Chattanooga Graduate Medical Education Committee (GMEC)

Andrea W. Goins, DO
Interim Designated Institutional Official [also Chair of the GMEC]

The Accreditation Council for Graduate Medical Education (ACGME) requires every Sponsoring Institution to have a Graduate Medical Education Committee (GMEC) that, in cooperation with the Designated Institutional Official (DIO), oversees the GME Programs sponsored by the institution.  Meetings must be conducted at least once each quarter.  The ACGME requires that voting members must include:

• Designated Institutional Official (DIO)
• A minimum of two Program Directors of ACGME-Accredited Programs
• A minimum of two peer-selected Residents from its ACGME-Accredited Programs
• A quality improvement or patient safety officer or designee

Our GMEC is chaired by the DIO (Dr. Andrea Goins.  Voting Members include:

• All Program Directors
• Dean, UTHSC College of Medicine - Chattanooga
• Associate Dean, Research
• Assistant Dean, Undergraduate Medical Education
• Assistant Dean, Finance and Administration
• Director of CLER Integration
• Peer-selected Residents/Fellows from each Department (Resident and Fellow GMEC Representatives)
• UT Institutional Accreditation Coordinator
• Erlanger Vice President and Chief Quality Officer

Non-Voting Members include:

• All UT Department Chairs (may vote when representing a Program Director)
• All Associate Program Directors (may vote when representing a Program Director)
• Erlanger President and CEO
• Erlanger Vice President and Chief Operating Officer
• Erlanger Vice President for Operations
• Erlanger Chief Nursing Officer
• Erlanger Chief Information Officer
• Erlanger Chief Medical Information Officer
• Chief Medical Officer, Erlanger Medical Group
• Other Erlanger Administration, e.g., Chief Financial Officer (may vote if representing Erlanger Administration)
• GME Lead Coordinator

We ask that at least one department official (Chair, Program Director, or Associate Program Director) represent each Department at the GMEC meetings.  Our GMEC usually meets eight-ten times per year -- the third Tuesday of each month except December and June). 

Each GMEC meeting must be attended by at least one resident representative.  Minutes must be maintained and must document the requirements and responsibilities identified as part of the ACGME Institutional Requirements.  Minutes and GMEC documentation for our Campus are the responsibility of the Director of Graduate and Medical Student Education.

Responsibilities of the GMEC include:

Oversight of:

• ACGME accreditation status of the Sponsoring Institution and each of its ACGME-accredited program
• Quality of the GME learning and working environment within the Sponsoring Institution, each of its ACGME-Accredited programs, and its participating sites;
• 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-specific Program Requirements;
• ACGME-accredited program(s)’ annual program evaluations and self-studies;
• All processes related to reductions and closures of individual ACGME-accredited programs, major participating sites, and the Sponsoring Institution; and,
• Provision of summary information of patient safety reports to residents, fellows, faculty members, and other clinical staff members. At a minimum, this oversight must include verification that such summary information is being provided.

Review and Approval of:

• Institutional GME policies and procedures;
• Annual recommendations to the Sponsoring Institution’s administration regarding resident/fellow stipends and benefits;
• Applications for ACGME accreditation of new programs;
• Requests for permanent changes in resident/fellow complement;
• Major changes in each of its ACGME-accredited programs’ structure or duration of education;
• Additions and deletions of each of its ACGME-accredited programs’ participating sites;
• Appointment of new Program Directors;
• Progress reports requested by a Review Committee;
• Responses to Clinical Learning Environment Review (CLER) reports;
• Requests for exceptions to clinical and educational work hour requirements;
• Voluntary withdrawal of ACGME program accreditation;
• Requests for appeal of an adverse action by a Review Committee; and,
• Appeal presentations to an ACGME Appeals Panel.

The GME Committee is responsible to establish and implement policies and procedures regarding the quality of education and the work environment for residents, review and make recommendations on resident stipends and benefits, establish and maintain oversight of program directors, establish and implement policies regarding duty hours, ensure programs provide appropriate supervision, review all ACGME program accreditation letters, and approve correspondence to ACGME.

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, to include, at a minimum: 

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

The DIO must annually submit a written executive summary of the AIR to the Sponsoring Institution’s Governing Body. The written executive summary must include:

• a summary of institutional performance on indicators for the AIR; and,
• action plans and performance monitoring procedures resulting from the AIR.

The GMEC must demonstrate effective oversight of under-performing program(s) through a Special Review process.   The Special Review process must include a protocol that:

• establishes criteria for identifying under-performance; and
• results in a report that describes the quality improvement goals, the corrective actions, and the process for GMEC monitoring of outcomes. 

Role	Name	Title/Department
Chair, GMEC (Voting Member)	Andrea W. Goins, DO	Interim DIO and Chair, GMEC  [Also Acting Chair, Department of Pediatrics and Assistant Professor, Department of Pediatrics) Division Chief, General Pediatrics, Children's Hospital at Erlanger)
Deans and Dean's Office Administration (Voting Members)	James W. Haynes, MD, MBA, FAAFP	Dean, College of Medicine - Chattanooga
	Jeffrey Bennett, MD, MBOE	Director, CLER Integration
	Crystal Maddox, MPA	Assistant Dean, Finance & Administration
	Giuseppe Pizzorno, PhD, PharmD	Associate Dean, Research
	Karen Rogers, MD	Assistant Dean, Undergraduate Medical Education; and Associate Program Director, Emergency Medicine Residency)
	TBA	Institutional Accreditation Coordinator
Erlanger Administration (Voting Member)	Adam Campbell, PhD, MBA	Erlanger Vice President and Chief Quality Officer
GME Administration (Non-Voting Members)	Rosalyn Stewart-Kalaukoa, BS, AS	UT GME Lead Residency Coordinator
Erlanger Administration (Non-Voting Members)	Jim Coleman, Jr, MBA	Erlanger President & CEO
	Jensen Hyde, MD, MPH	Erlanger Chief Medical Officer Associate Professor, Department of Medicine
	Tyler Winks	Erlanger Executive Vice President & Chief Operating Officer
Erlanger Administration (Non-Voting Members)  Note:  One of these below may vote to represent either the Erlanger CEO or CMO if not present.	Dave Garrett	Erlanger Chief Information Officer
	Rachel Harris, BSN, RN	Erlanger Chief Nursing Executive
Department Chairs (Non-Voting Members unless representing a Program Director)	Sudave Mendiratta, MD, FACEP	Chair, Department of Emergency Medicine
	Leslie Griffin, MD, MPH	Chair, Department of Family Medicine
	Harish Manyam, MD	Interim Chair, Department of Medicine; and  Chief, Erlanger Cardiology
	Mounzer Yassin-Kassab, MD, MS	Chair, Department of Neurology; and Program Director, Neurology Residency
	Stephen DePasquale, MD, FACS	Chair, Department of Obstetrics & Gynecology
	Jeremy Bruce, MD	Chair, Department of Orthopaedic Surgery
	Mark Brzezienski, MD, MS, FACS	Professor and Chair, Department of Plastic Surgery Program Director, Plastic Surgery Residency
	Benjamin Dart, MD, FACS	Professor and Chair, Department of Surgery
	Amar Singh, MD, FACS	Chair, Department of Urology
Program Directors (Voting Members)	Dharmendra Patel, MD	Program Director, Cardiovascular Disease Fellowship
	J. Daniel Stanley, MD, FACS, FASCRS	Professor, Department of Surgery; and  Program Director, Colon & Rectal Surgery Fellowship
	Frank Tift, MD, FAEMS, FACEP	Program Director, Emergency Medical Services Fellowship
	W. Douglas Gregorie, MD, FACEP	Program Director, Emergency Medicine Residency
	Steven Fox, MD	Program Director, Family Medicine Residency, and Lifestyle Medicine Curriculum Director
	Arslan Kahloon, MD	Program Director, Gastroenterology Fellowship
	L. Curtis Cary, MD, FAAP, FACP, MRCP (London)	Program Director, Internal Medicine Residency; and  Associate Program Director/Resident Liaison, Pediatrics Residency
	Todd Boren, MD	Program Director, Minimally Invasive Gynecologic Surgery Fellowship (Non-Standard, AAGL-Accredited)
	Harris Hawk, MD	Program Director, Neuro-Interventional Surgery Fellowship (Non-Standard)
	Mounzer Yassin-Kassab, MD, MS	Chair and Program Director, Neurology
	Angela Yates, MD	Program Director, Obstetrics and Gynecology Residency
	Dirk Kiner, MD	Program Director, Orthopaedic Surgery Residency
	Warren Gardner, II, MD	Program Director, Orthopaedic Trauma Surgery Fellowship (Non-Standard, Accredited by the Orthopaedic Trauma Association)
	Karla Garcia, MD, FAAP	Program Director, Pediatrics Residency
	Mark Brzezienski, MD, MS, FACS	Chair and Professor, Department of Plastic Surgery Program Director, Plastic Surgery Residency
	W. Hunter Garrett, MD	Program Director, Primary Care Sports Medicine Fellowship
	Radhika Shah, MD	Program Director Pulmonary and Critical Care Medicine Fellowship
	W. Heath Giles, MD, FACS	Program Director, Surgery Residency; and Mastery in General Surgery Program (Non-Standard, approved by the American College of Surgeons)
	Robert Maxwell, MD, FACS	Professor, Department of Surgery; and Program DIrector, Surgical Critical Care Fellowship
	Neelima Katragunta, MD, FACS, RPVI	Program Director, Vascular Surgery Fellowship
	Benjamin Smith, MD, FACEP	Program Director, Advanced Emergency Medicine Ultrasonography Fellowship (Non-Standard, accredited by the Emergency Ultrasound Fellowship Accreditation Council)
	Jessica Lange, MD	Program Director, Urology Residency
	Benjamin Waldorf, MD	Program Director, Urology Laparoscopic & Robotic Surgery Fellowship (Non-Standard, accredited by the Endourological Society)
Associate Program Directors (Non-Voting Members - may vote if representing a Program Director)	Alexandria Cooke, MD	Associate Program Director, Family Medicine Residency
	Patrick Stevens, MD	Associate Program Director, Cardiovascular Disease Fellowship
	G. Alan Hyde, MD	Associate Program Director, Colon and Rectal Surgery Fellowship
	Sean Rice, MD	Associate Program Director, Gastroenterology Fellowship
	Maria Tudor, DO	Associate Program Director, Internal Medicine Residency; and Associate Professor, Department of Medicine
	Cleopatra Thurman, DO	Associate Program Director, Neurology Residency
	Robert Quigley, MD	Associate Program Director, Orthopaedic Surgery Residency
	Ryan Voskuil, MD	Associate Program Director, Orthopaedic Surgery Residency
	Vanessa Pigg, MD	Assistant Program Director, Pediatrics Residency
	Amy Wells, MD	Assistant Program Director, Pediatrics Residency
	Jason Zurawick, MD	Associate Program Director, Pediatrics Residency
	Jason Rehm, MD	Associate Program Director, Plastic Surgery Residency
	S. Dave Bhattacharya, MD, FACS	Associate Program Director, Surgery Residency
	Christopher M. Bell, MD, FACS	Associate Program Director, Surgery Residency
	Robert Jean, MD, FACS	Associate Program Director, Surgical Critical Care Fellowship
	Amanda Threlkeld, MD	Associate Program Director, Urology Residency
	Charles Joels, MD, FACS, RPVI	Associate Program Director, Vascular Surgery Fellowship
Peer-Selected Resident/Fellow Representatives (one voting member per program)		Cardiovascular DIsease Fellowship Representative
		Emergency Medicine Resident Representative,
		Family Medicine Resident Representative
		Gastroenterology Fellow Representative
		Internal Medicine Resident Representative
		OB/GYN Resident Representative
		Orthopaedic Surgery Resident Representative
		Orthopaedic Surgery Resident Representative
		Pediatrics Resident Representative
		Pediatrics Resident Representative
		Plastic Surgery Resident
		Surgery Resident Representative
	R. Chace Hicks, MD	Surgery Resident Representative and (PGY-6 Chief Resident)
	Alex Hwang, MD	Urology Resident Representative (PGY-4 Resident)
Invited Guests (Non-Voting Members)	Holly Kell	Cardiovascular Disease and Gastroenterology Fellowship Coordinator
	Maggie Hamblen, BS, C-TAGME, CAP	Colon & Rectal Surgery Fellowship; Surgery Residency; & Surgical Critical Care Fellowship Coordinator II
	Velvet Green	Emergency Medicine Residency Coordinator
	Elissa McCoy, MEd	Family Medicine Residency Coordinator
	Deborah Fuller	Internal Medicine Residency Coordinator II and Pulmonary/Critical Care Medicine Fellowship Coordinator
	Stacey Blanks, C-TAGME, CAP	Neurology Residency Coordinator
	Janie Boals, BS	Obstetrics & Gynecology Residency Coordinator
	Kimberly Davis, MEd, C-TAGME, CAP	Orthopaedic Surgery Residency & Orthopaedic Trauma Surgery Fellowship Coordinator
	Ashley Thurston, C-TAGME, CAP	Pediatrics Residency Coordinator
	Allison Ellis. CMA	Plastic Surgery Residency & Research Coordinator
	Elizabeth Eaves	Primary Care Sports Medicine Fellowship Coordinator
	Elizabeth Brinn, MD	Urology Residency & Laparoscopic & Robotic Urology Surgery Fellowship Coordinator
	Cindy Rudolph, MS	Vascular Surgery Coordinator
	Kiriti Vattikonda, DO	Instructor & Administrative Chief Resident, Internal Medicine Residency

GMEC CLER Subcommittee

• Dr. Andrea Goins - Chair (Interim DIO)
• Dr. James Haynes (Dean)
• Dr. Jeffrey Bennett (Quality Director, CLER Integration; & Chief, Division of Hospital Medicine, Children's Hospital at Erlanger)
• Dr. Adam Campbell (Erlanger Vice President & Chief Quality/Patient Safety Officer)
• Elizabeth Appling (Erlanger Chief Diversity Officer)
• Rachel Harris, RN (Erlanger Chief Nursing Executive)
• Resident Representative
• Rosalyn Stewart-Kalaukoa, AS, BS (GME Lead Residency Coordinator)

GME Program Development and Expansion Committee

• Dr. Andrea Goins - Chair (Interim DIO)
• Dr. James Haynes (Dean)
• Dr. Harish Manyam (Interim Chair, Department of Medicine)
• Dr. Benjamin Dart (Chair, Department of Surgery)
• Crystal Maddox, MPA (Assistant Dean, Finance and Administration)
• Steve Burkett (Erlanger Vice President, Strategy and Business Development)
• Rosalyn Stewart-Kalaukoa, BS, AS (GME Lead Residency Coordinator)

Institutional Policies Subcommittee

• Dr. Andrea Goins - Chair (Interim DIO)
• Dr. James Haynes (Dean)
• Maggie Hamblen, C-TAGME, CAP, GME Coordinator II
• Faculty Member
• Program Director Member
• Rosalyn Stewart-Kalaukoa, AS, BS (GME Lead Residency Coordinator)