All core faculty members – physicians and other health educators – must be provided with the salary support required to devote a minimum of 20 percent FTE of non-clinical time to the administration of the program.
Justification
Core faculty (physicians and other health educators) are required to participate in a wide range of clinical and non-clinical activities in order to ensure the success of family medicine training programs and comply with requirements set forth by the ACGME. A block of protected non-clinical time is required in order for faculty to meet all of their requirements. A minimum of 20 percent FTE is consistent with several surveys of core faculty when asked how much time they spend in non-clinical activities. In a 2018 survey of 26 programs in the WWAMI network, core faculty reported an average of 24% of their time spent in administration of the program (2). Another survey that included 58 programs from across the country reported that core faculty, both physicians and other health educators, were allocated 26% FTE protected non-clinical time with a standard deviation of 0.2 (11). According to the ACGME, the ADS data from 2010 to 2019 showed that faculty spent between 16% and 26% FTE in protected non-clinical time (1). This guideline is also in line with the RPS Criteria for Excellence recommendations. They recommend, with a 1:4 faculty to resident ratio, that core faculty spend at least 25% FTE in protected non-clinical time (10). Due to the range of percentages presented in the literature, the Task Force believes that the minimum 20% FTE allows for the adequate protected time for faculty to complete their required duties, while still allowing for ease of scheduling across programs of varying size with varying numbers of faculty. It is also important to consider that this guideline is to be taken in conjunction with the previous guideline stating the necessity of a new 1:4 faculty to resident ratio.
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