Resolutions Affecting Graduate Medical Education. JAMA. 2000;283(1):126. doi:10.1001/jama.283.1.126
Prepared by Ashish Bajaj, Department of Resident
and Fellow Services, American Medical Association.
Resident and fellows representing many different specialties met at
the AMA's Interim Meeting in San Diego, Calif, on December 2-4, 1999, to discuss
issues of mutual interest. Resolutions pertaining to graduate medical education
(GME) and public safety were among the key topics. The following summarizes
some of the resolutions that the delegates adopted.
Impact of Changing Resident Employment Status
asks the AMA to prepare a report on the potential impact of the National Labor
Relations Board's (NLRB) ruling that residents are employees. While many residents
understand that the NLRB's decision means that residents at private institutions
can collectively bargain, it is not clear whether the decision will affect
education, GME funding, or the income tax or student loan status of residents.
A related resolution, entitled House Officer Organization, asks the AMA-RFS Governing Council to prepare for residents a summary
of the NLRB's ruling. Delegates felt that all residents need to be aware of
the ruling. In addition, this resolution called on the AMA-RFS to study how
the presence of a union or a house staff association at a teaching institution
has affected education, patient care, working conditions, and other aspects
of the institutional environment.
Salaries Commensurate With PGY-Level of Training for
Fellows asks the AMA to reaffirm its existing policy stating that residency
and fellowship program directors should consider the educational and work
experience of candidates when determining salaries. Several delegates explained
that their salaries had decreased when they entered fellowship programs, especially
in research fellowships.
Inclusion of Accreditation Status on FREIDA
had originally asked that the Fellowship and Residency Electronic Interactive
Database (FREIDA), which provides data on GME programs, include information
on the current accreditation status of those programs. After learning that
the FREIDA Web site soon will include a link to accreditation information,
the RFS Assembly referred this resolution to the RFS Governing Council. This
will give the Governing Council an opportunity to review the accessibility
of accreditation information and decide if any action is necessary.
Displaced Residents From Manhattan Eye and Ear Hospital discussed the status of residents whose training was disrupted when
the hospital announced in April that it would be closing. The resolution asks
that the AMA-RFS ask the Accreditation Council for Graduate Medical Education
(ACGME) to report on the current status of residents who were displaced when
the hospital closed, including where they were placed and if anyone was left
without a position. The resolution also asks the AMA-RFS to ask the ACGME
to streamline the process through which displaced residents can enter other
Peer-Nominated Representation on Institutional Councils
and Committees asks the AMA-RFS to encourage the ACGME to require that
resident representatives on GME Committees at teaching institutions be peer-selected
instead of peer-nominated. The resolution also asks the AMA-RFS Governing
Council to study the roles and responsibilities of these representatives.
Although the ACGME requires that every training institution have a resident
representative on its GME committee, several delegates testified that they
do not know who their representative is or what role the representative plays.