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Table 1 Agents within the Ecosystem that Influence Program Director Leadership Program directors interact with multiple agents within the ecosystem. Their bidirectional influences are governed by various structures that guide such interactions. Some are formally articulated while others are largely absent

From: The ecology of program director leadership: power relationships and characteristics of effective program directors

 

PD Responsibilities

Guiding Interactions

Accreditation Council for Graduate Medical Education

Execute minimum program requirements stipulated by the ACGME

ACGME Common Program Requirements

Medical Education Community

Contribute to the medical education community through scholarly work and research

ACGME Common Program Requirements

Society-at-Large

Take responsibility for the proper training of providers in the community

None

Institutional GME

Coordinate with local educational officers to implement local policies

Local institutional policies

Internal Medicine Faculty

Arbitrate conflict, distribute resources, and negotiate power relationships with faculty

None

Hospital Administration

Uphold productivity and contribute to financial viability of hospital

Institutional contracts

Current Resident Physicians

Role model professionalism, engage in teaching activities, and promote well-being of residents

ACGME Common Program Requirements

Residency Applicants

Uphold fairness in the application process

National Residency Match Program (NRMP)

Resident Alumni

Promote and advocate for resident alumni interests

None