Table 2a.
Designated Institutional Official (DIO) Roles and Responsibilities
| Role | Description | Degree of Responsibility, n (%) N = 11 | ||
| Complete | Some | None | ||
| DIORS (DIO Responsibility Scale) | Provide oversight of GME | 10 (91) | 1 (9) | 0 (0) |
| Serve as first contact with ACGME-I or other GME organizations | 9 (82) | 2 (18) | 0 (0) | |
| Play an active role on the GMEC | 11 (100) | 0 | 0 (0) | |
| Ensure compliance with ACGME-I requirements | 9 (82) | 2 (18) | 0 (0) | |
| Provide Leadership for GME | 9 (82) | 2 (18) | 0 (0) | |
| Develop GME policies | 8 (73) | 3 (27) | 0 (0) | |
| Provide management of GME | 8 (73) | 3 (27) | 0 (0) | |
| Facilitate discussion of GME issues | 9 (82) | 2 (18) | 0 (0) | |
| Provide education about GME to individuals in your institution outside of GME | 7 (64) | 4 (36) | 0 (0) | |
| Provide education about GME to GME staff | 10 (91) | 1 (9) | 0 (0) | |
| Serve on other institutional committees | 9 (82) | 2 (18) | 0 (0) | |
| Program Evaluations | Initiate program evaluations | 6 (55) | 4 (36) | 1(9) |
| Report program evaluation results to others | 8 (73) | 2 (18) | 1(9) | |
| Interpret program evaluations | 7 (64) | 4 (36) | 0 (0) | |
| Conduct program evaluations | 6 (55) | 4 (36) | 1(9) | |
| Create program evaluations | 4 (36) | 6 (55) | 1(9) | |
| GME Budgets | Provide GME budget oversight | 6 (55) | 5 (46) | 0 (0) |
| Provide GME budget defense | 6 (55) | 5 (46) | 0 (0) | |
| Create GME budgets | 5 (46) | 6 (55) | 0 (0) | |
| Discipline | Provide GME staff discipline | 9 (82) | 2 (18) | 0 (0) |
| Provide discipline of residents | 6 (55) | 5 (6) | 0 (0) | |
| Provide discipline of program directors | 7 (64) | 4 (36) | 0 (0) | |
| Provide discipline of faculty members | 1 (9) | 10 (91) | 0 (0) | |
| Provide discipline of medical students | 1 (9) | 4 (36) | 6 (55) | |
| Performance Evaluations | Complete GME staff performance evaluations | 7 (64) | 4 (36) | 0 (0) |
| Complete program director performance evaluations | 6 (55) | 3 (27) | 2 (18) | |
Abbreviations: GME, graduate medical education; ACGME-I, Accreditation Council for Graduate Medical Education International; GMEC, Graduate Medical Education Committee.