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Graduate Medical Education Oversight and Governance

There are 23 residency and 47 fellowship programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) at the University of Michigan. In addition, there are six programs that are not ACGME approved. The oversight and governance structure for the GME Programs is shown in Figure 1.

Graduate Medical Education Review Board
University of Michigan

Figure 1

Program Director

Each residency and fellowship program is headed by a faculty member, who is appointed and serves at the discretion of the clinical chair in congruence with the criteria defined by the respective Program's RRC, to serve as Program Director. It is the Program Director's responsibility to assure that the Program and trainees are in compliance with all ACGME, federal, state and University of Michigan policies. The Program Director provides administrative and educational leadership, and is responsible for the quality of the educational experience.

Program Director's Committee

All University of Michigan GME program directors are members of the Program Director's Committee. The Program Director's Committee:

1. elects the members of the Graduate Medical Education Review Board.
2. reviews and gives input to the Graduate Medical Education Review Board on proposed principles.
3. is a forum for dissemination of information and policy regarding GME programs.

Graduate Medical Education Review Board

The Graduate Medical Education Review Board (GMERB) is the University of Michigan's designated governing body for GME. It is the group fulfilling the ACGME-mandated Graduate Medical Education Committee function. GMERB responsibilities include:

1. establishing and implementing policies that guide our GME programs;
2. oversight of the GME Programs;
   quality of education
   work environment
3. oversight and liaison with program directors;
4. assuring Programs comply with institutional and ACGME RRC requirements;
5. overseeing regular internal reviews of each of the ACGME accredited programs in compliance with the ACGME;
6. creating and maintaining an educational environment in which residents may raise and resolve issues without fear of intimidation or retaliation.
7. manage institution's CAP

Membership

The GMERB is chaired by the Associate Dean and Director of Graduate Medical Education. As is depicted and detailed in Appendix II, the members of the GMERB include residency and fellowship Program Directors. One representative each from the Internal Medicine, Pediatrics and Surgery Residency Program Directors are permanent members of the GMERB. The remaining members are elected by the Program Directors from specific cohorts to represent the special needs of their cohort of Programs on the GMERB.

GME REVIEW BOARD MEMBERSSHIP FY2001-2002

Governance

The Regents of the University of Michigan are the ultimate governing body of the University. As diagrammed in Figure 1, the GMERB reports through the Hospital Executive Board to the Regents. The GMERB is accountable to and reports to the Hospital Executive Board. The GMERB is the decision making body for the program directors.

Program Director

Review Board

Members