Graduate Medical Education Departmental Policy
Policy Title: Promotion of Residents
Policy Number: 43.13
Effective Date: April 20, 2016
The University of Wisconsin Hospitals and Clinics Authority, as the ACGME sponsoring institution,
requires each of its ACGME-accredited programs to determine the criteria for promotion and/or renewal
of a resident’s appointment.
II. PERSONS AFFECTED
This policy applies to all Graduate Medical Education (GME) programs sponsored by the University of
Wisconsin Hospital and Clinics Authority (UWHCA).
A. The term “resident” refers to residents and fellows.
B. Program(s) will refer to ACGME-accredited program(s) sponsored by UWHCA.
C. UW Health: For the purpose of this policy, the term “UW Health” shall mean University of
Wisconsin Hospitals and Clinics Authority, which is the sponsoring institution of the ACGME-
accredited training programs. “UW Health” is the trade name of University of Wisconsin
Hospitals and Clinics Authority and its affiliates.
Residents may be promoted to the next year of training if their performance indicates their ability to
perform at the subsequent level and they are meeting the conditions of appointment as outlined in the
UWHCA appointment letter and addendum (AID). Promotion to the next level of training and/or
reappointment is made annually based on consideration of evaluation results and at the discretion of the
Program Director with the advice of the Clinical Competency Committee.
As the position of resident involves a combination of supervised, progressively more complex and
increasing responsibility in the evaluation and management functions of patient care, reappointment and
promotion will be dependent upon meeting the academic standards and curricular requirements of the
program. Each program must have a policy describing the criteria for promotion and graduation. The
policy must include a provision for written notification to a resident when that resident’s agreement will
not be renewed, when that resident/fellow will not be promoted to the next level of training at the
expected time, or when that resident/fellow will be dismissed (IR IV.C.1.).
A. Promotion: If the program director determines that a resident should be promoted, the program
coordinator will promote the resident in MedHub as requested by the GME Office.
B. Non-Promotion: If the resident is not to be promoted at the end of the appointment year, he/she
will receive as much written notice of the intent not to promote as circumstances permit. A
decision not to promote a resident is subject to the Academic Improvement and Corrective Action
policy and procedures and the Appeal of Corrective Action policy and procedures set forth in
UWHCA GME polices (IR IV.C.1.b.).
C. Written Notification: Residents will receive written notification (includes electronic) of all
D. The GME Office will be notified as soon as possible and copied on any non-promotion
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
Previous Revision Date: NA
Next Revision Due: April 20, 2019 (3 years after effective date)