Policy of the Graduate Medical Education Committee
Section:  Institutional Responsibilities
Subject: Supplemental Clinical Activities
Number: 3.400
Date Developed: 2/99
Last Review/Revision:  10/04, 10/07
Replaces:  previous policy of same name, dated 5/03
ACGME Requirement:  Institutional II.D.4.j: Common VI.F

Purpose
To define supplemental clinical activities for residents (includes fellows) resulting in additional financial support, the procedure for approval of such activities, and approval for the participation of residents in these activities.

Definition

Supplemental clinical activities are those activities developed by a residency (includes fellowships) program sponsored by the University of Arkansas Medical Sciences (UAMS) College of Medicine and/or its participating institutions.  For purposes of accreditation supplemental clinical activities are considered activities that occur within the residency program and/or the clinical sites of the UAMS system. These activities are covered by the housestaff malpractice insurance.

Policy
The supplemental clinical activity must be an approved activity of the residency program in which the resident has been appointed.  A resident must obtain a prospective written statement of permission of his/her Program Director. The time engaged in the supplemental clinical activity must be counted toward the 80-hour weekly limit on duty hours. The Program Director and the individual resident must closely monitor the activity to ensure it does not interfere with the resident’s ability to achieve the goals and objectives of the educational program.  If a resident is no longer performing satisfactorily in the program, the Program Director may withdraw the permission to participate in the supplemental clinical activity.

Development of a supplemental clinical activity is made by a request from the Departmental Chairperson and/or Training Program Director to the Associate Dean for GME and must be approved by the Dean. Approval of a supplemental clinical activity is done according to the following procedure:

Procedure
1.         The Departmental Chairperson and/or Training Program Director submits a written request to the Associate Dean for GME describing the clinical activity to include the location, the responsibilities of the resident, the time commitment of the resident, supervision of the resident, and sources of additional compensation (if applicable).

2.  The Associate Dean for GME discusses the request with the Director of FGP Risk Management regarding liability coverage and then submits a recommendation to the Dean.

3. Once approved by the Dean, written documentation of approval is provided to the Program Director and Departmental Chairperson.

4. The Associate Dean for GME maintains a file on approved supplemental clinical activities. 

5. Supplemental clinical activities are reviewed as part of the program’s mid-cycle internal review (type and worth of activity, number of residents participating, duty hours, etc).