Table 3a.
Designated Institutional Official (DIO) Needs
| Utility Toward the DIO Role | Description | DIOs Rated as Useful, n (%) N = 11 |
| Experiences/qualifications | Leadership | 5 (45) |
| Management | 5 (45) | |
| Communication training | 3 (27) | |
| Mentor/coach | 3 (27) | |
| Degrees | 2 (18) | |
| Finance | 1 (9) | |
| Negotiation skills | 0 (0) | |
| None of the above | 3 (27) | |
| Professional development experiences | ACGME conference | 7 (64) |
| Specialty-specific (eg, APDIM) | 3 (27) | |
| Not applicable | 1 (9) | |
| Committees | Medical executive | 6 (55) |
| Program directors | 5 (45) | |
| Continuing medical education | 4 (36) | |
| Guidelines/clinical pathways | 3 (27) | |
| Ethics | 3 (27) | |
| Institutional management | 2 (18) | |
| QA/QI | 2 (18) | |
| Risk management | 2 (18) | |
| Institutional review board | 2 (18) | |
| Medical staff | 2 (18) | |
| Clinical management | 2 (18) | |
| Credentialing | 2 (18) | |
| Bylaws | 2 (18) | |
| IT | 1 (9) | |
| Length of stay/utilization | 1 (9) | |
| Patient safety | 1 (9) | |
| Library | 1 (9) | |
| Compliance | 0 (0) | |
| BOD/trustees | 0 (0) | |
| Finance | 0 (0) | |
| House staff | 0 (0) | |
| Resourcea | Templates for GME policies, contract, affiliation agreements | 9 (82) |
| DIO-specific training | 9 (82) | |
| Publication of DIO demographic data (eg, salaries, degrees, titles, and responsibilities) | 7 (64) | |
| DIO job description templates | 9 (82) | |
| Clear description of DIO versus program director responsibilities | 8 (73) | |
| DIO certification program | 6 (54) |
a
Useful calculated as sum of percentages of answer choices: “somewhat likely” and “very likely to use.”
Note: 2 participants did not respond to these questions.
Abbreviations: ACGME, Accreditation Council for Graduate Medical Education; APDIM, Association of Program Directors in Internal Medicine; QA, quality assurance; QI, quality improvement; IT, information technology; BOD, board of directors; GME, graduate medical education.