Policies and Procedures

1. Administration & Organization
     1.1. Statement of Commitment to Graduate Medical Education
     1.2. GME Organizational Chart
     1.3. Disaster Policy

     1.4. Responsibilities of the Designated Institutional Official

     1.5. GME Continuity of Oversight
2. General Policies & Procedures
     2.1.1. GME General Policies
         2.1.1.1 Checklist for Fifth Pathway Applicants
     2.1.2. Essential Abilities Requirements for Appointment, Reappointment, Retention, and Certification for GME
     2.1.3. Duration of Appointment, Conditions for Reappointment, and Non-Renewal of Resident Contracts
     2.1.4. Restrictive Covenants
     2.1.5. Resident Supervision Policy and Template
     2.1.6. Responsibilities of Residents
     2.1.7. Resident Duty Hours and Form
     2.1.8. Resident Promotion
     2.1.9. Levels of Academic Status in Graduate Medical Education
     2.1.10. Resident Grievance & Appeal Procedure
     2.1.11. Resident Grievance & Appeal Procedure – RAHC
     2.1.12. Residency Closure/Reduction
     2.1.13. Processes for Non-ACGME Programs
         2.1.13.1. Checklist for Non-ACGMEPrograms
         2.1.13.2. Non-ACGME Fellowship Information Form
     2.1.14. Resident Visas
         2.1.14.1. Form: Request for Waiver of J-1 Visa
     2.1.15. Special Electives
     2.1.16. Process for Establishing a New GME Program
         2.1.16.1. Form: Request to Establish a New GME Program
     2.1.17. Medical Degrees Earned by International Medical Graduates
     2.1.18. Educational Resources – Similar or Competing Programs
         2.1.18.1. Critical Care Programs
         2.1.18.2. Sports Medicine Training Programs
         2.1.18.3. Pain Medicine Programs
     2.1.19. Records Retention
     2.1.20. Interactions Between Vendors and GME Programs/Residents

     2.1.21. Experimentation and Innovation
3. Evaluation and Assessment Processes
     3.1.1. Internal Reviews of GME Programs
     3.1.2. Resident Evaluation
         3.1.2.1. Templates - Resident Final Letter
     3.1.3. Completion of USMLE Examinations
         3.1.3.1. Military Residents, Completion of USMLE Examinations, and State Licensure
     3.1.4. Residents' Evaluations of Faculty, Educational Experience, and Overall Program     
     3.1.5. Assessment of Educational Effectiveness of Programs
4. Program Policies & Procedures
4.1. Responsibilities of the Residency Program Director
         4.1.1 Process for Change in Program Director
             4.1.1.1 Change in PD Form
     4.2. Application Process
         4.2.1. Resident Applicant Information
             4.2.1.1. Form for Applicant
         4.2.2. Criminal Background Checks for Resident Applicants
     4.3. Resident Selection and Appointment

         4.3.1.  Resident Transfer
     4.4. Visiting Residents
         4.4.1. Visiting Residents 1 - Observerships
             4.4.1.1. Checklist – Observership Requirements
         4.4.2. Visiting Residents 2 - Clinical Rotations
             4.4.2.1. Checklist – Clinical Rotation Requirements

      4.5.  GME Board Eligibility
5. Information Management
     5.1. Resident email Accounts at UT Health Science Center at San Antonio
6. Fiscal Policies & Procedures
     6.1. Resident Compensation
         6.1.1. Waiver request form
     6.2. Residents’ Graduate Medical Education Agreements (Contracts)
     6.3. Compensation and Benefits
     6.4. Moonlighting by Residents
         6.4.1. Moonlighting Documentation Form
     6.5. Moonlighting by Fellows
7. Health & Wellness
     7.1. Blood-Borne Pathogen Exposure
     7.2. Resident Impairment
     7.3. Family and Medical Leave

         7.3.1.  Information about Impact of Leave on Board Eligibility
     7.4. Accommodation of Residents with Disabilities
     7.5. Harassment
     7.6. Disruptive Behavior by Residents and Fellows
8. Hospitals and Clinical Duties
     8.1. Completion of Medical Records
     8.2. HIPAA -Violation Disciplinary Guidelines for Residents