MUSC GME Resident Handbook

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Graduate Medical Education  2008-2009

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Resident Handbook Introduction

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Administration & Governance - Graduate Medical Education Programs

Policies & Procedures

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MUSC Policies

Appendix 1

Appendix 2

Appendix 3

PROMOTION, RESIGNATION, TRANSFER OR NON-REAPPOINTMENT OF
RESIDENTS
 

STATEMENT OF POLICY

Residents are promoted on the basis of acceptable periodic clinical evaluations, which may be augmented by other evaluation methods, by recommendation of their department's Promotion Committee, the Program Director, and by final approval of the GMEC.

PROCEDURE

  1. Each department's Residency Program Director and faculty members review the resident's performance during the academic year.

  2. If it is determined by the department's Residency Program Director and faculty that the resident is eligible for promotion, this recommendation is forwarded to the GMEC and the GME Office.

  3. In some cases, the Program Director and faculty may determine that a Resident be promoted to the next year but his/her Resident Agreement will not be renewed at MUSC.

   4. a) If significant deficiencies in the resident's performance are identified, a plan for remedial work, including monitoring performance, may be arranged by the Resident's Residency Program Director. The Resident will remain at his/her current stipend level during the remediation period.  If a Resident fails to make satisfactory progress in performance: 1) the Resident may be dismissed from the program or 2) the Resident Agreement may not be renewed and s/he will not receive credit for the work completed.

   4. b) If significant deficiencies in the Resident's performance are indentified and the Program Director and faculty determine that remedial program is not possible, the Resident will be dismissed from the program.

   5.  Any specialty resident or subspecialty resident (i.e., fellow) in an ACGME-approved program may request permission to resign from his/her current program or to transfer to another program at MUSC or another institution during the academic year.  This request must be made in writing to his/her Program Director.  Upon receipt of this request, the Program Director will forward his/her recommendation to either approve or deny the request to the ACGME Designated Institutional Official (DIO) for GME.  A request to transfer to another program within MUSC, must also include a letter of approval from the Program Director of the accepting program.  If a resident requests permission to transfer to another program either outside or inside MUSC at the completion of the current academic year, the resident must make the request, in writing, to his/her Program Director on or before March 1st of the current academic year.  The Program Director's recommendation must be received by the Designated Institutional Official for GME by March 15th.  The only exception to these two deadlines is for reasons of medical emergency or extenuating circumstances that may occur after March 1st.  In those instances, the resident must notify the Program Director as quickly as the circumstances will allow.  If the resident does not make the request before March 1st and transfers to another program at the completion of the current academic year, the transfer will be considered unprofessional behavior and will result in academic sanctions against the resident.  The final decision regarding the resignation, transfer and/or academic sanction(s) will be made by the DIO for GME.

  6.  In a situation where a resident is not going to be reappointed, the Program Director will provide the resident with written notice of intent not to renew the Resident Agreement with the resident.  This notification must be made by March 1st of the current academic year.  If the reason(s) for non-reappointment occur after March 1st, the resident will be notified as quickly as the circumstances will allow.

  7.  If a decision is made not to reappoint a resident, the resident can request a grievance hearing to review the decision.  (See Grievance Procedure)