Graduate Medical Education

GMEC Bylaws


BYLAWS
COUNCIL ON GRADUATE MEDICAL EDUCATION
UNIVERSITY OF MISSOURI-KANSAS CITY
SCHOOL OF MEDICINE

ARTICLE I

Title
This Council shall be known as the Council on Graduate Medical Education of the School of Medicine, University of Missouri-Kansas City.

ARTICLE II

Objectives
The Council on Graduate Medical Education has the following responsibilities:

Section 1.  Ensure the school’s participation in:

  1. Establishment and maintenance of institutional policies for graduate medical education.
  2. Establishment and maintenance of appropriate liaison with residency program directors, department chairs, and administrators of the affiliated institutions.
  3. Establishment of an annual review process of the residency programs to ensure compliance with Accreditation Council on Graduate Medical Education General and Special Requirements.
  4. Establishment and implementation of policies and procedures for the selection, equitable compensation, evaluation, promotion, and dismissal of residents.
  5. Establishment and implementation of policies and procedures as they relate to complaints, grievances, and discipline actions.
  6. Maintaining appropriate working conditions and duty hours of residents.
  7. Regular review of ethical, socioeconomic, medical/legal, and cost-containment issues of graduate medical education.
  8. Appropriate access to assistance programs such as personal and family counseling, stress management, and substance-abuse programs

Responsibilities of the GMEC must include Institutional Requirements for ACGME programs.  Where applicable, the same responsibilities apply to UMKC-sponsored non-ACGME programs.  This includes:

Oversight of:

  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 programs that lead to measurable achievement of educational outcomes as identified in the ACGME Common and specialty/subspecialty-specific Program Requirements;
  4. the ACGME accredited programs’ annual evaluation and improvement activities; and,
  5. all processes related to reductions and closures of individual ACGME accredited programs, major participating sites, and the Sponsoring Institution.

Review and approval of:

  1. Institutional GME policies and procedures;
  2. annual recommendations to the Sponsoring Institution’s administration regarding resident/fellow stipends and benefits;
  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 ACMGE accredited programs’ participating sites;
  7. appointment of new program directors;
  8. reports requested by a Review Committee
  9. responses to Clinical Learning Environment Review (CLER) reports;
  10. requests for exceptions to duty 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.

The GMEC must demonstrate effective oversight of the Sponsoring Institutions accreditation through an Annual Institutional Review (AIR).  This must include:

  1. results of the most recent institutional self-study visit;
  2. results of ACGME survey of residents/fellows and core faculty; and,
  3. notification of ACGME-accredited programs’ accreditation statuses and self-study visits.

The GMEC must demonstrate effective oversight of underperforming programs through a Special Review process.  This 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.

ARTICLE III

Powers
This Council may recommend to the Dean of the School of Medicine policies within areas of its interest.  It may also recommend programs and activities to be undertaken by the School of Medicine.

Council minutes shall be issued through the regular channels of the School of Medicine.

ARTICLE IV

Membership

Section 1.  Eligibility.  Council membership is available to faculty of the clinical departments recognized by the School of Medicine, Associate Deans for Saint Luke’s Hospital, Children’s Mercy Hospital, Truman Medical Centers, Center for Behavioral Medicine, and V.A. Hospital Programs, the Chief Administrative Officer of the School of Medicine, and current members of the House Staff.

The Council will request a representative be appointed from each of the major participating sites (Truman Medical Centers, Saint Luke’s Hospital, Center for Behavioral Medicine, V.A. Hospital Programs, and Research Medical Center).  The representative or designee must have a vested interest in GME.  For Children’s Mercy Hospital, the member will be the Designated Institutional Official.

Two resident members will be selected by the House Staff Council which is made up of peer-selected members of all of the school’s sponsored programs.

A quality improvement and/or safety officer or designee will serve as a full member appointed by the Dean.

There must be a minimum of two Program Directors on the Council.

The Council will have a minimum of fifteen voting members:  the Associate Dean/Chairman of the Council on Graduate Medical Education, the Vice-Chairman of the Council, the Assistant Dean(s) for Graduate Medical Education, the Associate Dean for Diversity, Equity and Inclusion (or their designee), ten members of the Faculty, two members of the House Staff, a quality improvement and/or safety officer, and participating site appointed members.

Nominations for faculty membership will be requested from the Chairmen of the Clinical Departments of the School of Medicine and the Program Directors of all UMKC ACGME accredited training programs. GMEC members whose term is just ending may self-nominate for another term.   Faculty members of the Council will be chosen through a vote of the same.  The number of faculty nominees to be considered from Children’s Mercy Hospital will reflect the percentage of programs from Children’s Mercy Hospital which are part of the total UMKC sponsored programs, not including CMH DIO.  If that percentage is already exceeded in current members, then no additional faculty nominees will be considered but will be re-evaluated each voting period.

Nominations for House Staff membership will be requested from the House Staff of all ACGME accredited training programs.  House Staff members of the Council will be chosen through a vote of the same.

The Dean may appoint other persons to the membership of the Council on Graduate Medical Education as deemed appropriate.

The Associate Dean for Graduate Medical Education of the School of Medicine serves as Chairperson.

Section 2.  Term of Membership.  Members shall serve terms of three years.  House Staff members shall serve terms of one year.  All members may be re-appointed for additional terms.

Section 3.  Transfer of Membership.  Council membership is not transferable to another person.  In case of unavoidable absence, a council member may identify a representative to attend the meeting and vote in his/her place.

Section 4.  Vacancy.  In case of a vacancy, an interim representative may be appointed by the Dean of the School of Medicine.  The member filling the vacancy shall serve until an individual is identified to permanently fill the position.

ARTICLE V

Non-Voting Members

Section 1.  The Dean may appoint permanent staff to the Council.  Those who serve in this capacity are advisory and non-voting.

ARTICLE VI

Officers

Section 1.  The officers shall be a Chairperson appointed by the Dean, and a Vice Chairperson appointed by the Dean in consultation with the Chairperson.  The Chairperson shall be the Associate Dean for Graduate Medical Education of the University of Missouri-Kansas City School of Medicine.

Section 2.  The council Chairperson and Vice Chairperson shall serve for seven-year terms renewable by the Dean for an additional seven years.

Section 3.  The Chairperson of the Council shall preside at all meetings.  The Vice Chairperson shall perform the duties of the office of Chairperson whenever the Chairperson shall be unable to do so.

ARTICLE VII

Committees

The council on Graduate Medical Education shall appoint a committee of the whole to serve as the School’s Graduate Medical Education Committee.  The Chairperson shall appoint other necessary committees.

ARTICLE VIII

Meetings

Section 1.  Quorum.  At the meeting of the Council on Graduate Medical Education, a quorum shall consist of eight or more voting members.

Section 2.  Parliamentary Procedure.  Except as herein provided, Robert’s Rules of Order shall govern the proceedings of this Council.

Section 3.  Meetings.  The Council on Graduate Medical Education shall meet at least four times a year.

ARTICLE IX

Bylaws Amendments

These bylaws may be amended at any regular or special meeting of the Committee, provided that members were given prior notice of the planned changes.  Bylaws amendments require a favorable vote by two-thirds of the voting members of the Committee. Amendments become effective when adopted by two-thirds majority of the Coordinating Council members present and voting at a regularly called meeting and approved by the Dean.

Revised from GMEC Bylaws 2015

Revised and approved by GMEC June 18, 2020