Committees

The GME Office oversees several standing committees and other ad-hoc task forces that provide oversight and support for our residency and fellowship programs.  Standing committees include:

  • GMEC-Approved (Non-ACGME Accredited) Fellowship Programs Committee (GAF)
  • Graduate Medical Education Committee (GMEC)
  • Graduate Medical Education Position Allocation Committee (GMEPAC)
  • Policy Committee

Information about each committee can be found below.

Graduate Medical Education Committee (GMEC)

The University of Washington Graduate Medical Education Committee (GMEC) is responsible for overseeing:

  1. the Accreditation Council for Graduate Medical Education (ACGME) accreditation status of the Sponsoring Institution and its ACGME-accredited programs;
  2. the quality of the Graduate Medical Education (GME) learning and working environment within the Sponsoring Institution, its ACGME-accredited programs, and its participating sites;
  3. the quality of educational experiences in each ACGME-accredited program that lead to measurable achievement of educational outcomes as identified in the ACGME Common and specialty/subspecialty Program Requirements;
  4. the ACGME-accredited programs’ Annual Program Evaluation (APE) and self-studies;
  5. Clinical Learning Environment Review (CLER) reports;
  6. processes related to reductions and closures of ACGME-accredited programs, major participating sites, and the Sponsoring Institution; and,
  7. the provision of summary information of patient safety reports to residents, fellows, faculty members and other clinical staff members.

In order to achieve this oversight, the Committee must review and approve:

  1. institutional GME policies and procedures;
  2. annual recommendation to the Sponsoring Institution’s administration regarding resident/fellow stipends and benefits, based on and in accordance with the Collective Bargaining Agreement;
  3. applications for ACGME accreditation of new programs;
  4. requests for permanent changes in resident/fellow complement;
  5. major changes in ACGME-accredited programs’ structure or duration of education;
  6. additions and deletions of ACGME-accredited programs’ participating sites;
  7. appointment of new program directors;
  8. progress reports requested by a Review Committee;
  9. responses to Clinical Learning Environment Review (CLER) reports;
  10.  requests for exceptions to clinical and educational work hour requirements;
  11.  voluntary withdrawal of ACGME program accreditation;
  12.  requests for appeal of an adverse action by a Review Committee; and,
  13.  appeal presentations to an ACGME Appeals Panel.

In addition, the GMEC must demonstrate effective oversight of the Sponsoring Institution’s accreditation through an Annual Institutional Review (AIR). The GMEC must identify institutional performance indicators for the AIR, which include, at a minimum:

  1. the most recent institutional letter of notification;
  2. results of ACGME surveys of residents/fellows and core faculty; and,
  3. each of the ACGME-accredited programs’ accreditation information, including accreditation statuses and citations.

The AIR must include monitoring procedures for action plans resulting from the review. The Designated Institutional Official (DIO) must submit a written annual executive summary of the AIR to the Governing Body.  As part of our Commitment to GMEC, the DIO will provide the AIR to the governing bodies of the UW School of Medicine.

Finally, the GMEC must demonstrate effective oversight of underperforming programs through a Special Review process. The Special Review process must include a protocol that:

  1. establishes criteria for identifying underperformance; and,
  2. results in a report that describes the quality improvement goals, the corrective actions, and the process for GMEC monitoring of outcomes.

Membership: The Designated Institutional Official (DIO) serves as the Chair of the GMEC. Committee members include selected representation from residents and fellows, hospital leadership, clinical chairs, ACGME program directors and other members of the UW faculty, GME administration, program administrators, UW Medicine Compliance, and a quality improvement/safety officer. Resident and fellow members should include the UW Housestaff Association (UWHA) President, the Network of Underrepresented Residents and Fellows (NURF) President, the Housestaff Quality and Safety Committee (HQSC) co-chairs, and other peer-selected residents and fellows that represent a broad range of programs. Resident and fellow members serve one (1) year terms, and may be re-nominated. Faculty and other administrative members should serve a term of two (2) years, and may be reappointed.

Each voting member of the Committee, including the Chair, has one vote and all votes are equal. All actions of the GMEC must be by a majority vote of those present and those voting must reflect a broad representation of faculty, resident and fellows.

Meetings: Meetings will be held monthly. Minutes must be kept and will be available for review by accreditation site visitors. When possible, resident/fellow members will be released from regular duties so they may attend.

Subcommittees: The GMEC will appoint subcommittees to accomplish portions of the Committees’ responsibilities. Subcommittees that address required GMEC responsibilities will include peer-selected residents and fellows. Any actions of subcommittees that address required GMEC responsibilities will be presented to and approved by the GMEC. Standing GMEC subcommittees include:

  • Graduate Medical Education Position Allocation Committee (GMEPAC)
  • GMEC-Approved Fellowship Programs Subcommittee (GAF)
  • Policy Committee

Task forces: The GMEC may appoint ad hoc task forces to accomplish specific, time-limited projects that are essential to the work of the Committee, and reflect the evolving GME landscape.  The GMEC will give each task force a clear charge.  Any actions or recommendations by a task force will be presented to and approved by the GMEC.

2019 – 2020 Committee Members

Committee Roster

 

GME Position Allocation Committee (GMEPAC)

The GME Position Allocation Committee (GMEPAC) is delegated by the Graduate Medical Education Committee (GMEC) to review requests for temporary and permanent increases and/or changes in resident, chief resident and fellow complements and to make recommendations regarding such requests to the Dean. IR I.B.4.b).(4).  This includes requests for funding of positions for new residency and fellowship programs. The committee considers the following information in its decision-making process:

  • Program contribution to the educational mission of UW Medicine,
  • Program accreditation status and compliance with ACGME requirements,
  • Departmental support for graduate medical education (e.g., clinical and faculty resources available for education)
  • Regional and national workforce needs,
  • Uniqueness of the educational opportunity (e.g., international rotations), and
  • Impact of the proposed change on other programs, if applicable. In many instances, the committee must also consider competing priorities for scarce resources and such requests will thus require additional assessment by hospital administration.

2021-2022 Committee Members

  • David Green, Chief Financial Officer, Dean’s Office, UWSOM
  • Cindy Hamra, JD, MA, Assistant Dean, GME (Committee Chair)
  • Karen Horvath, MD, Program Director, General Surgery Residency 
  • Katie Nowlin, Cardiothoracic Surgery Residency Program Administrator
  • Bill Freeberg, Neuroradiology Fellowship Program Administrator
  • Susan Marshall, MD, Associate Director of Medical Education, Seattle Children’s Hospital
  • James Park, MD, Medical Director, Valley Medical Center
  • Zakkary Walterscheid, MD, Resident, Orthopaedics & Sports Medicine 
  • Santiago Neme, MD, Medical Director, UWMC – Northwest Campus
  • Jennifer Paul, JD, MPAC, Director of Finance, GME
  • Thomas O. Staiger, MD, Medical Director, UWMC – Montlake
  • Vivek Jain, MD, Acting Associate Chief of Staff for Education, VA Puget Sound
  • Jorg Dziersk, MD, Program Director, Cardiothoracic Anesthesiology Fellowship
  • Hadar Duman, Director of Accreditation, GME

GMEPAC Application Process for 2021-2022 (AY22)

Please review the following information regarding the GMEPAC application process for AY22.

  1. Review GMEPAC AY22 Timeline and Process
  2. Complete the GMEPAC Application on Google Forms (reference Word version of Form for preparing Application)
  3. Complete the Allocation Table
  4. You may also upload additional supporting documentation with the application.
  5. The Program Director must discuss the application with all stakeholders (Department Chair, Division Head/Chief, Department Director for Administration and Finance, Hospital Medical Director(s)) in advance of submission.

Additional Resources/Links

  1. Recording and slides from April 23, 2020 Brown Bag
  2. GME Process for ACGME Trainee Complement Increase (updated 4/21/2020)

Contact Cindy Hamra (hamrac@uw.edu) with any questions.

Policy Committee

The GME Policy Committee is a subcommittee of the Graduate Medical Education Committee (GMEC) and is responsible for reviewing all GME-related policies, developing new policies, and reviewing annually the Residency and Fellowship Position Appointment (RFPA) Agreement, which outlines the terms and conditions of resident and fellow appointments to a UW GME training program.

Responsibilities:  Primary responsibilities of the Committee include review and revision of current GME-related policies and development of new policies to be proposed to the GMEC for consideration, in accordance with Accreditation Council for Graduate Medical Education (ACGME) Institutional Requirement I.B.2.b) (“Subcommittee actions that address required GMEC responsibilities must be reviewed and approved by the GMEC”). This includes revising and/or adding applicable requirements to policies as outlined in the ACGME Institutional Requirements, ACGME Common Program Requirements, and UW Housestaff Association (UWHA) Collective Bargaining Agreement (CBA). If necessary, the committee may conduct additional review and/or revisions to policies as requested by GMEC to formalize policies and applicable guidance addressing UW Medicine, hospital, and other regulatory requirements.

All recommendations of the GME Policy Committee are presented to the GMEC; policy changes approved by GMEC are binding between the UW School of Medicine, residents/fellows, program directors and departments. All recommended changes to the RFPA will be presented by the GME Policy Committee Chair (or designee) to the GMEC for review and consideration starting in December annually, though major changes to sections requiring time for analysis and review by the GMEC may be submitted beginning in July.  The agreement must be approved by GMEC and finalized by January 15th each year.

Membership:  The GME Policy Committee is chaired by a faculty member who is appointed for a renewable term of two (2) years by the Designated Institutional Official (DIO) and is a standing member of the GMEC.  Committee members include a minimum of: two (2) faculty (to include program directors and/or program faculty); two (2) peer-selected residents/fellows; the UWHA president (or designee); two (2) program administrators; and representatives from the GME Office. Terms are renewable for one year.

Process: The GME Policy Committee will review proposed changes to policies, offer feedback and suggestions regarding the impact of these policies and/or changes, and make recommendations to the GMEC.

Meetings:  Meetings are held monthly; the Committee Chair may choose to add or cancel meetings as needed.  Minutes are maintained for each meeting and the Chair (or a designee) will present a Committee status report at each GMEC meeting.

2019-2020 Committee Members

  • Katherine Bennett, MD, Program Director, Geriatric Medicine
  • Kisha Clune, MD, Resident, Psychiatry
  • Hadar Duman, Director of Accreditation, GME
  • Cindy Hamra, JD, MA, Assistant Dean, Operations and Administration, GME
  • Troy Johnston, MD, Program Director, Pediatric Cardiology
  • Kevin Labadie, MD, Resident, General Surgery
  • Jim Owens, MD, Program Director, Child Neurology (Committee Chair)
  • Gabrielle Pett, MHA, Senior Director, Business Affairs, GME
  • Zoe Sansted, MD, Resident, Family Medicine
  • Thai Vu, MD, Resident, Physical Medicine & Rehabilitation
  • Grace Wandell, MD, Resident, Otolaryngology
  • Linda Woltz, Program Administrator, Pediatric Dermatology and Pediatric Nephrology
GMEC-Approved (Non-ACGME Accredited) Fellowship Programs Committee (GAF)

The GMEC Approved (Non-ACGME Accredited) Fellowship Programs Committee (GAF) is a subcommittee of the Graduate Medical Education Committee (GMEC) and is responsible for the implementation of the GMEC Approved (Non-ACGME Accredited) Program Policy and Procedure, and monitoring of ongoing compliance of GMEC-approved programs.

Responsibilities:  The primary responsibilities of the committee are to:

  1. Maintain a formal application and review process for non-ACGME accredited fellowship programs.
  2. Collect required program documentation of existing programs and conduct a regular audit of program compliance with the GMEC Approved (Non-ACGME Accredited) Program Policy.
  3. Identify existing programs that do not meet the minimum requirements for GMEC approval and inform them of areas for improvement to bring them into compliance.
  4. Review all applications for new non-ACGME programs; develop recommendations to the GMEC on which programs should be considered for GMEC approval, including any recommended changes to program structure.
  5. Review and revise current GME policies relevant to non-ACGME accredited fellowships and trainees in order to ensure appropriate organizational structure and support.
  6. Develop an onboarding process for non-ACGME Senior Fellows/Senior Fellow Trainees (without a concurrent Acting Instructor title), including development of orientation requirements.
  7. Monitor ongoing compliance of GMEC approved programs with relevant GME policies.

Membership:  The GAF is chaired by a faculty member who is appointed for a renewable term of two (2) years by the Designated Institutional Official (DIO), and is a standing member of the GMEC. Committee members include at a minimum one (1) non-ACGME and one (1) ACGME-accredited program director, one (1) peer-selected non-ACGME fellow and one (1) ACGME resident/fellow, one (1) non-ACGME program administrator, one (1) ACGME program administrator, one (1) clinical service director/department administrator, and GME administration. The committee is staffed by a non-voting member of the GME Office. Each voting member of the committee has one vote and all votes are equal.

Meetings:  Meetings are held monthly.  Minutes are maintained for each meeting and the Chair (or a designee) will present a committee status report at each subsequent GMEC meeting.

2019-2020 Committee Members

  • Danielle Del Rosario, Fellowship Program Administrator, General Internal Medicine
  • Kari Dietrich, Director, GME, Seattle Childrens Hospital
  • Hadar Duman, Director of Accreditation, GME Office
  • Kristi Hendrickson, PhD, Program Director, Medical Physics
  • Max Hurwitz, MD, Fellow, Polytrauma and Amputation Rehabilitation
  • Cherry Junn, MD, Assistant Program Director, Brain Injury Medicine
  • Gabrielle Pett, MHA, Senior Director, Business Affairs, GME Office
  • Caroline Sabella, Education Program Coordinator, Surgery
  • Lisa Taitsman, MD, Associate Program Director, Orthopaedic Surgery (Committee Chair)
  • Hubert Vesselle, MD, Program Director, PET/CT
  • Lani Wall, Administrative Assistant, GME Office, Staff

Questions?  Contact Gabrielle Pett at nathangl@uw.edu.