CHILDREN’S MERCY HOSPITAL’S & CLINICS
GRADUATE MEDICAL EDUCATION (CMHGMEC)
Meeting Minutes ~ 3rd Quarter
March 26, 2008 @noon in Byways
Present: Galeazzi, Joe ~ Vice President of Medical Administration
Graf, William ~ Pediatric Neurology Fellowship Director
Jordan, Kerrie ~ Graduate Medical Education Coordinator
Kallur, Ravi Kallur ~ Graduate Medical Education Administrative Director
Knapp, Jane ~ Medical Education Director, DIO & GMEC Chair
Roge, Desiree ~ Pediatric Rehabilitation Fellow
Wolf, Amy ~ Child Neurology Program Coordinator
Zimmerman, Amy ~ Pediatric Rehabilitation Fellow
Absent: Allaboun, Kadry ~ Child Neurology Resident
Gardner, Tonia ~ Pediatric Rehabilitation Program Coordinator
Kayyali, Husam ~ Child Neurology Resident
Maiteh, Mamon ~ Child Neurology Resident
Rinaldi, Bob ~Pediatric Rehabilitation Program Director
The Children’s Mercy Hospital Graduate Medical Education Committee met Wednesday,
March 26, 2008, at 12:10 PM.
Approval of Minutes
The minutes from the December 19, 2007 (07-08; 2nd Quarter), CMHGMEC meeting,
were approved as written.
GME Disaster Policy & Procedure
The ACGME requires that all teaching hospitals and programs have a disaster plan in
place. This plan was distributed and approved.
Annual Program Evaluation
An ACGME common program requirement is that the program document formal,
systematic evaluation of the curriculum at least annually. The program must monitor and
track each of the following areas:
Graduate performance, including performance of program graduates on the
certification examination; and,
Program quality. Specifically:
o Residents and faculty must have the opportunity to evaluate the program
confidentially and in writing at least annually, and
o The program must use the results of residents’ assessments of the program
together with other program evaluation result to imp prove the program.
Final Evaluation of Fellow
An ACGME common program requirement is that the program director must provide a
summative evaluation for each fellow upon completion of the program. This evaluation
must become part of the fellow’s permanent record maintained by the institution, and
must be accessible for review by the fellow in accordance with institutional policy. This
document the resident’s performance during the final period of education, and
verify that the resident has demonstrated sufficient competence to enter practice
without direct supervision.
Tracking of Fellows sick leave
Please make sure your section is keeping track of fellow’s leave time, specifically sick
leave. This can be entered and tracked in New Innovations. Fellows who stay on as staff
will be able to roll over 60 days of sick into staff position. New Innovations tracks this
and is a reference for administration when fellow transfers into staff position, thus
allowing verifying available sick leave left to roll over into new position. FYI, all PWF’s
must go through the GME office.
Letters of Offer
Please send Kerrie Jordan a copy of the acceptance/offer letter & CV for your new
fellows in order for her to mail the welcome packet. The 09/10 new fellows will not be
sent packets until Jan/Feb 2009, due to changing forms and stipend amounts. The 08/09
stipends receive additional amount of $14,000.
The GME Office must receive a copy of offer letter or email confirmation of fellowship
position acceptance from candidates before packets go out to new fellows.
Statistics for interviewed positions
Ravi Kallur from the GME Office is requesting that all Program Directors send him the
number of applicants interviewed, with number of them being male/female and ethnicity.
Re-organizing the Program Coordinators
The GME Office has requested the Medical Administration to add additional
coordinators to coordinate and help Program Directors. If approved, this core pool of
coordinators will work exclusively with fellowship programs and be responsible for
several fellowship programs. This would take the burden off of the current administrative
assistants in each section and centralize the education piece for the ACGME and other
reporting bodies. The proposed responsibilities and job description was handed out to the
Director of Evaluation
The PhD evaluator position has been posted. The GME Office has received a few CV’s.
Recruitment continues until position is filled.
Child Neurology Quarterly Program Report
Child Neurology recently went through the San Francisco Match for the 3 rd year. The
program interviewed 12 people for resident positions this year. Three of the interviewees
are Pediatricians for the 2007 year and two of the interviewees are MD/PhD’s who want
clinical training for the 2009 slots. Two candidates matched for 2007 start and 1 matched
for the 2009 start. One of our current Pediatric residents will transfer into Child
Neurology starting July 2008, finishing up her prelim years in general pediatrics.
The 3 year Child Neurology Program currently has 3 fellows. The ACGME
Accreditation notification letter grants accreditation of 1 fellow per year for a total of 3
fellows. Dr. Kayyali is graduating June 30th and Dr. Yuen (current Pediatric Resident0 is
starting July 1st. A semi-annual review will be completed May 2008, of the fellows. The
faculty and the fellow have reviewed the program. Resident’s duty hours are regularly
monitored, there have been no duty hour violations during the last quarter, there have
been no problems with resident work environments, there have been no issues with
attendance at conferences and there has been disciplinary actions taken towards a resident
in the program. A written warning has been issued on 3/27/08, with follow-up in 90
days. The citations will be reviewed during the programs internal review scheduled to
take place in November 2008.
Pediatric Rehabilitation Quarterly Program Report
The 2 year Rehabilitation program currently has 2 fellows. The ACGME Accreditation
notification letter grants accreditation of 1 fellow per level of training. Dr. Roge is
graduating June 2008 and Dr. Ramsey will be starting fellowship July 2008. The semi-
annual review has been completed of the fellow. The faculty and the fellow evaluation
have been reviewed by the program. Resident’s duty hours are regularly monitored, there
have been no duty hour violations during the last quarter, there have been no problems
with resident work environments or attendance at conferences and there have been no
disciplinary actions taken. The RRC cited the program for inadequate block diagram and
inadequate selection and appointment process for fellows. A progress report was
submitted December 2007, with a block diagram for 24 months of training and a
description of resident appointment process was addressed. The progress report also
stated that the program will offer one year training to some fellows. The progress report
responses and each citation will be reviewed during the programs internal review
scheduled to take place in August 2008.
Internal Review Reminder
The GME Office will start looking at PIF and RRC letters to review at midpoint between
site visits for CMH accredited programs. Pediatric Rehabilitation’s midpoint will be
August 2008, and Child Neurology’s midpoint will be November 2008. Once the
program information has been reviewed and an internal review report is produced, the
GMEC will review and finalize the same.
CMH GME is offering test taking skills workshops (The Jollies) for fellows to attend in
order to prepare them for boards.
The ACGME has updates in which they are requiring all programs to document
competencies and how they are met. The ACGME requires that Program Directors keep
in contact with graduating residents/fellows up to 5 years and conduct surveys on an
annual basis to see if their educational experience is being used as related to the
competencies. The ACGME will take into consideration the graduates board passing
rates/percentages. These results will be included with the review of the programs by the
RRC and could affect the accreditation length awarded.
2008-2009 New Fellow Orientation is Monday and Tuesday, June 30th and July 1st,
2008. The times and location vary for both days. A detailed schedule is attached.
The meeting adjourned at 12:54 PM.