Applies to: WSU Elson S. Floyd College of Medicine Graduate Medical Education (GME) Sponsoring Institution and all accredited post-graduate medical training programs (i.e. residency or fellowship) and non-accredited clinical fellowship programs sponsored by the College of Medicine.
Date: September 16, 2025
1.0 Policy Statement
It is the WSU College of Medicine GME policy that GME policies and procedures are established and maintained in accordance with applicable state and federal law, ACGME Institutional, Specialty, and Common Program Requirements, and applicable University and College of Medicine policies.
2.0 Definitions
GME Institutional Policy
A policy that affects all WSU College of Medicine sponsored GME programs, and/or is necessary to ensure overall compliance with statutory responsibilities, Accreditation Council for Graduate Medical Education (ACGME), American Board of Medical Specialties (ABMS), University rules, and/or regulations. This is a sponsoring institution policy.
GME Program Policy
A policy set by a single Program for an individual residency or fellowship training program.
Graduate Medical Education Committee (GMEC)
An institutional committee of the College of Medicine charged with the responsibility of monitoring and advising on all aspects of institutional, residency, and fellowship education as required by the ACGME.
Office of Graduate Medical Education
The central WSU College of Medicine office for Graduate Medical Education and Sponsoring Institution.
3.0 Responsibilities
GMEC and DIO
4.0 Procedures
4.1 Establishing GME Policy
- Any WSU College of Medicine GME faculty, staff member, resident, or fellow may submit suggestions for the addition, deletion, or change to a GME institutional policy to the Office of Graduate Medical Education.
- GMEC reviews the policy recommendations and approves recommended changes by majority vote. The Committee may modify recommended policy as appropriate.
- GMEC and DIO are responsible for ensuring that all GME institutional policies are consistent with applicable state and federal law, ACGME Institutional and Common Program Requirements, and University and College of Medicine policy.
- GMEC should review and update as needed, each GME institutional policy at least every five years.
- All approved GME institutional policies are placed on the WSU College of Medicine GME website.
- The Administrative Assistant shall submit the approved policy’s Word document with track changes turned on for all updated policies.
- The Administrative Assistant will also accept all changes and create a clean version of the policy as a PDF to upload, along with the clean Word document, to the GME SharePoint site so all can be easily accessed by all program administration.
4.2 Establishing GME Program Policy
- Each Residency or Fellowship Program Director sets policies to meet applicable ACGME Specialty, and Common Program Requirements, ABMS requirements, University, or GME institutional policy.
- All new GME Program Policies must be reviewed by the GME Office or DIO before being reviewed and approved by GMEC.
- GMEC reviews the policy recommendations and approves recommended changes by majority vote. The Committee may modify recommended policy as appropriate.
- All approved program polices must be available with easy access to residents and fellows of the program with notification when policies are added and updated.
- All GME Program Policies must be reviewed at least every five years by the Program Evaluation Committee or when the content of the policy is no longer valid. Programs should provide notice to Office of GME when policies are reviewed.
5.0 Related Policies
College of Medicine Policy Approval and Distribution Policy
6.0 Revision History
GMEC Approval: February 18, 2020
Revision/Review Date(s): December 20, 2022, September 16, 2025
Responsible Office: WSU College of Medicine Sponsoring Institution
Policy Contact: Designated Institutional Official
Supersedes: N/A