Clinical Competency Committee Organization

University of Central Florida College of Medicine Internal Medicine Residency Program

Introduction
The Clinical Competency Committee is charged with reviewing all resident evaluations
semiannually; preparing and assuring the reporting of Milestones evaluations of each
resident semi-annually to ACGME; and making recommendations to the program
director for resident progress, including promotion, remediation, and dismissal.
Procedure and Function
The Program Director appoints the Chair and the members of the Clinical Competence
Committee. Other faculty members will be invited attendees to provide supplemental
information to the committee but will be non-voting. Members attend monthly
meetings as well as ad hoc meetings as needed. Where circumstances warrant, the
membership of the committee may be altered to avoid a potential conflict of interest, or
to protect the privacy of the resident. In addition to global assessments, the CCC must
review all other evaluation tools used by the program (e.g. OSCE, CEX, in-training exams,
360 evaluation, etc.).
A resident may be brought up for discussion by the CCC for any of the following reasons:

Recommendation by the Program Director for any reason

Consistently low or unsatisfactory evaluation scores
Consistent lack of adherence to program requirements
Specific incident that requires review by the CCC for possible remediation, nonpromotion, non-renewal, suspension, or dismissal
For concerns expressed by faculty members, chief/supervising residents or
ancillary staff

At each meeting, the Committee will review progress of residents who are currently on
remediation/performance plans, or suspension and decide to lift or continue the
disciplinary processes. Additionally, residents previously on disciplinary status may be
continually discussed for clinical and programmatic performance.
Residents with academic difficulties will have a plan of remediation developed by the
CCC who will forward their recommendations to the program director for
implementation. Decisions regarding promotion, non-renewal, and termination will be
based on a consensus decision of the committee member. If a consensus cannot be

reached, the final decision will be made by a majority vote of the voting members of the
committee

After the review of each resident, possible recommendations from the CCC to the PD
are:
1. No problem exists, no action taken.
2. Notice of Concern a problem exists and the resident should be informed and
solutions suggested for the resident to begin a self-correction process. This is
considered an early intervention and is not considered a formal disciplinary
action.
The following are considered formal disciplinary actions and may be appealed
using the GMEC Grievance policy:
3. Remediation with performance plan for improvement : must be time limited
(usually 3 months)Non-promotion
4. Suspension temporary (not attending rotations,), would require prolongation
of time in program
5. Non-renewal of contract at the end of the year
6. Dismissal permanent
The problem area and the final recommendation of the CCC will be a written, nonbinding letter by the CCC chair to the IM PD (similar to minutes of the meeting). This
letter/minutes should then be kept on file by the program coordinator and be brought
to the future CCC meetings for all to review. All meetings and discussions are strictly
confidential. Members of the CCC should not discuss their findings with the resident
under consideration without approval.
At all times, the policies and procedures of the CCC will comply with those of the
Graduate Medical Education Committee (GMEC) and the sponsoring institution. The CCC
must apply the GMEC Policy regarding Resident Academic Performance, Advancement,
and Discipline (IV.C). fairly and indiscriminately.