GME Operational Management

Launching a successful Graduate Medical Education (GME) program is a major feat in itself, however maintaining the program for the duration is something that requires diligence and an unwavering commitment to adhering to accreditation requirements.

Our Operational Management services involve a two-pronged approach. We first provide organizations with a systematic review, giving them an un-biased, thorough assessment of the effectiveness of their current programs. From there, we identify opportunities for improvement and recommend next steps that are practical, yet highly effective, enhancing their operations overall and ensuring a financially sound organization.

Hospital organizations throughout the country value our ability to simplify the most complicated processes and provide concrete direction towards their overall goals. Additionally, we pride ourselves on our collaborative approach to engagements; working with departments, breaking down defenses in order to move towards a mutual understanding and collective benefit.

Many teaching programs operate in a vacuum without any practical means to assess performance.  Others contain unique structures or limitations that render conventional national benchmarking comparisons inapplicable.  At Germane, we utilize our vast internal data set and GME experience to produce as practical an assessment of performance, based on a program’s particular circumstances, as possible.  This includes comparisons based on national and regional data, segregated by hospital and program size.  Utilizing our extensive database and reporting tools, Germane can benchmark numerous aspects tied directly to GME performance, including faculty and resident volumes, leverage, procedures, scheduling efficiency, billing compliance and FTE utilization.

Given our extensive experience in working with various GME programs, Germane is uniquely qualified to review and assess the day to day operations of most teaching programs.  Successful operations depends on a variety of integrated factors, including scheduling, IT systems, numbers and types of faculty and residents, locations, rotations, specialties, specific hospital and community needs.  By utilizing our proprietary analytical software as well as on site interviews and observations, Germane can provide a program with both a quantitative and qualitative overview of performance, as well as recommendations for operational improvements.  Additionally, Germane is adept at providing implementation services as required.


In many instances, teaching clinic structures are based on historical precedent or outdated models.  At Germane, we specialize in reviewing all aspects of clinic performance relative to available options in a particular region or locale.  Whether it be a conversion to or from a provider based structure, partnering with a local private practice or converting the operation to an existing FQHC or starting a new FQHC, Germane has the necessary experience in determining the optimal business structure for most teaching programs.  Once the preferred business structure is identified, Germane can readily serve as the project manager in implementing any agreed upon recommendations.


As part of an initial GME program review, Germane will perform a detailed analysis of the most pertinent operational data.  All review and analysis is conducted relative to the type of work or service being performed (teaching, private practice, inpatient, outpatient).  Additionally, Germane will commit to ongoing data review as part of any process improvement project.  Only by perpetual monitoring of data can actual performance improvement be demonstrated and measured.


Through a combination of innovation and experience, Germane is an advocate of new and creative residency rotation models.  As programs and healthcare evolve and mature, Germane believes it is often beneficial to tweak or revamp the existing resident training model.  Germane has the expertise to assess a GME program’s current rotational schedule and make appropriate recommendations to enhance both the delivery of care and the educational experience.