Applying Time and Motion Methodology to Calculate Program Coordinator FTE

摘要

The program coordinator (PC) is a valuable resource to the administration of graduate medical education (GME) programs. However, there is lack of consensus across the 28 Accreditation Council for Graduate Medical Education (ACGME) specialty-specific program requirements regarding the PC full-time equivalent (FTE) allocation needed to effectively administer ACGME-accredited residency and fellowship programs. Since the transition into the Next Accreditation System and the implementation of the Milestone Project and the Clinical Learning Environment Review, the administrative responsibility demanded of PCs and the time needed to complete associated activities have drastically increased. The Department of Laboratory Medicine and Pathology (DLMP) at Mayo Clinic has experienced significant growth in new subspecialty GME programs without corresponding PC FTE growth. While it was evident that incremental FTE was needed, requests for incremental staffing positions are heavily scrutinized in today's resource-strapped environment. Without an accepted productivity formula for staffing, DLMP lacked evidence to justify the hire of an additional PC.