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Policy of the Graduate Medical Education Committee
Section: Resident Support/Conditions for Appointment
Subject: Financial Support and Apportionment of Positions
Number: 2.100
Date Developed: 1/96
Last Review/Revision: 12/05
Replaces: policy of same name, dated 2/99
ACGME Requirement: Institutional IIB
Purpose
To determine the procedures for allocation of financial and other resources to
support residents (includes fellows) and to determine the apportionment of
resident positions among the residency/fellowship programs.
Definition
Residency Position Allocation Committee (RPAC):
The committee, chaired by the Dean of the College of Medicine, includes
representatives from the major teaching hospitals with the authority to commit
that hospital’s resources, the appropriate dean’s office support staff, and
representatives from the faculty who voice the need for educational
consideration in allocating positions and resources for the support of graduate
medical education. The committee examines the resident FTE requests submitted
by Program Directors and makes determinations concerning allocation of resources
and positions when the requests exceed the money available.
Policy
All residents are provided with appropriate
financial support and benefits to ensure that they are able to fulfill the
responsibilities of their program.
Financial support, including stipends, benefits
and apportionment of positions, is determined by the Residency Position
Allocation Committee which considers recommendations from the GMEC Finance
Subcommittee.
The apportionment of positions for residents among programs
consonant with the Residency Review Committee policies is determined by
balancing funds available for graduate medical education against requests for
residency positions.
Stipends and Benefits
The Associate Dean for GME obtains the
report from the Council of Teaching Hospitals (COTH) on Resident Stipends and Benefits for
the prior academic year.
Procedure
1. Each fall, the GMEC reviews the COTH information and makes
recommendations for stipends for all PGY levels and benefits to the RPAC.
2. The RPAC reviews the recommendations of the GMEC and makes final
decisions based on the financial resources of the
participating
institutions.
3. Following the decision by the RPAC, the Associate Dean for GME
distributes the final written decision to all Program Directors
and
Departmental Chairpersons.
4. The Director of Housestaff Records prepares a final budget summary
for each hospital and submits it to each designated hospital official.
Allocation of Positions
The Associate Dean for GME and the Director of Housestaff Records must reconcile
FTE requests by Program Directors with the support offered by the various
hospitals prior to the deadline for the National Residency Matching Program (NRMP)
lists. This reconciliation will occur early enough to influence resident
recruitment by the department. The allocation of positions will be determined
according to the following procedure.
Procedure
1. Each Fall, the Director of Housestaff Records sends a resident FTE
request to each Program Director. The deadline for the return
of these
requests is the first week in October. The request must include carefully
documented support for any changes in the
requested
positions. During the same period, the Director of Housestaff Records asks the
hospitals for a statement of support.
2. Between the first week in October and the first week in November, the
Director of Housestaff Records and the Associate
Dean for GME
attempt to reconcile the requests within the support budget.
3. The Residency Position Allocation Committee determines allocation of
positions according to the following:
a.
The committee meets in early November to examine the requests in light of the
hospitals’ budgets
b.
The committee makes adjustments to position requests so that the requests are
reconciled to the available hospitals’ budgets.
c. In the
event the number of positions must be reduced, every effort is made to confine
the reductions to unfilled or PGY-1 positions for the subsequent year.
d. Positions
for residents currently in the program will not be reduced except under extreme
financial conditions. If this occurs, the Program Director will be notified
immediately, and the Program Director will assist the residents in identifying
programs in which they can continue their education (see GMEC policy on
Reduction in Size or Closure of a Training Program).
e. The
number of positions available for each program is communicated to the Program
Director, Program Coordinator, Departmental Chairperson and Departmental
Business Manager
f. Appeals
are made to the Dean, College of Medicine, who may reconvene the committee at
his discretion.
g. Following
this process, the Director of Housestaff Records communicates the final number
of funded positions to the Program Director, Program Coordinator, Departmental
Chairperson and Departmental Business Manager in time to make adjustments in the
NRMP quotas.
4.
Positions not filled in the Early Match or in the NRMP are retained by the
departments and may be filled until July 1 of each year. Likewise, positions
that are filled and then vacated may be refilled by the departments until July 1
of each year. However, in the event of decreased financial conditions, the
decision to fill unfilled or vacated positions will require written approval of
the Dean. On July 1, all unfilled positions will return to the Housestaff Office
(the positions will no longer be designated to the department).
5.
By
January of each year the Director of Housestaff Records provides to each
hospital a summary of the number of positions, benefits and administrative
budget (including liability insurance and counseling services).
6. At
any time during the academic year, requests to add a resident position can be
made by the Program Director to the Director of Housestaff Records. A letter
must accompany the request from the appropriate hospital(s) guaranteeing a
funding source to cover the salary and fringe benefits of the resident. This
letter must be signed by the appropriate hospital member(s) of the RPAC.
Residency Position Allocation Committee
This committee is defined above and its
membership is as follows:
a. Dean of the College of Medicine, Chairman
b. Medical Director of University Hospital or
designee with authority to commit resources
c. Medical Director, Arkansas Children’s
Hospital or designee with authority to commit resources
d. Medical Director, Central Arkansas Veteran
Healthcare System or designee with authority to commit resources
e. Three clinical Departmental Chairpersons,
elected from and by their peers, who serve staggered 3-year terms.
These Chairpersons may designate a program director to serve as their proxy.
f. Chair, Graduate Medical Education Committee
g. Executive Associate Dean for Academic
Affairs, ex-officio without vote
h. Associate Dean for Graduate Medical
Education, ex-officio without vote
i. Director, Office of Housestaff Records,
ex-officio without vote
j.
One resident representative to be selected annually by the Resident Council.
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