Section 1. Composition
a. The Regional Dean or his/her designate chairs the Committee as an ex officio member with vote.
b. Other ex officio members with vote include the head of each department with a sponsored or affiliated residency program; the director of each sponsored or affiliated residency program; any associate director and any site coordinator from an affiliated institution participating in a sponsored residency program.
c. There shall be three additional voting members elected at large by the faculty.
d. A minimum of two peer selected residents/fellows from the sponsored residency programs, to be elected by his/her peers.
e. The Designated Institutional Official.
f. A Quality Improvement/Safety Officer.
Section 2. Elections and Term of Office
The at-large members shall be elected to serve three-year terms which shall be staggered, a new member being elected annually.
Section 3. Functions and Responsibilities
The Committee shall:
a. Have oversight of the ACGME accreditation status of the Sponsoring Institution and its ACGME accredited programs, through an Annual Institutional Review and Annual Program Review.
b. Monitor the general academic quality of each of the sponsored or affiliated training programs to insure that such program is maintained in accordance with the standards and guidelines of the Accreditation Council for Graduate Medical Education (ACGME).
c. Establish procedures for the periodic review of each specialty training program as required by the ACGME. These reviews shall include an analysis of the goals and objectives of each program, the plans formulated to achieve these goals, and the effectiveness of each program in achieving its stated goals.
d. Receive reports from and confirm or modify recommendations from any sponsored programs governing committee regarding resources, program content and curriculum.
e. Assist each program director in the following functions:
(1) Definition and implementation of the goals and objectives of his or her particular specialty training program, which goals shall be at a minimum those defined by the specialty residency review committee of the ACGME.
(2) Establishment of standards for the selection, supervision, evaluation, advancement and dismissal of residents participating in sponsored programs.
Review proposals for new residency programs and advise those department heads and/or program directors who are actively planning or expecting external accreditation for residency programs.
Section 4. Meetings
The Graduate Medical Education Committee shall meet as necessary, but no less than quarterly.
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