DEPARTMENT OF ORTHOPEDIC SURGERY POLICY ON ELIGIBILITY, SELECTION, PROMOTION, NON-RENEWAL, AND TERMINATION

ELIGIBILITY

1. Applicants with one of the following qualifications are eligible for a NewYork-Presbyterian Hospital appointment as an intern (PGY-1) in our accredited residency program.

     a.  Graduates of medical schools in the United States or Canada accredited by the Liaison Committee on Medical Education (LCME)

     b. Graduates of medical schools in the United States or Canada accredited by the American Osteopathic Association (AOA)

     c. Graduates of medical schools outside the United States and Canada who meet one or both of the following qualifications:

i. Have received a currently valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG)

ii. Have a full and unrestricted license to practice medicine in the State of New York

     d. US citizen graduates from medical schools outside of the United States and Canada who cannot qualify under c.i. or ii. above, but who have successfully completed the licensure examination in a US jurisdiction in which the law or regulations provide that a full or unrestricted license to practice medicine will be granted without further examination after successful completion of a specified period of graduate medical education.

      e. Graduates of medical schools in the United States and its territories not accredited by the LCME but recognized by the educational and licensure authorities in a medical licensing jurisdiction who have completed the procedures described above.

      f. Graduates of medical schools outside of the United States who have completed a Fifth Pathway program provided by an LCME accredited medical school.

2.  Applicants for PGY II positions (in the event of a PGY-2 opening) must have successfully completed one year of an approved internship/residency program accredited by the ACGME or the Royal College of Physicians in Canada and provide proof of such. NewYork-Presbyterian Hospital requires residents to obtain a New York State License as soon as possible while in their PGY II year of training.

3.  The selection Committee for each Residency Program selects among eligible applicants on the basis of the preparedness, aptitude, academic credentials, personal characteristics, recommendations, and communication skills. Consideration is given to the applicant’s ability to benefit from the graduate medial education program.

4.  NewYork-Presbyterian Hospital participates in the National Residency Matching Program (NRMP) for first-year positions in accordance with the terms of the agreement.

5.  It is the policy of NewYork-Presbyterian Hospital to provide equal opportunity to all applicants for appointment without regard to race, color, religion, national origin, marital status, veteran status, age, sex, sexual orientation or affectional preference, and without regard to disability or handicap of qualified persons, within the meaning and subject to the conditions applicable to federal, state, and city laws.

SELECTION

Approximately 500 applications are received each year through the ERAS Residency Application Program. These applications are reviewed and approximately 225-250 applications are then distributed to the faculty for evaluation. Each faculty member will review all applicants from the same institution to allow greatest consistency in the evaluation process. Applications are reviewed for: 1) AOA status; 2) 3 rd year clerkship performance and grades; 3) Pre-clinical performance and grades; 4) USLME Step 1 score; 5) Personal statement; 6) Letters of recommendation; 7) Undergraduate performance; and 8) Research and publications. The applications are rated as “1” – must interview, “2” – interview if spots become available, and “3” – do not interview. Fifty medical students are then invited to interview (only 1 interview day is used) and each applicant will have 2 15-minute interviews with a faculty panel of 3-4 attending staff orthopedic surgeons. The residency director and the program chairman do not participate in the actual interview process. At the completion of the interview day, the entire faculty convenes and ranks the applicants from 1-50 (assuming all students are ranked). This list is then submitted to the NRMP.

PROMOTION

The Committee on Promotions determines eligibility for promotion. This Committee is made up of the Department Chairman, Program Director, 3 additional members of the attending faculty staff, 1 Nurse representative, and the Administrative Secretary for the Department of Orthopedic Surgery. The Committee meets at the end of each calendar year and determines resident’s eligibility for promotion based on the successful achievement of the following criteria:

•  Goals and Objectives of the Program

•  Goals and Objectives of the sub-specialty services

•  Proficiency in the six core competencies

•  360° evaluations(nurses)

•  Resident Evaluations

•  Hospital policy on promotion

In the event of non-renewal, the resident will be so notified in writing in accordance with the hospital policy on non-renewal.

NON-RENEWAL

The Department of Orthopedic Surgery abides by the hospital policy on non-renewal which can be found at http://infonet.nyp.org/GME/Policies/Policies-a/-005---Non-renewal.pdf. The policy is also found below:

A Clinical Service Chief and/or the Program Director may elect not to renew a graduate staff member’s agreement ("Agreement") upon its expiration for an additional term. The Program Director shall make a reasonable effort to render his/her decision to renew or not to renew at least four months prior to the end of the Agreement term. Within 1 week of a decision not to renew, the Program Director shall provide, by hand or certified mail, written notice to the resident, including the reason(s) therefore, as soon as reasonably practicable under the circumstances. Notwithstanding the foregoing, the Program Director shall be under no obligation to provide such notice prior to the end of the Agreement term if it is not practicable to do so under the circumstances.

The graduate staff member may file a grievance on the non-renewal decision in accordance with the GME Grievance Policy. For a complete description of the grievance procedure, please go to http://infonet.nyp.org/GME/Policies/Policies-a/-007---Grievance.pdf.

A restrictive corrective action, suspension or termination for cause is subject to
Articles XII and XIII of the Medical Staff Bylaws.

If this decision is made because of a reduction or closure then the GME Policy on Residency Reductions/Closures shall apply.

Approved by GMEC: 7/30/04
Approved by Medical Board: 10/7/04

TERMINATION

NewYork-Presbyterian Hospital may terminate the appointment of residents in accordance with Articles XII and XIII of NewYork-Presbyterian Hospital By-Laws, Rules and Regulations. These by-laws can be found at:

http://infonet.nyp.org/Manuals/

Updated 8/7/05