4. Terminology

Non-clinical time is time dedicated to duties other than those related to patient care. It does include time spent in duties classified as clinical time (as described below).

Non clinical time may include, but is not limited to:

·      Membership on the Clinical Competency Committee (CCC) 

·      Actively fostering relationships in the management of multiple clinical sites 

·      Actively monitoring the quality of the clinical learning environment, including regular assessments of adequate clinical volume 

·      Serving as a representative on clinical quality committees that are external to the program 

·      Participating in the Annual Program Review as Chair or member of the Program Evaluation Committee 

·      Implementing and analyzing the outcome of action plans developed by the Program Evaluation Committee 

·      Participating in recruitment, selection, and retention, including efforts related to the program’s commitment to diversity

·      Advising, mentoring, and coaching residents (co-creating, implementing, and monitoring individualized learning plans) 

·      Fostering an educational environment for the residents with an emphasis on the importance of the social determinants of health 

·      Designing and overseeing remediation plans 

·      Supporting/overseeing residents in the development/assessment of innovative Quality Improvement/Patient Safety projects relevant to the population served 

·      Supporting/overseeing residents in the conduct of their scholarly work, including the dissemination of such work through presentations, posters/abstracts, and peer-reviewed publications 

·      Participating in educational activities (didactics, lab, or simulation) 

·      Teaching/mentoring medical students with an interest in family medicine

·      Participating and/or overseeing faculty development activities 

·      Designing and implementing simulation and standardized patient curricula for teaching and assessment 

·      Developing, implementing, and assessing one or more of the major components of the curriculum, such as Patient Safety, Population Health, Quality, Health Disparities, or Core Didactics 

·      Designing and implementing the program’s assessment strategies, making certain there are robust methods to assess each Competency, and which provide meaningful information by which the CCC can judge resident performance on the Milestones 

·      Leading the program’s efforts related to resident and faculty member well-being 

Clinical time is time dedicated to duties relating to patient care. This includes: direct patient care (seeing patients without residents) with or without medical students, clinical supervision of residents (precepting), co-signing resident notes, answering messages from patients/clinic staff, responding to labs/tests ordered for patients, and other patient-care related tasks.

Core faculty are residency faculty who have a substantial commitment to the residency program such that they can: support the program leadership in evaluating the program and its residents and contribute to the program’s development and growth including (but not limited to) curriculum, recruitment, and program self-assessment.

Core faculty must be designated by the program director and may include physicians as well as other health educators. 

The Associate Program Director (APD) is considered a core faculty member.

Other health educators are individuals who are not physicians, but who contribute to the clinical and/or didactic learning of residents. Examples of other health educators include: behavioral health specialists, pharmacists, nutritionists, and social workers.

Spillover time/work after clinic is time spent in clinically related activities during non-scheduled clinic hours. This time typically includes activities such as: completing clinic notes, reviewing tests results, calling/messaging patients, completing patient paperwork, and coordinating care with other team members, including specialists. 

For faculty clinically supervising residents, spillover time/work after clinic also includes time spent in activities such as: signing and reviewing resident clinic notes, reviewing/discussing test results, and helping residents navigate the health care system in the best interest of their patients.

Part-time faculty are individuals who are working less than a total 1.0 FTE (100% full-time-equivalent) in the program and/or institution. Faculty who have multiple employers who work a combined total 1.0 FTE, with < 1.0 FTE at the residency program and/or institution should be considered part-time faculty.