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MUSC GME Resident Handbook

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Graduate Medical Education  2014-2015

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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



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)
2nd Thursday of every month
4-5 p.m., 628 CSB

Resident Members:
Neal Hatch, MD  Radiology PGY 4
Avery Buchholz, MD  Neurosurgery, PGY 5
Will Lancaster, MD  Surgery, PGY 4
Ryan Cuff, MD  OB/GYN  PGY 3 (House Staff Council President)


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)
3rd Thursday of every month
2-4 p.m., 601 CSB

Resident Members: 
Page Bridges, MD  Emergency Medicine, PGY 3
Ashley Rickey, MD  Surgery, PGY 5


Medical Executive Committee

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. Boyd Gillespie
Staff Contact:  Jane Scutt
3rd Wednesday of every month
7:30- 8:30 a.m., 601 CSB

Resident Member:   
Thomas Lewis, MD  Psychiatry, PGY 3


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)
Every other Thursday
8:30-10 a.m., CSB 300

Resident Member:   
Jillian Sansbury, MD  Internal Medicine, PGY 3


Quality 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:  Tracy Porter
Every Wednesday
4 – 5:30 p.m., RTA 104

Resident Member:   
Ashley Hink, MD  Surgery, PGY 2


Pharmacy and Therapeutics

This committee represents the official line of communication between the medical staff and the Department of Pharmacy services. Its purpose is to consider all matters related to the use of drugs within the Medical Center.

Chaired by Dr. Larry Field
Last Tuesday of every month
12-1 p.m., location varies

Resident Member:   
Quiana Scotland, MD  Anesthesia, PGY 4


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

Resident Member:   
Nicole Dominiak, MD  Pathology, PGY 3


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 education.

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

Resident Member:   
Patrick Gilbert, MD  Radiology, PGY 5


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)

Resident Member:   
Bryan Thomas, MD  Surgery, PGY 4


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
3rd Thursday of the month, quarterly
3-4 p.m., 223 Children's Hospital

Resident Member:   
Jason Buckley, MD  Peds Cardio, PGY 7


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
Staff Contact:  PJ Floyd, RN, BSN, MBA, NE-BC, CCA   (2-1165)
3rd Wed of every month
8:30 a.m., RTA 104

Resident Member:   
Ryan Kellogg, MD  Neurosurgery, PGY 3


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)

Resident Member:   
Stephanie Streit, MD  Surgery, PGY 5


Bed Flow and Readmissions Committee

The BFRC 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 and readmissions prevention. 

Chaired by Dr. Dan Handel (2-9537)
Staff contact: Sarah Cowart
2nd Wednesday of every month
10 – 11 am, 211 RTX

Resident Member:   
Stephanie Bailey, MD  Emergency Medicine, PGY 3


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)

Resident Members: 
Jillian Sansbury, MD  Internal Medicine, PGY 3
Chelsea Connor, MD  Surgery, PGY 3


Medication Safety and Improvement Committee

The MSIC monitors medications from prescriptions to administration

Chaired by Mo Sheakley
Staff Contact Karen Muckenfuss
1st Tuesday of the month
11 AM Hollings room 120

Resident Member:   
Jessica Taylor, MD  Surgery, PGY 3


Medication Reconciliation Committee

The Med Rec committee oversees all aspects of the structure and quality of the medication reconciliation process, on admission and discharge, including the transition to an electronic med rec system in late summer.

Chaired by Dr. Heather Kokko
Staff contact: Peggy (Margaret) Smith (2-5691)
2nd and 4th  Wed of every month
2 – 3 p.m., RTA 104

Resident Member:   
Joshua Rickey, MD  Surgery, PGY 5