Making a Residency Budget

1. Making a Residency Budget Suzanne Lavoie

2. Disclaimers • Have a baseline – (everything I learned came from working with Donna Barrett who kept meticulous records for several years so I knew what different categories of costs would be) • Know where (which accounts) and how much money is available (or should be) • Know your RRC &University Guidelines • Know your administrator • Mix #’s 3 and 4 frequently

3. Pediatrics • RRC Guidelines • Program Director @ 0.5 FTE (regardless of the size of the program) • Programs with 61-90 (we have 45 + 18 fellows so could fall in the 31-60 or 61-90 category) residents must be • Minimum of 1.0 FTE (PD +APD) (1.25) • 2 FTE Liaisons(Chief Residents) • 1.5 FTE coordinators (2.0) • (new) Individualized curriculum must be determined by the learning needs and career plans of each resident and must be developed through the guidance of a faculty mentor (Core Educators)

4. History • GME money would come to the department and would be distributed to each faculty member in a even manner based on # of faculty (i.e. $/#full time faculty) • Rest of operating budget would be determined by administrator and would essentially allow us to work without a budget defined • This resulted in begging for money each time a new initiative came up – since we usually would get it, it was fine, but didn’t allow us to look proactively at what we wanted to do.

5. Call to action • Over the last several years, I became concerned that there was uneven distribution of GME funds and that I was not going to be able to implement my plans for future • Approached the Administrator with the RRC guidelines (in place) and those to go into effect July 2013 as well as GME Policy of Program Directors salary

6. Budget Development • Look at the annual budget developed over the last few years…We were budgeted ~150,000K (and used about $130,000K for all activities except faculty salaries. • Discussed division of entire GME funds to support education mission and if any left over to distribute to other faculty

7. Salary Total GME Budget =

8. Other Costs • Assumptions: would try and keep budget close to $130,000K taking into account revenues (from sport physicals/contracts with HD and JDC) • This would leave approx 70K which could be distributed to divisions for dispensation by division chairs to faculty members doing other teaching

9. Other Expenses

10. Other Expenses (2)

13. RRC Guidelines Continued • (new) For each 4 week required educational block a core faculty member must be responsible for curriculum development, and ensuring orientation, supervision, teaching and timely feedback and evaluation (think this will add 3-4 faculty members @ 0.01-0.02 FTE) • (new) A minimum of six educational units of an individualized curriculum (tracts) – Given that this is required, I think we will need to have 6 champions of the tracts (think this will add 3-4 faculty members @0.01-0.02 FTE) • (new) Individualized curriculum must be determined by the learning needs and career plans of each resident and must be developed through the guidance of a faculty mentor (Core Educator) – already entered