Graduate Medical Education

Policies and Procedures

 

1. Administration & Organization
     1.1. Statement of Commitment to Graduate Medical Education rev. 2/2014
     1.2. GME Organizational Chart rev. 11/2013
     1.3. Disaster Policy

     1.4. Responsibilities of the Designated Institutional Official

     1.5. GME Continuity of Oversight

     1.6. Responsibilities of the GME Committee


2. General Policies & Procedures
     2.1. GME General Policies rev. 12/2012
         2.1.1 Checklist for Fifth Pathway Applicants

         2.1.2 Policy on Resident Application Information and Form rev. 2/2012
     2.2. Essential Abilities Req. for Appointment, Reappointment, Retention, & Certification for GME  rev. 7/2013

     2.3. Duration of Appointment, Conditions for Reappointment, and Non-Renewal of Resident Contracts
     2.4. Restrictive Covenants rev. 11/2006
     2.5. Resident Supervision Policy and Template rev. 4/2002
     2.6. Responsibilities of Residents rev. 7/2013
     2.7. Resident Duty Hours and Extension Request and Program-Specific Policy Template rev. 3/2014
     2.8. Resident Promotion rev. 4/2014
     2.9. Levels of Academic Status in Graduate Medical Education  rev. 4/2014
     2.10. Resident Grievance & Appeal Procedure rev. 1/2009
     2.11. Resident Grievance & Appeal Procedure – RAHC rev. 1/2007
     2.12. Residency Closure/Reduction   rev. 4/2008
     2.13. Processes for Non-ACGME Programs rev. 3/2011
         2.13.1. Checklist for Non-ACGME Programs
         2.13.2. Non-ACGME Fellowship Information Form

         2.13.3  TMB Application for Non-ACGME Fellowships
     2.14. Resident Visas rev. 12/2012
         2.14.1. Form: Request for Waiver of J-1 Visa rev. 12/2012

         2.14.2. International Travel for Trainees on Visas eff. 8/2012
     2.15. Special Electives rev. 10/2013
     2.16. Process for Establishing a New GME Program rev. 11/2006
         2.16.1. Form: Request to Establish a New GME Program rev. 11/2006
     2.17. Medical Degrees Earned by International Medical Graduates eff. 12/2005
     2.18. Educational Resources – Similar or Competing Programs rev. 1/2014
         2.18.1. Critical Care Programs rev. 1/2014
         2.18.2. Sports Medicine Training Programs rev. 1/2014
         2.18.3. Pain Medicine Programs rev. 1/2014
     2.19. Records Retention rev. 12/2012
     2.20. Interactions Between Vendors and GME Programs/Residents

         2.20.1. Interactions Between Residents and Physician Recruiters eff. 12/2008

     2.21. Experimentation and Innovation eff. 5/2008

     2.22. Prescription Writing by Residents rev. 6/2013

     2.23.  Access to Residents as Research Subjects rev. 4/2013

         2.23.1 Request to Survey Residents Template rev. 7/2013


3. Evaluation and Assessment Processes
     3.1. Internal Reviews of GME Programs

         3.1.1. GMEC Oversight of Non-ACGME, Non-ABMS Fellowships Needing TMB Approval
     3.2. Resident Evaluation
         3.2.1. Templates - Resident Final Letter
     3.3. Completion of USMLE Examinations
         3.3.1. Military Residents, Completion of USMLE Examinations, and State Licensure
     3.4. Residents' Evaluations of Faculty, Educational Experience, and Overall Program     
     3.5. Program Evaluation Committee and Annual Program Evaluation rev. 2/2014

     3.6. Resident Concerns

     3.7. Clinical Competency Committee-Policy on Program-Level Review for Residents and CCC Minutes Template


4. Program Policies & Procedures
     4.1. Responsibilities of the Residency Program Director
         4.1.1. Process for Change in Program Director rev. 2/2014
         4.1.1.1 Change in PD Form rev. 2/2014
     4.2. Application Process
         4.2.1. Resident Applicant Information
             4.2.1.1. Acknowledgement of GME Information Form for UTHSCSA
         4.2.2. Security Background and Sanction Checks for Resident Applicants
     4.3. Resident Selection and Appointment

         4.3.1.  Resident Transfer rev. 10/2012

             4.3.1.1. Checklist for Resident Transfer
     4.4. Visiting Residents
         4.4.1. Visiting Residents 1 - Observerships rev. 6/2013
             4.4.1.1. Checklist – Observership Requirements rev. 6/2013
         4.4.2. Visiting Residents 2 - Clinical Rotations rev. 6/2013
             4.4.2.1. Checklist – Clinical Rotation Requirements rev. 8/2013

         4.4.3 Visiting Residents 3 - Military Rotators

             4.4.3.1 Checklist - Military Rotators

      4.5.  Information about Board Eligibility
      4.6 Responsibilities of the Teaching Faculty

      4.7 Transition of Care (Hand-Off) eff. 06/2013

      4.8 Requesting Increase in Resident/Fellow Complement (w/form) eff. 03/2014


5. Information Management

      5.1. Resident email Accounts at UT Health Science Center at San Antonio

      5.2. Use of Internet and Social Networking Sites


6. Fiscal Policies & Procedures

     6.1. Resident Compensation
          6.1.1. Waiver request form
     6.2. Residents’ Graduate Medical Education Agreements (Contracts)
     6.3. Compensation and Benefits
     6.4. Moonlighting by Residents rev. 3/2013
          6.4.1. Moonlighting Documentation Form rev. 10/2012

          6.4.2. Additional Voluntary Programmatic Duties
     6.5. Moonlighting by Fellows rev. 3/2013


7. Health & Wellness

     7.1. Blood-Borne Pathogen Exposure
     7.2. Resident Impairment rev. 4/2001
     7.3. Family and Medical Leave

          7.3.1.  Information about Impact of Leave on Board Eligibility
     7.4. Accommodation of Residents with Disabilities
     7.5. Harassment
     7.6. Disruptive Behavior by Residents and Fellows


8. Hospitals and Clinical Duties
     8.1. Completion of Medical Records
     8.2. HIPAA -Violation Disciplinary Guidelines for Residents

     8.3. Disclosure of Adverse Events by Site

         8.3.1 UTHSCSA Disclosure to Patients of Unanticipated Outcomes

         8.3.2 UHS Communication of Unanticipated Outcomes

         8.3.3 VA Disclosure of Adverse Events

         8.3.4 CSR Disclosure of Medical Errors