TAGME Program Administration 4 — Questions and Answers
Question 1: A resident requests a leave of absence for a serious health condition. Which federal law requires the program to consider providing up to 12 weeks of unpaid leave?
- Americans with Disabilities Act (ADA)
- Family and Medical Leave Act (FMLA) (Correct answer)
- Consolidated Omnibus Budget Reconciliation Act (COBRA)
- Title VII of the Civil Rights Act
Correct answer: Family and Medical Leave Act (FMLA)
The Family and Medical Leave Act (FMLA) entitles eligible employees, including residents, to up to 12 weeks of unpaid, job-protected leave for qualifying medical or family reasons.
Question 2: Under ACGME Common Program Requirements, which of the following must be included in a written resident agreement (contract)?
- The resident's rank order on the NRMP match list
- Salaries, benefits, and conditions for reappointment or dismissal (Correct answer)
- The names of all supervising attendings for the year
- The program's accreditation history for the past five years
Correct answer: Salaries, benefits, and conditions for reappointment or dismissal
ACGME requires that resident agreements include compensation, benefits, working conditions, and the terms under which reappointment or dismissal may occur.
Question 3: What is the ACGME's definition of 'moonlighting' in the context of resident duty hours?
- Residents working extra shifts within their own program's hospital
- Voluntary clinical work performed by residents outside their program's requirements (Correct answer)
- Residents supervising medical students during off-hours
- Research activities conducted after regular duty hours
Correct answer: Voluntary clinical work performed by residents outside their program's requirements
Moonlighting refers to voluntary clinical work performed outside the scope of the residency program's requirements and must be counted toward the 80-hour weekly duty hour limit.
Question 4: Which ACGME accreditation pathway is designed for new programs that have not yet trained residents?
- Continued Accreditation
- Initial Accreditation
- Provisional Accreditation
- Pre-Accreditation (Correct answer)
Correct answer: Pre-Accreditation
Pre-Accreditation is the status granted to new programs that have been approved to recruit residents but have not yet begun training; it converts to Initial Accreditation after the first class completes training.
Question 5: The ACGME Self-Study process requires programs to engage in a multi-year review. What is the primary outcome expected from a program's self-study?
- Identification of the 10-year strategic plan for program expansion
- A scholarly publication about the program's educational methods
- A critical analysis of strengths and areas for improvement to guide long-term planning (Correct answer)
- Annual submission of updated resident milestone scores
Correct answer: A critical analysis of strengths and areas for improvement to guide long-term planning
The Self-Study is designed to help programs systematically analyze their educational effectiveness and develop a long-term improvement plan, which is then reviewed during a focused site visit.
Question 6: When a resident is placed on probation, what procedural safeguard must programs provide according to ACGME requirements?
- Immediate termination of clinical privileges pending review
- A formal appeal mechanism and due process protections (Correct answer)
- Mandatory transfer to a different clinical site
- Automatic notification of the state licensing board
Correct answer: A formal appeal mechanism and due process protections
ACGME Common Program Requirements mandate that programs provide residents with due process protections, including a formal appeals process, when adverse actions such as probation or dismissal are taken.
Question 7: Which committee at the sponsoring institution level is responsible for overseeing all GME programs and ensuring compliance with ACGME Institutional Requirements?
- Clinical Competency Committee (CCC)
- Program Evaluation Committee (PEC)
- Graduate Medical Education Committee (GMEC) (Correct answer)
- Institutional Review Board (IRB)
Correct answer: Graduate Medical Education Committee (GMEC)
The GMEC is the sponsoring institution's oversight body responsible for ensuring all residency and fellowship programs comply with ACGME Institutional Requirements and Common Program Requirements.
TAGME Program Administration 4
A resident requests a leave of absence for a serious health condition.
Which federal law requires the program to consider providing up to 12 weeks of unpaid leave?