Changing Role of DME to DIO Thomas Mohr, MS, DO FACOI FAOGME Associate Dean for GME University of Incarnate Word School of Osteopathic Medicine Designated Institutional Official Texas Institute for Graduate Medical Education and Research
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Changing Role ofDME to DIO
Thomas Mohr, MS, DO FACOI FAOGMEAssociate Dean for GME
University of Incarnate Word School of Osteopathic Medicine
Designated Institutional OfficialTexas Institute for Graduate Medical Education and Research
Disclosures
• No conflicts of interest
Objectives
Webinar participants will:• Understand the timeline for transition to the single
accreditation system in the context of leadership roles
• Review the similarities and differences of the DME versus DIO roles
• Discuss how osteopathic leaders may advance osteopathic education within the ACGME accreditation system
• Identify resources for the DIO
History of the Single Accreditation System
Source: https://www.aacom.org/news-and-events/single-gme/updates/2019/08/22/singlegme_Aug_2019
Transition Nearly Complete!
https://partnersinmeded.com/wp-content/uploads/2017/08/AOA-TO-ACGME-INFOGRAPIC.jpg
The Way It Was AOA Board of Trustees
AOA Bureau of Education
AOA Council on Postdoctoral Training
(COPT)
AOA Council on Postdoctoral Training Institutions (COPTI)
AOA Program Training and Review Committee (PTRC)
Osteopathic Postgraduate Training Institutions
(OPTIs)
AOA Specialty Colleges
Institution and Internship Evaluation
Committee (IIEC)
OPTI Partner – Clinical Institution
OPTI Partner – Clinical Institution
GME Programs Internship
GME Programs Internship
Leadership Then
AOA Board of Trustees
AOA Bureau of Education
AOA Council on Postdoctoral Training
(COPT)
AOA Council on Postdoctoral Training Institutions (COPTI)
AOA Program Training and Review Committee (PTRC)
Osteopathic Postgraduate Training Institutions
(OPTIs)
AOA Specialty Colleges
Institution and Internship Evaluation
Committee (IIEC)
OPTI Partner – Clinical Institution
OPTI Partner – Clinical Institution
GME Programs Internship
GME Programs Internship
Chief Academic
Officer (CAO)Director of
Medical Education
(DME)
Director of Medical
Education (DME)
OPTI Chief Academic Officer• An osteopathic physician at an institution who has
the authority and responsibility for the oversight and administration of OGME programs.
• Visit all sites annually• Develop policies and procedures for all programs• Direct and supervise all GME educational programs• Complete AOA annual reports• Direct the OGME committee• Supervise accreditation, site visits, corrective actions• Review core competency plans• Monitor work hours policies and faculty development
Director of Medical Education
Qualifications• Must be DO with AOA Board certification with 3
years experience and be approved by IIEC• Minimum of 20 hours per week• Member of AODME
Director of Medical EducationResponsibilities• Coordination of all AOA training programs at the training institution • Ensure compliance with the AOA Basic Documents and specialty standards for OGME
programs• Organize and implement high quality OGME programs at the training institution• Supervise all aspects of OGME programs at the training institution including
participation in appointment and supervision of Residency Program Directors• Serve as the Intern Program Director, unless an Intern Program Director is separately
designated; • Ensure the completion of all evaluations, quarterly meetings and requirements of the
internship and residency programs• Manage all applicable affiliation agreements, documents, and correspondence
related to AOA programs• Manage the Internal Review process with the medical education committee (MEC)• Prepare the Core Competency plan • Prepare and present an annual report Participate in process where resources,
including budgetary resources, are allocated for program support• Annually attend an AODME and/or AOA OME conference for educational faculty
development
IEO/ADME• AOA Basic Documents also listed the option for Institutional
Educational Officer and/or Administrative Director of Medical Education
• Authorized point of contact for all official communication from the AOA regarding education programs
• Complete all correspondence, data, and electronic registration requests from AOA, OPTI, AACOM and specialty colleges in a timely manner
• Review and manage all internal requests for information, documentation, data requests for the OGME programs
• Other responsibilities as assigned by the DME
The Way It Is Now
ACGME Board of Directors
Executive Leadership
Institutional Review
Committee (IRC)
Residency Review
Committee (RRC)
Osteopathic Recognition Committee
(ORC)
Institutional Sponsor
GME Programs
GME Programs
GME Programs
GME Programs
LeadershipNow
ACGME Board of Directors
Executive Leadership
Institutional Review
Committee (IRC)
Residency Review
Committee (RRC)
Osteopathic Recognition Committee
(ORC)
Institutional Sponsor
GME Programs
GME Programs
GME Programs
GME Programs
Chief Academic
Officer (CAO)
Designated Institutional
Official(DIO)
Designated Institutional Official
The individual who, in collaboration with a Graduate Medical Education Committee (GMEC), must have authority and responsibility for:• the oversight and administration of each of the
Sponsoring Institution’s ACGME accredited programs
• as well as for ensuring compliance with the ACGME Institutional, Common, and specialty/subspecialty specific Program Requirement
Designated Institutional Official
• the DIO has sufficient financial support and protected time to effectively carry out his or her educational, administrative, and leadership responsibilities
• the DIO engages in professional development applicable to his or her responsibilities as an educational leader
• sufficient salary support and resources are provided for effective GME administration
• Does NOT need to be a physician
Duties of the DIOLeadership Provide oversight of GME
Serve as first contact with ACGME, NRMP etc
Play active role in GMEC
Ensure compliance with ACGME requirements
Develop GME policies
Provide management of GME
Provide education on GME within the institution
Provide education about GME to GME staff
Serve on institutional committees
Initiate program evaluations
Evaluation Report program evaluation results to others
Conduct and interpret program evaluations
Provide education on GME within the institution
Provide education about GME to GME staff
GME Budget Provide GME budget oversight
Provide GME budget defense
Create GME budgets
Discipline Provide GME staff discipline
Provide discipline for residents and medical students
Provide discipline to program directors and faculty
Acad Med, Vol 81, No. 1 / January 2006
Leadership Transitions
DME DIO
DMEDirector of
Osteopathic Education
DME Associate DIO
DME No Job
DMEAssociate
Dean - GME
Director of Osteopathic Education• Work with the Program Director (PD) for the residency and the Designated Institutional Official (DIO) of the Sponsoring
Institution to ensure compliance with all Accreditation standards and requirements for the program to achieve and maintain Osteopathic Recognition.
• Administer and maintain an educational environment conducive to educating residents in OPP and the ACGME core competencies.
• Insure adequate opportunity for supervised OMM experience at the FMP site for osteopathic designated residents.
• Participate and direct osteopathic faculty development including basic preceptor capacity for allopathic faculty for osteopathic examination and evaluation.
• Ensure adequate opportunity for Osteopathic scholarly activity for osteopathic designated residents, participate in and review all osteopathic related scholarly work.
• Must meet the requirements as a Core Faculty member or PD and the requirements as a Core Osteopathic Faculty.
• Engage in osteopathic professional development applicable to responsibilities as an educational leader. i.e. must attend osteopathic medical education related conference annually
• Review credentials and approve at each participating site the osteopathic faculty member as the local site director who is accountable for designated osteopathic resident education and supervision.
• Approve the selection and continued participation of osteopathic faculty members as appropriate.
• Evaluate osteopathic faculty members annually.
• Prepare and submit all information required and requested by the ACGME relevant to initial Osteopathic Recognition as well as continued recognition.
• Advise residents with respect to osteopathic professional development.
• Serve as DOE in representation on the SI GMEC, FMRP CCC and Osteopathic Educational Review Committee.
• Act as Osteopathic liaison for all relevant osteopathic professional organizations.
The Non-OPTI GME Consortium
Graduate Medical
Education Committee
TIGMER Board of Directors
Administrative Assistant (Future)
DIO/Associate Dean for GME
ResidentsFellows
GME Manager of Finance and Administration (Future)
Administrative DIODirector of GMEMarsha Sellner
Southwest General Hospital
Program DirectorsCore Faculty
Abilene Regional Medical Center
Program DirectorsCore Faculty
CommuniCareProgram Directors
Asst. Program DirectorsCore Faculty
Laredo Medical CenterProgram Directors
Asst. Program DirectorsCore Faculty
Residency Coordinators
Residency Coordinators
Residency Coordinators
Residency Coordinators
ResidentsFellows
ResidentsFellows
ResidentsFellows
GMEC Sub-Committees
Corporate Member(University of the Incarnate Word)
Texas Institute for Graduate Medical Education and Research
DME to DIO
Differences• ACGME system
• Standards, requirements
• ADS
• Internship vs Transitional Year
• AODME membership• OPTI Oversight
Similarities• Authority and
Responsibility• Budget • Leadership• Discipline• Evaluation
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Personal Observations
• RRCs not as flexible• Personal relationships and history not helpful
• ACGME is not there to help, but mainly to accredit• AOA Specialty Colleges and Councils fostered growth
• ACGME infrastructure is better• ADS website is generally good
• Challenge to Maintain Osteopathic Distinctiveness• Osteopathic Recognition
Resources for the DIO
Resources for the DIO
Resources for the DIO
Resources for the DIO
• Association for Hospital Medical Education• Society for General Internal Medicine • American College of Osteopathic Internists• American College of Osteopathic Family Physicians• American Association of Medical Colleges
DIO Resources
Questions/Discussion?
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