Houston Methodist. Leading Medicine.
Houston Methodist. Leading Medicine


Policies and Procedures

  1. Institutional Statement of Commitment to Graduate Medical Education
  2. The Methodist Hospital is committed to training tomorrow’s physicians in a system of medicine that emphasizes its foundation of core values. [Read more]

  3. Composition and Responsibilities of GME Committee
  4. The Graduate Medical Education Committee supervises, coordinates, reviews, and assures quality of education in all ACGME-accredited graduate medical education programs, which includes residents at all levels of training. [Read more]

  5. Resident Eligibility, Selection, and Appointment
  6. This procedure sets forth the requirements for residents to participate in ACGME-accredited or Texas Medical Board approved programs at The Methodist Hospital. [Read more]

  7. Residents with Visas
  8. Every non-citizen applicant selected for appointment must have permanent resident status or a J-1 or H-1B visa as a condition of appointment to a resident position at Methodist. [Read more]

  9. Responsibilities of Residents
  10. A program of GME must provide residents with an extensive experience in the art and science of medicine. The resident’s responsibilities can be described with the context of the ACGME General Competencies and other program obligations. [Read more]

  11. Promotion and Reappointment
  12. Processes for residents who make satisfactory progress in achieving a Program’s standards for each year of training must be applied uniformly and fairly. [Read more]

  13. Paid Time Off and Other Leaves of Absence
  14. All residents are eligible for paid time off. Like other Methodist employees, residents are eligible for bereavement, family medical leave, and other leaves of absence. [Read more]

  15. Supervision of Residents
  16. Residents must be given graded levels of responsibility so that they can mature into their roles as judgmentally sound, technically skilled, and independently functioning credentialed health care providers. [Read more]

  17. Accommodation of Residents with Disabilities
  18. An applicant or a resident in a program of GME may request reasonable accommodation for disability. [Read More] [ADA Form]

  19. Adverse Academic Actions
  20. Processes for residents who fail to make satisfactory progress in achieving program standards must be applied uniformly and fairly. Adverse academic actions include probation, nonrenewal or nonreappointment, suspension, and termination. [Read more]

  21. Nonacademic Grievance
  22. Methodist is committed to providing a work environment that is conducive to the learning activities of residents. Residents are encouraged to bring concerns or complaints about work-related conditions to the attention of their Program Directors. A resident can also confidentially bring a nonacademic grievance, concern, or dispute to the DIO (Designated Institutional Official). [Read more]

  23. Resident Evaluation
  24. Each residency program must use the goals and objectives of its educational framework to construct an evaluation system that defines the knowledge, skills, professional behavior, and experiences expected of residents. [Read more]

Resident Duty Hours and Working Environment

Residency training programs must comply with the requirements established by the ACGME concerning duty hours. Duty hour assignments must also recognize that faculty and residents collectively have responsibility for the safety and welfare of their patients. [Read more]

  1. Resident Moonlighting
  2. The GME Committee and Methodist-sponsored programs take seriously the responsibility of ensuring a quality learning environment for residents. Because of these concerns, moonlighting is, in general, discouraged for residents in ACGME-accredited programs sponsored by Methodist. [Read more] [Moonlighting Form]

  3. Residency Closure or Reduction
  4. As a Sponsoring Institution of GME programs, The Methodist Hospital has a procedure to address a reduction in size or closure of a residency training program. [Read more]

  5. Clinical Rotations
  6. The Methodist Hospital has established eligibility requirements for “elective” clinical rotations by residents in ACGME-accredited programs. The availability of an educational experience for a non-Methodist resident is at the discretion of each individual training program. [Read more]

  7. Clinical Observerships
  8. Standards and requirements determined by The Joint Commission and The Methodist Hospital establish the process for accepting learners from non-TMH training programs for a clinical experience at The Methodist Hospital. An observership is a voluntary experience without patient contact that does not constitute medical education, graduate medical education, continuing medical education, or training leading to licensure or board certification. More information on this process can be obtained by visiting The Methodist Hospital Education Institute.

  9. Responsibilities of Program Directors
  10. The Program Director, with the assistance of faculty, is responsible for developing and implementing the academic and clinical program of education for residents. [Read more]

  11. Compensation and Benefits for Unfunded Resident Positions
  12. All residents in Methodist-sponsored GME programs must have appropriate compensation and benefits. Infrequently, a program may appoint a Resident for whom no funded position exists within Methodist. [Read more]

  13. Internal Reviews
  14. The GME Committee must conduct an internal review of each Methodist-sponsored program to assess the program’s compliance with the ACGME Institutional, common program, and program-specific requirements. [Read more] [Process Chart] [Action Plan] [Documentation Form]

  15. Approval of New Programs
  16. To establish a new residency training program at The Methodist Hospital, faculty of that program must prepare a proposal and subject the proposal to an internal review and review of the GME Committee. [Read more] [New Program Form]

  17. Applicant Information
  18. Applicants for residency positions through the “Match” must be given complete and accurate information regarding the policies and procedures governing the prospective training programs. [Read more] [Acknowledgement Form] [Non-Match or Transfer Applicant Checklist]

  19. Special Electives
  20. Special Electives should be conducted in an ACGME-accredited Program and count toward residency requirements and, if applicable, specialty board requirements. [Read more]

  21. Interactions between Residents and GME Programs with Industry
  22. Residents should be made aware of medical indistry's current methods of promotions and potential conflicts of interests that can result from the gifting process. [Read more]

  23. Disasters and other Events Interrupting Patient Care and Training
  24. This written procedure addresses administrative support if a disaster or other event interrupts patient care and the training of residents. It supplements the internal procedure on Employee Safety and Responsibility during Severe Weather and Emergencies and the emergency management plan established by each department.[Read more]

  25. Transitions of Care
  26. A transition of care is the movement patients make between healthcare practitioners and settings.[Read more]

  27. Annual Program Review
  28. The Accreditation Council for Graduate Medical Education (ACGME) has expectations for each ACGME-accredited Program’s evaluation in the Next Accreditation System.[Read more]

  1. HR Policies: