Table 1.
Characteristics of Designated Institutional Officials (DIOs) in the Middle East
| Characteristic | N (%) | |
| Gender | Female | 7 (64) |
| Male | 4 (36) | |
| Age | 36–45 | 2 (18) |
| 46–55 | 7 (64) | |
| 56–65 | 1 (9) | |
| 66–75 | 1 (9) | |
| Title | Consultant/doctor | 5 (46) |
| DIO | 1 (9) | |
| Chief/chair of academics | 3 (27) | |
| Professor/dean | 2 (18) | |
| Degree | MD/MBBS/MBBCh | 11 (100) |
| PhD | 1 (9) | |
| Education role prior to being DIO | No | 2 (18) |
| Yes | 9 (82) | |
| Leadership role prior to being DIO | No | 1 (9) |
| Yes | 10 (91) | |
| Years as DIO | 0–5 | 7 (64) |
| 6–10 | 2 (18) | |
| 11–15 | 2 (18) | |
| Years in GME | 6–10 | 4 (36) |
| 11–15 | 4 (36) | |
| 15–20 | 2 (18) | |
| > 20 | 1 (9) | |
| Role reports to | CMO/DCMO | 8 (73) |
| Chief/Chair of academics | 1 (9) | |
| Dean/associate/ assistant dean | 1 (9) | |
| Other | 1 (9) | |
| Written job description | Yes | 6 (55) |
| No | 5 (46) | |
| Number of programs | 0–5 | 5 (46) |
| 6–10 | 3 (27) | |
| 11–15 | 1 (9) | |
| 16–20 | 1 (9) | |
| > 20 | 1 (9) | |
| Founding DIO | Yes | 5 (46) |
| No | 6 (55) | |
| Assumption of role | Progression from faculty/PD role | 7 (64) |
| Assumed role upon start | 4 (36) | |
| Definition of role | Defined out of necessity | 2 (18) |
| The role was driven by ACGME-I requirements/ citations | 8 (73) | |
| No response | 1 (9) | |
| Did you feel prepared for the role? | Yes | 7 (64) |
| No | 4 (36) | |
| DIO specific education prior to assuming role? | Yes | 5 (46) |
| No | 6 (55) | |
| Support from hospital leadership | Low support | 2 (18) |
| Mixed support | 1 (9) | |
| Moderate support | 2 (18) | |
| Strong support | 5 (46) | |
| No response | 1 (9) | |
| Support from PDs | No response | 1 (9) |
| Low support | 0 (0) | |
| Mixed support | 2 (18) | |
| Moderate support | 2 (18) | |
| Strong support | 6 (55) | |
| How well informed is the institutional leadership about your role | No response | 1 (9) |
| Not informed | 1 (9) | |
| Somewhat informed | 2 (18) | |
| Very well informed | 7 (64) | |
| How well informed are the supportive services about your role? | No response | 1 (9) |
| Not informed | 1 (9) | |
| Somewhat informed | 6 (55) | |
| Very well informed | 3 (27) | |
| Confusion between DIO and PD role? | No response | 1 (9) |
| A lot of confusion | 1 (9) | |
| Some confusion | 2 (18) | |
| No confusion | 7 (64) | |
| Resources provided to you | No response | 2 (18) |
| On the job training | 7 (64) | |
| Coach/mentor | 2 (18) | |
| Hours per week fulfilling DIO duties | 11–20 | 5 (46) |
| 21–30 | 5 (46) | |
| > 40 | 1 (9) | |
Abbreviations: GME, graduate medical education; ACGME, Accreditation Council for Graduate Medical Education; PD, program director.