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Making a Residency Budget

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Making a Residency Budget Suzanne Lavoie Disclaimers Have a baseline (everything I learned came from working with Donna Barrett who kept meticulous records for ... – PowerPoint PPT presentation

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Title: Making a Residency Budget


1
Making a Residency Budget
  • Suzanne Lavoie

2
Disclaimers
  • Have a baseline (everything I learned came from
    working with Donna Barrett who kept meticulous
    records for several years so I knew what
    different categories of costs would be)
  • Know where (which accounts) and how much money is
    available (or should be)
  • Know your RRC University Guidelines
  • Know your administrator
  • Mix s 3 and 4 frequently

3
Pediatrics
  • RRC Guidelines
  • Program Director _at_ 0.5 FTE (regardless of the
    size of the program)
  • Programs with 61-90 (we have 45 18 fellows so
    could fall in the 31-60 or 61-90 category)
    residents must be
  • Minimum of 1.0 FTE (PD APD) (1.25)
  • 2 FTE Liaisons(Chief Residents)
  • 1.5 FTE coordinators (2.0)
  • (new) Individualized curriculum must be
    determined by the learning needs and career plans
    of each resident and must be developed through
    the guidance of a faculty mentor (Core Educators)

4
History
  • GME money would come to the department and would
    be distributed to each faculty member in a even
    manner based on of faculty (i.e. /full time
    faculty)
  • Rest of operating budget would be determined by
    administrator and would essentially allow us to
    work without a budget defined
  • This resulted in begging for money each time a
    new initiative came up since we usually would
    get it, it was fine, but didnt allow us to look
    proactively at what we wanted to do.

5
Call to action
  • Over the last several years, I became concerned
    that there was uneven distribution of GME funds
    and that I was not going to be able to implement
    my plans for future
  • Approached the Administrator with the RRC
    guidelines (in place) and those to go into effect
    July 2013 as well as GME Policy of Program
    Directors salary

6
Budget Development
  • Look at the annual budget developed over the last
    few yearsWe were budgeted 150,000K (and used
    about 130,000K for all activities except faculty
    salaries.
  • Discussed division of entire GME funds to support
    education mission and if any left over to
    distribute to other faculty

7
Salary
Core Residency
xx Program Coordinator 1.000 41,400.00
xx Program Assistant 1.000 29,870.00
xx Program Director 0.500 97,130.00
xx Assoc. Prog. Director 0.250 40,000.00
xx Assoc. Prog. Director 0.250 40,900.00
xx Chief Resident 1.000 60,000.00
xx Chief Resident 1.000 60,000.00
Fellowships
xx Lead Coordinator 1.000 35,000.00
Cards Prog Coord 0.100 3,856.00
PICU Prog Coord 0.100 3,856.00
H/O Prog Coord 0.100 3,199.00
ID Prog Coord 0.100 4,332.00
NICU (hospital)
Endo (hospital)
A/I Prog Dir 0.150 28,384.00
Card Prog Dir 0.150 24,312.00
Endo Prog Dir 0.150 26,497.00
H/O Prog Dir 0.150 32,588.00
ID Prog Dir 0.150 20,650.00
NICU Prog Dir 0.150 37,265.00
PICU Prog Dir 0.150 5,000.00
Core Educators Peds
xx 0.050 8,670.00
xx 0.050 7,250.00
xx 0.050 6,188.00
xx 0.050 6,755.00
xx 0.050 9,500.00
xx 0.050 8,816.00
xx 0.050 10,350.00
xx 0.050 3,870.00
xx 0.050 0.00
xx 0.050 6,850.00
Subtotal Salary Peds 662,488.00
Fringe _at_ 0.324

Total 877,134.11
Total GME Budget
1,074,998.05
8
Other Costs
  • Assumptions would try and keep budget close to
    130,000K taking into account revenues (from
    sport physicals/contracts with HD and JDC)
  • This would leave approx 70K which could be
    distributed to divisions for dispensation by
    division chairs to faculty members doing other
    teaching

Peds GME Allocation 1,074,998.05
Peds Salary Allocations (see Page 3) 877,134.11
Max Remainder 197,863.94
9
Other Expenses
        GME Account   Other Revenues
               
Recruitment              
  Hotel, Food, Tours,       55,000.00    
  Brochures, Folders, Inserts, Promotional       2,000.00    
               
               
10
Other Expenses (2)
GME Budget Other Funds
Year 1 Books, lab coats and business cards Books 247.50   3,712.50    
           
               
    AAP Dues 100.00   1,500.00    
               
Year 2 Books AAP Membership           HHD/RCPS/JDC
Book 160.00   2,240.00   2,240.00
               
    AAP Dues 100.00   1,400.00    
               
Year 3 Books AAP Membership           HHD/RCPS/JDC
Book 310.00       4,650.00
               
               
    AAP Dues 100.00   1,500.00    
               
11
Direct Teaching Costs          GME Funds    Other Funds
O              
  Awards Day-Breakfast and Group Pictures       600.00   Foundation
  Monetary Awards-from Foundation           2,950.00
  Monetary Awards-from Residency       1,000.00    
               
Conf Chiefs, residents, staff (2 CR conf 1 PD conf 1 Coord Conf x 1000 ea) 1000 x 6     6,000.00    
               
Other activities (didactics, morning report, retreats, etc)              
  Orientation Week for Incoming Interns       1,000.00    
  PG1 Team Building Retreat       900.00    
  PG1 to PG2 Retreat       500.00    
  PG2 to PG3 Retreat       1,500.00    
PG3 Retreat       2,500.00    
  Intraining Exams       3,800.00    
  Food provided at morning report and noon confernces       6,000.00    
  Welcome Party       5,000.00    
  Graduation, Flowers, Invitations, etc       7,000.00    
         
Educational Training              
  PALS       400.00    
  NRP       130.00    
  Skills Sessions       400.00    
  Educational Software       0.00    
               
12
Other cost          GME Funds   Other Funds
               
  Office Expenses, purchases, postage, printing, conference supplies, etc       10,000.00    
APPD, other Dues and Subscription       2,500.00    
  Storing resident files to disc and shredding       1,000.00    
  Major Purchases       1,000.00    
  Telephone, rent, repairs       5,000.00    
               
               
          123,582.50   9,840.00
       
       
Total Overall       133,422.50
13
RRC Guidelines Continued
  • (new) For each 4 week required educational block
    a core faculty member must be responsible for
    curriculum development, and ensuring orientation,
    supervision, teaching and timely feedback and
    evaluation (think this will add 3-4 faculty
    members _at_ 0.01-0.02 FTE)
  • (new) A minimum of six educational units of an
    individualized curriculum (tracts) Given that
    this is required, I think we will need to have 6
    champions of the tracts (think this will add 3-4
    faculty members _at_0.01-0.02 FTE)
  • (new) Individualized curriculum must be
    determined by the learning needs and career plans
    of each resident and must be developed through
    the guidance of a faculty mentor (Core Educator)
    already entered
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