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MUSC GME Resident Handbook

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Graduate Medical Education  2015-2016

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Resident Handbook Introduction

Letter of Commitment/
Accreditation Status Disclaimer

Administration & Governance - Graduate Medical Education Programs

Policies & Procedures

Salaries & Benefits

MUSC Policies

Appendix 1 - Resident Agreements (Medical and Dental)

Appendix 2 - Evaluation Forms

Appendix 3 - Forms

Appendix 4 - Scopes of Practice

Appendix 5 - Program Director/Program Coordinator Resources



MUSC Committees with Resident Representation

Graduate Medical Education Committee

The GMEC oversees all educational programs and implements the policies and procedures for residents and residency programs within MUSC ensuring high-quality education for its residents. The GMEC ensures programs are adhering to the policies and procedures of the ACGME while maintaining their educational commitment to the residents. (This committee will actually have four resident representatives. Three will be elected and the fourth position will be the President of the House Staff Council.)

Chaired by Dr. Ben Clyburn (2-5371)

Staff Contact:  Ann Ronayne (2-8681)

2nd Thursday of every month

4-5 p.m., 628 CSB

  • Dr. Clark Alsfeld, Internal Medicine
  • Dr. Ryan Cuff, OB/GYN (president, House Staff Council)
  • Dr. Mary Jordan, Surgery
  • Dr. Jared McKinnon, Anesthesiology
  • Dr. Sarah Yale, Pediatrics

(because of an election tie for the 2015-2016 year, we have five residents serving on GMEC)


Annual Program Evaluation Committee

The APE Committee ensures all ACGME-accredited residency programs are in compliance with ACGME Institutional and Program Requirements.   This committee will have two residents that will serve a full academic year (July – June).

Chaired by Dr. Leonie Gordon (2-3269)

Staff Contact:  Ann Ronayne (2-8681)

3rd Thursday of every month

2-4 p.m., 601 CSB

  • Dr. Chelsea Connor, Surgery
  • Dr. Loren Francis, Anesthesiology


Medical Executive

The MEC is the professional policy board of the hospital and is responsible for supervision and enforcement of

all professional policies, rules and regulations. Its purpose is to ensure high quality, patient-centered, cost effective care throughout MUSC's clinical enterprise.

Chaired by Dr. Brenda Hoffman

Staff Contact:  Jane Scutt (2-2383)

3rd Wednesday of every month

7:30- 8:30 a.m., 601 CSB

  • Dr. Will Lancaster, Surgery


Charleston County Medical Society

CCMS is a body that collectively acts as a patient advocate. It functions as a clearinghouse for information for

its members and the community and provides a voice for legislatures to better understand the issues facing

healthcare providers today.

Margaret Mays (577-3613), Executive Director

1st Tuesday of the month

7-8 a.m., 198 Rutledge, Suite 7 (CCMS Offices)

  • Dr. Kunal Patel, Surgery


MUSC Ethics

The Ethics Committee works to improve patient care within an ethical framework. Committee

functions include clinical consultation, policy development and review, performance improvement and


Chaired by Dr. Walter Limehouse (pager 14278)

1st Wednesday monthly -- Full committee 4:00 - 5:30 p.m., Admin Conf Room MH-295 (next to library bridge)

2nd & 4th Tuesdays, twice monthly -- Ethics Consult Service, 4:00 - 5:30 p.m., Admin Conf Room MH-295

  • Dr. Blake Werner, Psychiatry


Hospital Blood Usage, Tissue and Autopsy

This committee monitors the use of blood and blood components, and tissue and autopsy issues at the MUSC

Medical Center.

Chaired by Dr. Jerry Squires (2-4150)

3rd Thursday of the month, quarterly

3-4 p.m., 223 Children's Hospital

  • Dr. Daniel Skipper, Pathology


Hospital Infection Control

The ICC investigates and controls nosicomial infections and monitors the MUHA Infection Control program. It

is a Medical Staff Committee responsible for the development and implementation of policies and practices to

decrease healthcare-associated infections in patients and staff.

Chaired by Dr. Cassandra Salgado (2-4541)

4th Tuesday of every month

2-3 p.m., 803 CSB

  • Dr. Jon Gullett, Pathology


Health Information Management Committee

The HIM committee oversees the policies and procedures of the governance and functioning of all parts of the medical record.

Chaired by Dr. Mark Scheurer (6-2273)

Staff Contact:  PJ Floyd, RN, BSN, MBA, NE-BC, CCA   (2-1165)

3rd Wed of every month

8:30 a.m., RTA 104

  • Dr. Ryan Kellogg, Neurosurgery


Quality Operations Committee

The QOC reports and reviews all new and ongoing quality efforts in the clinical enterprise.

Chaired by Dr. Danielle Scheurer (2-5383)

Staff Contact:  Tracie Porter (2-5383)

1st and 3rd Thursday of each month (minus holidays)

8:30-10:30 a.m., CSB 300

  • Dr. Dominic Massary, Surgery


IMPROVE Committee

The IMPROVE Committee gives guidance and recommendations on all quality projects that have been endorsed by the senior leaders within the hospital and medical staff.  The role is to ensure that the IMPROVE process is followed and that there are relevant and sustained results.  This committee makes the final recommendation on whether projects are appropriate to close or not.  

Chaired by Dr. Danielle Scheurer (2-5383)

Staff Contact:  Tracie Porter (2-5383)

Every Wednesday

4 – 5:30 p.m., RTA 104

  • Dr. Luis Liogier-Weyback, Neurosurgery


Accreditation/Regulatory Committee

The leadership of MUSC Medical Center has established the Accreditation/Regulatory Committee with responsibility to ensure Joint Commission standards, CMS standards, and other regulatory standards are implemented and monitored across the entire organization. Membership of the committee will be comprised of key people from cross-functional areas who are recognized as formal or informal leaders in regulatory compliance, and have proven their abilities to effect change.

Chaired by Lois Kerr (2-0177)
staff contact: Terri Ellis (2-5106)
3rd Wednesday of the month
11 a.m. - 12:30 p.m., (usually in 628 CSB)

  • Dr. Julie Owen, Anesthesiology


Patient Throughput Committee

The Patient Throughput Committee monitors the flow of patients across the medical center by overseeing flow dashboards and metrics as well as all policies and procedures associated with placement of patients on select units.

Chaired by Dr. Dan Handel (2-2383)

Staff contact: Sarah Cowart (2-5101)

2nd Wednesday of every month

10 – 11 am, 300 CSB

  • Dr. Libby Barton, Emergency Medicine


College of Medicine Student Progress Committee and Professional Standards Subcommittee

The Student Progress Committee conducts meetings four times a year as well as on an as needed basis.  During these meetings the Progress Committee reviews the academic progress of all students with regard to established progression standards.  Students who do not meet required academic or professional standards are considered individually by the Progress Committee.  If there concern about a pattern of a student’s unprofessional behavior, the student will appear before the professional standards subcommittee.  These meetings are held as needed, but historically there have been about 4-6 of these meetings a year.  The meetings of both the Student Progress Committee and the Professional Standards Subcommittee are usually from 4:30 -6:30 p.m., 601 CSB. 

Chaired by Dr. Sally Self (2-3215)

  • Dr. Ryan Cuff, OB/GYN
  • Dr. Elizabeth Schulz, Neonatology
  • Dr. Bryce Wyatt, Urology

(because of an election tie, three residents serve on this committee)


Medication Decision Support Subcommittee

The Medication Decision Support Subcommittee is looking for medical representation to help review medication alert build and determine customization of settings, where necessary.  The subcommittee reports to the Decision Support Oversight Committee (DSOC) and the Pharmacy and Therapeutics Committee.  It is responsible for management of medication-related decision support seen by users of the electronic health record (EHR).  The committee is chartered to review, amend, and monitor medication alerts and other decision support tools to improve the overall usefulness and value to the clinicians throughout the organization.  Examples of medication decision support include but are not limited to the following: medication warnings (dose, drug interactions, pregnancy, duplicates), incorporating lab values in the order composer; maximum dose warnings.

Chaired by Dan Williams, MD and Kelli Garrison, PharmD

1st and 3rd Thursdays

4 – 5 PM, North Tower 247

Committee website: Decision Support Oversight Committee

  • Dr. Kate Engelhardt, Surgery


Medication Safety and Improvement Committee

The MSIC monitors medications from prescriptions to administration

            Chaired by Mo Sheakley, PharmD (2-9236)

            1st Tuesday of the month

11 a.m. – 12 Noon, Hollings Room 120

  • Dr. Jon Gullett, Pathology


Environment of Care Committee

The EOC Committee is concerned with everything around the patient/employee….fire prevention, employee injury prevention. Most work around compliance with DHEC and JC regulations and requirements.

Chaired by Al Nesmith (2-3135)

Staff Contact Angela Ladson (2-6902)

3rd Wednesday of the month

10 a.m. – 11:00 a.m. in 628 CSB

  • Dr. Kunal Patel, Surgery