GMEC Subcommittees

Duke Graduate Medical Education Committee Subcommittee Responsibilities

Each Subcommittee will be responsible for the following broad areas, as indicated in the ACGME Institutional and Common Program Requirements, and serve as a sounding board to promote bidirectional information exchange between trainees, program directors and the GMEC Executive Committee about pertinent issues that are relevant to GME training at Duke.  Each Subcommittee will include 1-2 liaisons within the Office of Graduate Medical Education, and its work will be supported by GME Staff.

Each Subcommittee will present its efforts to the larger GME community via ICGME meetings.  It is anticipated that each Subcommittee will present at an ICGME meeting every three months.

Subcommittee on Accreditation

  • Oversight of practices and procedures to ensure optimal accreditation status for the Sponsoring Institution (Duke University Hospital) and each of its ACGME-accredited programs
  • Guidance about annual APE-I process
  • Trends and oversight of any citations or areas of concern in accreditation letters
  • Review/approval of new program directors, associate program directors, complement increases, and proposed expansion of existing programs or initiation of new programs.

Subcommittee on Clinical Learning Environment Review

  • Liaison with Sponsoring Institution groups involved in patient safety and health care quality efforts.
  • CLER visits:  assist with preparation for visits, and debrief after visits to determine GME priorities for continuous improvement.  Review CLER visit reports and participate in institutional responses.
  • Oversight of factors influencing the safety of the learning environment, such as supervision, handoffs, fatigue/clinical work hours
  • Ensure that faculty and trainees are educated regarding unprofessional behavior, and that a confidential process exists for addressing those concerns.

Subcommittee on GME Resources and Well-Being

  • Oversight of the quality of the GME learning and working environment within the Sponsoring Institution (DUH), each program, and participating sites
  • Review of support services intended to minimize trainee work that is extraneous to programmatic goals and objectives (minimizing reliance of residents/fellows to fulfill non-physician service obligations)
  • Assist GME leaders in addressing concerns about non-compliance with clinical and educational work hour requirements
  • Periodic assessment and recommendations for resources for trainees, including sleep facilities, availability of food, lactation resources, workplace safety, etc.
  • Assessment and recommendations regarding well-being resources, including mental health assessment, counseling and treatment, and ease of access for appointments for personal health and well-being.

Subcommittee on Professional Development

  • Ensure that program directors and core faculty members have access to sufficient resources supporting their professional development as educators.
  • Assess and evaluate the quality and accessibility of electronic medical literature and reference materials for faculty and GME trainees/Liaison with medical library staff.
  • Ensure that faculty and residents are educated in the symptoms of burnout, depression and substance abuse, and know about the means to assist individuals who experience these conditions.
  • Assess need for, and provide appropriate educational content for GME constituents (residents, faculty, program leaders) for topics that have broad institutional relevance