Graduate Medical Education

Graduate Medical Education Policies and Procedures

Policy on Annual Institutional Review

The Graduate Medical Education Committee (GMEC) must demonstrate effective oversight of the sponsored University of Illinois Residency/Fellowship programs through an Annual Institutional Review.

The Annual Institutional Review will include:

  1. Results of the most recent institutional self-study visit.
  2. Results of ACGME Surveys of Residents/Fellows and Core Faculty.
  3. Notification of ACGME-Accredited Programs accreditation status and self-study visits.
  4. Aggregate results of ACGME-Accredited Program performance indicators.
  5. Results of Programs response to the domains of ACGME CLER Review.
  6. Compliance with up to date, signed institutional agreements.

    a. Mission Statement
    b. Inter-Institutional Agreement
    c. Affiliation Agreements
    d. Program Letters of Agreement (PLA)

  7. Results of Annual Program Review.
  8. Review status of Residency Review Committee Citations.

Any item listed above that is found to be out of compliance will be monitored at every Graduate Medical Education Committee (GMEC) meeting for progress toward completion.

A written Executive Summary of the Annual Institutional Review will be submitted to the governing body.


Approved by GMEC: 10/25/2013, 11/18/2016