T. UCSF Policy on Reporting to ACGME

The GMEC must review and approve, prior to submission to the ACGME any of the following communications from Program Directors. The Program Director must submit these documents at least 2 weeks before the due date at ACGME. Similarly, any correspondence from the RRC/ACGME to the Program Directors should be forwarded to the DIO/Chair of the GMEC.

1. All applications for ACGME accreditation of new programs and subspecialties
2. Changes in resident complement
3. Additions and deletions of participating institutions used in a program
4. Appointments of new Program Directors
5. Progress reports requested by any Residency Review Committee
6. Responses to all adverse actions
7. Requests for increases or any change in resident duty hours
8. Requests for “inactive status” or to reactivate a program
9. Voluntary withdrawals of ACGME-accredited programs
10. Request for an appeal of adverse actions; and written appeal presentations to the ACGME

Please see the written protocol for this policy.
Date GMEC Reviewed & Approved: September 20, 2004
Revised: September 29, 2004