatively SWOT matrix) is a structured planning method used to evaluate the strengths, weaknesses, opportunities and threats.

During a SWOT Analysis, participants should ask the following questions:

  • Is this something we have?  If yes, do we want it or not?
    • If you have it and want to keep it, it is a strength.  This is a preservation or maintenance goal.
    • If you have it and don't want it, it is a weakness or opportunity for improvement.  This is an elimination goal.
  • Is this somthing we don't have ?  If yes, do we want it or not?
    • If you don't have it and want it, it is an opportunity.  This is an achievement or acquisition goal.
    • If you don't have it and don't want it, it is a threat.  This is an avoidance goal.

The items from the SWOT analysis should be included in the Action Plan for the program.