Policies,Administrative,UWHC,Department Specific,Graduate Medical Education (GME)

Program Closure or Reduction (43.12)

Program Closure or Reduction (43.12) - Policies, Administrative, UWHC, Department Specific, Graduate Medical Education (GME)


UWHC Departmental Policy
 UWHC only (Hospital Administrative-entity wide)  UWMF only (entity wide)
 UWHC Departmental (Graduate Medical Education)  UWMF Departmental (indicate name)
 UWHC and UWMF (shared)
Policy Title: Program Closure or Reduction
Policy Number: 43.12
Effective Date: May 20, 2015, GMEC
Chapter: Graduate Medical Education
Version: Revision
To promote the fair and equitable treatment of residents affected by the institutional decision to close or
reduce the number of residents in a residency program sponsored by UWHC.

This policy applies to all Graduate Medical Education (GME) programs sponsored by the University of
Wisconsin Hospital and Clinics (UWHC).

A. The term “resident” refers to residents and fellows.
B. Program(s) will refer to ACGME-accredited program(s).

A. It is the policy of UWHC to inform residents as soon as possible of a decision to reduce the size
of or close a training program.
B. In the event of such a reduction or closure, UWHC will make every effort to allow residents
already in the program to complete their education.
C. If residents are displaced by the closure of a program or reduction in the number of trainees,
UWHC will make every effort to assist the resident in identifying an ACGME program in which
they can continue their education.
D. Residents are entitled to compensation and benefits until the completion of the current term(s) of
the resident contract/letter of agreement or until resignation, whichever is sooner.
E. Residents are also entitled to proper care, custody, and disposition of resident and program
records, and appropriate notification to licensure, specialty boards, and other associations or

A. The Designated Institutional Official (DIO), Department Chair(s) and Program Director(s) of the
affected program(s) will discuss consideration of program numbers reduction or closure in order
to foster understanding of all issues under consideration leading to consideration of the change in
program status. The DIO will then notify the GMEC of this discussion and the resulting
B. It is the responsibility of the GMEC to use these recommendations and other information to
assess the impact of proposed reductions in the number of trainees and/or GME programs and to

make appropriate recommendations to institutional leadership. No ACGME program may
terminate occupied trainee positions, or close, without approval by the GMEC.
C. In the event it is determined by UWHC leadership that a clinical program essential for resident
training must be reduced in size, or must be closed, institutional leadership will notify the GME
Office and the GMEC as soon as the decision is made.
D. When a decision has been made to reduce the size of or close a program, the Designated
Institutional Official will immediately notify all residents in the affected program(s). This
notification will be in writing and with the approval and direction of the CEO of UWHC.
E. Every effort will be made to permit a program phase-out period of a duration long enough to
permit all residents in the program to complete their education.
F. Should a resident or residents choose to leave the program(s) after notification of impending
closure, the resident(s) may do so with the full support of UWHC even when the resident or
residents have not completed a current contract.
This Policy creates no rights, contractual or otherwise. Statements of policy obtained herein are not
made for the purpose of inducing any person to become or remain an employee of UWHC, and
should not be considered "promises" or as granting "property" rights. UWHC may add to, subtract
from and/or modify this Policy at any time. Nothing contained in this Policy impairs the right of a
non-represented employee or UWHC to terminate the employment relationship at-will. For
represented employees, who are not at-will employees, this policy does not supersede, limit nor grant
any rights beyond those provided by the applicable collective bargaining agreement.

A. ACGME Institution Requirements, IV. N., July 1, 2014

Sr. Management Sponsor: Susan L. Goelzer, M.D., M.S., Designated Institutional Official
Author: Director, Graduate Medical Education and Medical Staff Administration
Approval Committee: Graduate Medical Education Committee


Susan L. Goelzer, M.D., M.S.
Professor of Anesthesiology, Internal Medicine and Population Health Sciences
Senior Medical Director for GME/Designated Institutional Official
Associate Dean for Graduate Medical Education

Revision Details:

Previous Revision Date: 8/31/2013
Next Revision Due: 5/20/2018 (3 years after effective date)