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Our services encompass several key areas, through which our operations experts work collaboratively with key stakeholders to effectively streamline operational work steps, improve clinical training efficiencies, reduce administrative burden, and promote an environment where program and departmental leadership time can be focused on improving the quality of education and patient care. Germane Solutions is here to serve as your trusted GME operational advisor and identify a unique and optimal solution for your organization's success. 

GME Program Assessment

Through our detailed GME Program Assessment process, we support institutions in identifying the most appropriate metrics and key performance indicators for assessing program value, operational efficiency, and ACGME Compliance and Accreditation Risk. As a result, our Program Assessments can expedite the ACGME-required Annual Program Evaluation, Annual Institutional Review, Self-Studies, and 10-Year Accreditation Visit preparation and provide a detailed view of program compliance and performance.

RMS Audit, Management, and Set-Up Support

We have significant expertise working within a variety of Residency Management Systems, such as New Innovations and MedHub. We assist with in-depth RMS audits, implementing new features and modules within the system, providing individualized training and development for key users of the software, and implementing a new RMS for your institution. Our experts have in-depth experience with troubleshooting, utilization analysis, and staff training to optimize the value this tool can provide for your residency and fellowship programs.

Clinical Training Models

A key challenge of residency program scheduling is balancing quality educational experiences with the need for consistent and reliable coverage of appropriate services. Our team has expertise in scheduling a variety of residency and fellowship programs, including program-specific rotation schedules, daily assignment schedules, and the development of clinical service line schedules that integrate learners from multiple programs and/or Sponsoring Institutions. Our team supports programs and institutions by creating new residency schedules, transitioning programs to innovative scheduling models, adding new services or sites, and adjusting to changing curriculum requirements or restrictions. Our clinical training model analyses help ensure residency and fellowship program schedules are predictable, educationally and clinically valuable, and appropriately leveraged.

Infrastructure Advisement 

We partner with GME leadership teams to advise clients on optimizing their GME office oversight and structure, whether they are developing new workflows or reevaluating existing systems and processes. We work collaboratively within the healthcare system to streamline processes and maximize available resources such as MedHub or New Innovations to create a natural flow for work productivity—from the Coordinator level to the GMEC. Our team assists in identifying opportunities for process improvement and improved communication, alleviating administrative burdens, and adding value to additional data captured through existing systems.

Residency/Fellowship Marketing and Recruitment 

Residency/Fellowship Marketing and Recruitment is a practice that continually evolves each year. With a finger on the national pulse of medical student graduates and awareness of key features that attract top talent, we partner with your programs, institution, and marketing department to develop an online presence reflective of your offerings and attractive to the top candidates. We also support recruitment process strategy and implementation for both new programs planning for their first residency recruitment season, and programs hoping to improve their processes and outcomes.


Germane Solutions collaborates with ThalamusGME to provide post-recruitment outcomes analyses for GME programs and institutions to evaluate their recruitment outcomes and incorporate them into continuous improvement processes.

Training and Development Opportunities 

We lean on our national experience in accreditation, operations, strategy, and finance to provide tailored training and mentoring opportunities for GME and Program staff. Our one-on-one training and mentoring sessions as well as our formal training courses provide education in areas such as ACGME requirements, residency recruitment, and marketing, institutional oversight processes, RMS setup and management, and new hire training. Our training programs are tailored to new or experienced personnel, including but not limited to Program Coordinators, Designated Institutional Officials, Program Directors, GME Finance Managers, Institutional Coordinators, and program faculty.

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Interim GME Administrative Services

We provide virtual, qualified, interim support personnel who can assist with staffing shortages in GME Offices and for individual residency or fellowship programs. Our staff is experienced with all aspects of GME administration and will ensure that your program or GME office administration is effectively maintained while you work to recruit full-time personnel. 

Your Operations Partner

Kyle Knepper 

Kyle has extensive financial, operational, and strategic insight related to Graduate and Undergraduate Medical Education. As a key member of our management team, Kyle brings over seven years of project management and process improvement experience to our client’s organizations. Kyle received his Bachelor of Science from Wright State University.

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