GME Policies
Required Institutional Policies
List of Required Policies
A. Policies that are only institutional
1. Due Process
Grievance
2. Non-renewal of Contract and Dismissal
3. Physician Impairment
4. Sexual and Other forms of Harassment
5. Leave of Absence Policy
6. Residency Reduction/Closure
7. Restrictive Covenants
8. Exception to the 80 Hour Workweek
9. Disaster Preparedness Policy
10. Accommodations for Residents with Disabilities
11. Vendor Relationships
12. Transfer
13. Items reviewed by GMEC and signed by Designated Institutional Official:
a. New Applications for accreditation
b. Changes in resident complement
c. Changes in Program structure/Length
d. Changes in participating institutions
e. Appointments of new Program Director
f. Progress Reports
g. Responses to all Proposed Adverse Actions
h. Requests for changes or increases in resident duty hours
i. Requests for inactive status or reactivating programs
j. Voluntary withdrawal of a program
k. Requests for an appeal of an adverse action
l. Appear presentations for a Board or the ACGME
B. Policies that are both institutional and programmatic
1. Resident Recruitment
2. Resident Selection
3. Paid Time Off
4. Duty Hours and Work Environment
5. Moonlighting Moonlighting Agreement
6. Supervision
7. Evaluation
- Annual Program Review Template
- Protocol for Annual Meeting
8. Resident Promotion
9. Transitions of Care
C. Policies that are only Programmatic
1.The effect of Leave of Absence on Completion
2. Explicit written descriptions of supervisory lines of responsibility for the care of patients
Other Policies:
Code of Conduct
Community Based Faculty Appointment
Dress Code
Drug and Alcohol Testing
Exception to 80 Hour limit for Duty Hours
FMLA/OFLA
House Officer Trainee NIH Grants
Meal Ticket Assignment Policy
Off-Campus Activities
Resident Retirement Policy
Unacceptable Abbreviations -- Medications
Worker's Compensation Policy
