TAGME Legal, Ethical, and Policy Frameworks in GME 4

Question 1

Under the Americans with Disabilities Act (ADA), a GME program must provide reasonable accommodations to a resident with a documented disability unless the accommodation would:

Accepted Answer

Create an undue hardship or fundamentally alter the nature of the program

Answer

The ADA requires reasonable accommodations unless they impose an undue hardship or fundamentally alter the essential nature of the training program.

Question 2

A program director discovers that a resident's personal social media post includes identifiable patient information. The FIRST step the program director should take is:

Accepted Answer

Conduct a thorough review and notify the privacy officer and compliance department

Answer

HIPAA breach response requires immediate internal notification to privacy and compliance officers to assess scope and determine required actions.

Question 3

Which federal law governs the confidentiality of resident drug and alcohol treatment records and may be MORE restrictive than HIPAA?

Accepted Answer

42 CFR Part 2

Answer

42 CFR Part 2 provides heightened confidentiality protections for substance use disorder treatment records, often exceeding HIPAA's requirements.

Question 4

An ACGME-accredited program wants to require residents to sign mandatory arbitration agreements waiving their right to sue the institution. This practice is:

Accepted Answer

Legally complex and potentially unenforceable; institutions should seek legal counsel

Answer

Mandatory arbitration clauses in resident contracts are legally contested and may be unenforceable in some jurisdictions, requiring institution-specific legal review.

Question 5

The principle of 'duty to report' in GME most commonly refers to a program's obligation to report which of the following to the ACGME?

Accepted Answer

Sentinel events, significant program changes, and adverse actions meeting defined thresholds

Answer

Programs must self-report to ACGME events such as major program changes, loss of key personnel, and certain adverse resident actions as defined in institutional requirements.

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME - Training Administrators of Graduate Medical Education Practice Test

TAGME Legal, Ethical, and Policy Frameworks in GME 4