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Accreditation Council for Graduate Medical Education
© 2013 Accreditation Council for Graduate Medical Education
Workshop for New Program Directors
ACGME Annual Education Conference
February 28, 2013
Louis Ling, MD
Mary Lieh-Lai, MD
John Potts, MD
Unwritten Jobs of the Program Director
© 2013 Accreditation Council for Graduate Medical Education
Resident Recruitment
Life Blood of the Program
Garbage in: Garbage out
Good residents belong to the Program
Problem residents are YOUR problem
© 2013 Accreditation Council for Graduate Medical Education
Resident Retention
“One can’t produce wool by
merely buying lambs or
llamas. One must be a
good shepherd”
How does a program
director become
a good shepherd?
© 2013 Accreditation Council for Graduate Medical Education
Maintain Morale
Residents
Faculty
Coordinator
Office staff
What makes people
happy?
Corollaries:
can’t always make
everyone happy
can’t have everything
don’t promise what you
can’t deliver
© 2013 Accreditation Council for Graduate Medical Education
Disciplinarian
Residents
Faculty
Coordinator
Office staff
Set expectations
Repeat often
They don’t always hear you
the first time
Know the policies
Write things down:
documentation is work but
it is your friend
You will realize the
benefit of this when you
have to dismiss or fire
someone
© 2013 Accreditation Council for Graduate Medical Education
Compassion
Residents
Faculty
Coordinator
Office staff
Different people have
different issues
They don’t make them like
they used to
I had to walk uphill in 6ft of
snow to get to work
I raised a child on my own
and never missed a day of
work
© 2013 Accreditation Council for Graduate Medical Education
Confidant
Residents
Resident spouse/S.O.
Medical Students
Coordinator
Office staff
Faculty
Chairman
Providing time
Being a good listener
Approachability and
trustworthiness
(compassion)
Knowing what the issues
are
Confidentiality
© 2013 Accreditation Council for Graduate Medical Education
Consensus Builder
Among faculty
Among residents
Among coordinator &
office staff
Unity of purpose
among hospital, faculty,
residents
Enthusiasm
Open communication
lines
Involve key individuals
“My way or the highway”
is not good for
consensus building
But not everything has
to be built on consensus
© 2013 Accreditation Council for Graduate Medical Education
Enforcer
With the hospital(s)
With the faculty
With the residents
Set expectations
Be orderly and
purposeful
Set timelines
Repeat often
They don’t always hear
you the first time
Know what the policies
are
Can’t enforce
something you don’t
know or understand
© 2013 Accreditation Council for Graduate Medical Education
Negotiator
With your Chairman
With other faculty
Between faculty and residents
Between residents
Hospital(s) and Department
With your S.O. and family
Funding:
Create a plan with a
sound rationale: “just
the facts ma’am”
Educational activities
Time
Quality vs quantity
You scratch my back
and I will scratch your
back
© 2013 Accreditation Council for Graduate Medical Education
Author
Recruitment materials
Policies and Procedures
Goals and Objectives
Letters of Recommendation
Residency Verifications
Clearly convey information to faculty
© 2013 Accreditation Council for Graduate Medical Education
Chief Financial Officer
Resident salaries
Resident benefits
Coordinator and office staff
Educational materials
Visiting speakers
Professional travel
Program social activities
© 2013 Accreditation Council for Graduate Medical Education
Educator
Faculty Development
Writing objectives
Importance of evaluation
Evaluation methods
Feedback skills
Questioning skills
Teaching in different settings
© 2013 Accreditation Council for Graduate Medical Education
Other Jobs of the PD
Good Cop
Bad Cop
Fall Guy
Software Engineer
Statistician
Time Manager
Teacher
Educator
Role model
Self maintenance
Magician
© 2013 Accreditation Council for Graduate Medical Education
The Program Director as Role Model
Scholarly Activities:
Research, manuscript preparation, presentations,
education (including teaching at the bedside),
evidence-based medicine, keeping current with
literature
Professionalism:
Overall behavior, speaking to patients and families,
treatment of others, research integrity, timeliness,
communication skills
Remain calm and composed
Remain steadfast
Maintain excellence and motivate people
© 2013 Accreditation Council for Graduate Medical Education
SUMMARY
Written requirements easier
Multi-faceted job requiring many skills
Breakdown in any part can bring the
machine to a halt
© 2013 Accreditation Council for Graduate Medical Education
Thank You!
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