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WVU Medicine · 2 months ago

Internal Medicine Program Director Thomas Memorial Hospital

Thomas Memorial Hospital (TMH)

Full-time

Onsite

Lead/Staff, Director/Executive

3+ years exp

WVU Medicine is the state's largest health system and largest private employer, comprising 18 hospitals and providing management services through affiliate agreements. They are seeking a board-certified internist to serve as the Internal Medicine Program Director at Thomas Hospitals, responsible for overseeing the residency program and ensuring compliance with ACGME and other regulatory bodies.

Health CareHospitalMedical

Responsibilities

Maintain current knowledge of and compliance with HOSPITAL GME Policies

Maintain current knowledge of and compliance with ACGME Institutional and Program Requirements – [www.acgme.org](http://www.acgme.org)

Participate in GME Committee, subcommittees and task forces (including program representation at all GMEC meetings), and Internal Review panels as requested

Cooperate promptly with requests by the GME Office and/or GME Committee for information, documentation, etc

Maintain accurate and complete program files in compliance with institutional records retention policies

Ensure that residents comply with periodic surveys by ACGME (ACGME Resident Surveys)

Maintain current knowledge of and compliance with the ACGME Manual of Policies and Procedures for GME Review Committees ([www.acgme.org](http://www.acgme.org))

Maintain current knowledge of and compliance with the ACGME Program Requirements pertaining to his/her program, as well as any other program policies and procedures, subspecialty program requirements, etc

Oversee and organize the activities of the educational program. This includes selecting and supervising the faculty and other program personnel and monitoring appropriate resident supervision

Maintain accurate and complete program files in compliance with ACGME requirements

Prepare accurate and complete Program Information Form (PIF) prior to RRC site visits. A complete copy of the PIF should be delivered for review, at least one month before the site visit

Ensure that the DIO reviews and cosigns any correspondence or document submitted to the ACGME by the program directors that either addresses program citations or requests changes in the programs that would have significant impact, including financial, on the program or institution

Prepare documentation of Internal Review materials and reports as required by the GME Committee protocol

Develop action plans for correction of areas of noncompliance as identified by the Internal Review, RRC site visit, and/or other mechanisms

Update annually both program and resident records through the ACGME Accreditation Data System (ADS)

Prepare Program letters of Agreement (Program Agreements) with all clinical sites outside of the primary teaching facilities for which rotations of >30 days are provided and reviewing and revising these Program Agreements to accommodate elements included in the GME Committee template, at least every 3 years

Ensure the Business Associate Agreement forms (template on the ACGME site) are prepared for any clinical training site in which residents have access to protected health and/or demographic information

Develop an educational curriculum as defined in the ACGME Program Requirements for Internal Medicine

Provide instruction and experience with quality-assurance/performance improvement, including the tracking of autopsy results for patients cared for by the program’s residents

Develop and use dependable measures to assess residents’ competence in the General competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice

Use dependable measures to assess residents’ competence in other areas as defined in the ACGME Program Requirements for Internal Medicine

Implement a process that links educational outcomes with program improvement

Ensure that each resident develops a personal program of learning to foster continued professional growth

Facilitate residents’ participation in the educational and scholarly activities of the program, and insurance that they assume responsibility for teaching and supervising other residents and students

Assist residents in obtaining appointments to appropriate institutional and departmental committees and councils whose actions affect their education and/or patient care

Procure confidential written evaluations of the faculty and of the educational experiences by the residents, at least annually (or more frequently if so required by the RRC program requirements)

Ensure residents’ attendance at educational offerings required by the institution and the agencies listed in the second paragraph

Ensure at least annual review of the educational effectiveness of the program via a formal documented meeting for which written minutes are kept

Ensure that the program’s policies regarding evaluation and performance feedback are followed for all residents within the program, and particularly for non-succeeding residents. When a resident is being considered for placement in a status other than in good standing, the DIO should be consulted prior to this status change, and the notification letter should include all elements addressed in the GME Committee probation letter template

Provide oversight and liaison with appropriate personnel of other institutions participating in the resident training

Maintain current and continuous enrollment of all program residents with clinical responsibilities in the appropriate insurance program

Ensure that each resident maintains current and continuous Physician in Training Permit status with the West Virginia Board of Medicine, until/unless resident obtains a West Virginia Medical License. Provide reports to the West Virginia Board of Medicine as required

Create, implement, and review annually program-specific policies consistent with GME policies for the following: Resident selection, Resident evaluation, Resident promotion, Resident dismissal, Resident duty hours, Moonlighting policy and written documentation for any resident participating in moonlighting

Monitor residents’ duty hours and report findings to the DIO

Facilitate institutional monitoring of resident duty hours

Ensure that non-eligible residents are not enrolled in the program

Ensure that all interviewed resident applicants are provided, at a minimum, a written information sheet containing the URL at which the terms and conditions of employment and benefits, visa policies, and the resident contract may be found

Ensure that written notice of intent not to renew a resident’s contract is provided no later than four (4) months prior to the end of the resident’s current contract, unless there are extenuating circumstances

Provide verification of residents’ education for residents who may leave the program prior to completion of their education

Determine the appropriate level of education for residents who are transferring from another resident program. The program director must receive written verification of previous educational experiences and a statement regarding the performance evaluation of the transferring resident prior to their acceptance into the program

Provide appropriate supervision of residents (via the program faculty) to allow progressively increasing responsibility by the resident, according to their level of education, ability and experience

Manage clinical scheduling of residents including, but not limited to: Creating clinical rotation and on-call schedules, Structuring on-call schedules to provide readily available supervision to residents on duty, and that appropriate backup support is available when patient care responsibilities are especially difficult or prolonged, Structuring duty hours and on-call time periods to focus on the needs of the patient, continuity of care, and the educational needs of the residents, and to comply with requirements as set by the institution, ACGME, and the appropriate RRC

Provide a final evaluation for each resident who completes the program. This evaluation must include a review of the resident’s performance during the final period of education, and should verify that the resident has demonstrated sufficient professional ability to practice competently and independently

Qualification

MDDO degreeBoard certified in internal medicineGME program managementACGME compliance knowledgeEducational curriculum developmentLeadership skillsCommunication skillsOrganizational skillsInterpersonal skills