Principal Duties and Responsibilities

The position of Residency/Fellowship Program Director is complex and requires a variety of skills and abilities. The following duties and responsibilities are common to all program directors. Duties and responsibilities include, but are not limited to:

• Oversight and organization of the activities of the educational program in all institutions that participate in the program.
• Selection and supervision of faculty and other personnel at each participating institution, including appointment of a local site director at each participating institution.
• Monitoring appropriate resident supervision at all participating institutions.
  • Development and implementation of explicit written descriptions of supervisory lines of responsibility for the care of patients.
  • Communication of supervisory lines of responsibility for the care of patients to all members of the program staff.
• Preparation of accurate statistical and narrative descriptions of the program as requested by the RRC and for the institutional internal review process.
• Assuring that the program accurately and actively complies with all accreditation and institutional reporting requirements including, but not limited to:
  • Annually updating program and resident records through the ACGME Accreditation Data System (WebADS).
  • Appropriate utilization of the UH Office of Graduate Medical Education management database (New Innovations).
  • Maintain information for FREIDA online.
• Preparation of a written statement outlining the goals and objectives of the program with respect to knowledge, skills, and other attributes of residents at each level of training and for each major rotation or other program assignment.
• Assuring that the program goals and objectives are distributed to residents and members of the program faculty.
• Assuring that, at least annually, the educational effectiveness of the entire program, including the quality of the curriculum and the clinical rotations, are evaluated by residents and faculty in a systematic manner. The extent to which the educational goals have been met by residents must be assessed. Written evaluations by residents should be used in this process. The results of these evaluations must be kept on file.
  • Plans, coordinates and implements curriculum and evaluation methodologies for the six general competencies
• Selection of residents for appointment to the program in accordance with institutional and departmental policies and procedures.
  • Participation in the National Resident Matching Program (NRMP) [or other designated match programs where applicable] and assuring program compliance with the matching program rules and regulations.
• Ensuring that each resident is formally evaluated at least on a semi-annual basis. Evaluation should assess the residents’ knowledge, skills and overall performance based on the ACGME’s six general competencies.
  • Provides a final written evaluation for each resident who completes the program. This final evaluation should delineate whether the resident has demonstrated sufficient professional ability to practice competently and independently. A final evaluation must be sent to the Office of Graduate Medical Education as well as maintained in the program office.
• Monitor resident stress, including mental or emotional conditions inhibiting performance or learning and drug and/or alcohol related dysfunction.
  • Adheres to the institution and accrediting body’s duty hour policies.
  • Monitors all moonlighting activities in accordance with institutional and accrediting body requirements.
• Develops residency assignments and schedules to meet the educational goals of the program.
  • Outlines in written policy the program duty hours limitations consistent with accrediting body and institutional requirements.
  • Assures that accurate schedules of resident activities are communicated to the GME office in a timely fashion to facilitate IRIS reporting.
• Notifies the Designated Institutional Official (DIO) of any disciplinary actions taken against a resident.
  • Although warnings or reprimands and imposition of remedial programs are educational interventions not subject to appeal, the DIO should be notified of all such actions.
• Communicates with the DIO prior to any contact with the ACGME or its RRCs or other external agencies for issues such as, but not limited to:
  • Addition or deletion of a participating institution
  • A change in the format of the educational program
  • A change in the approved complement for the program
  • Responses to RRC citations
  • Duty hours exceptions
  • Change of program director
• Development of action plans for correction of areas of noncompliance as identified by the Internal Review, RRC site visit, and/or other mechanism.
• Preparation and annual review of program-specific rotation agreements with appropriate affiliated institutions in compliance with ACGME, institutional or other requirements.
• Procurement of confidential written evaluations of the faculty and of the educational experiences by the residents occurs at least annually. Written records of these evaluations must be kept on file.
• On a regular basis, as required by an RRC, monitors and reviews clinical experience, including procedure logs, of residents for volume and variety of cases.