Vol. 12 No. 9 - April, 2010

Message from the Associate Dean

Robert Carlin Photography
Deborah DeMarco, MD, associate dean for Graduate Medical Education

The Office of Graduate Medical Education (OGME) manages 50 UMass Medical School (UMMS) ACGME-accredited residency and fellowship programs, 18 non-accredited fellowships, an accredited dental residency program and one residency program that is also accredited for osteopathic training. Annually, OGME is responsible for ensuring licensure and credentialing, establishing approximately 172 new residents on the payroll, completing the exit process of approximately 166 departing residents and fellows, and obtaining license renewals for approximately 300 of our 370 reappointed residents.

gme staff
Robert Carlin Photography
OGME staff from left to right: Dawn Kemp, Marilyn Leeds, Deb Porter and Rosalba Candelaria

The OGME is also involved in curriculum issues, policy-making, the extended employment program (i.e., moonlighting), residency budget and stipend issues, documentation for Medicare teaching reimbursement, negotiating funding contracts with the affiliated teaching hospitals, and recruitment, and is a major interface between the school and clinical system.

Each residency and fellowship program is independently accredited. Additionally, UMMS as a whole is separately accredited by the Accreditation Council for Graduate Medicine Education (ACGME). During this institutional accreditation review, the ACGME makes sure that the sponsoring institution (in our case, UMMS) maintains its commitment to provide the necessary educational, financial and human resources to support GME. At our last site visit we received the highest rating of a five-year cycle with no citations. We are striving for the same outcome this fall when we anticipate our next review.

The ACGME is very interested in the work environment of our residents, including salary, benefits, call rooms and lounge facilities, availability of food for on-call residents and monitoring of duty hours. We have had several successes in these areas over the past year. We successfully implemented a system for compensating our residents for the significant time they spend in orientation activities and approved new options for long-term disability. We have also been working to upgrade many of the call rooms at both campuses. And working collaboratively with the cafeteria management and staff, several new healthy food choices are now available, which benefits not only our residents but everyone who uses the cafeterias. Additionally, there are now extended hours in the Atrium Cafeteria at the UMass Memorial Medical Center Memorial campus.

The OGME has also been involved in two new UMMS training programs: the Clinical Scholars Program and the Global Health Program, both of which provide fellowship opportunities for UMMS residents and fellows. Both are expected to start in the very near future and will help to train our next generation of clinical researchers and physicians interested in working with underserved populations.

Finally we have been involved in several initiatives sponsored by UMass Memorial that also benefit our residents and patients. These include the Planetree initiative, implementation of Allscripts, recruitment of our GME graduates to remain on the active staff of the hospital (see related article in this issue) and H1N1 readiness.