REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 23, 2023
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
2023-24 Physician Residency Program Master Employment Agreement
End
RECOMMENDATION(S)
Recommendation
1. Approve the 2023-24 Physician Residency Program Master Employment Agreement for Arrowhead Regional Medical Center resident physicians in the following programs:
a. Cardiology Fellowship
b. Emergency Medicine
c. Emergency Medical Services Fellowship
d. Family Medicine
e. General Surgery
f. Internal Medicine
g. Maternal Fetal Medicine Fellowship
h. Neurology
i. Obstetrics/Gynecology
j. Pulmonary Critical Care Fellowship
k. Psychiatry
l. Radiology
m. Surgical Critical Care Fellowship
2. Authorize the Director of Arrowhead Regional Medical Center to execute individual resident physician employment agreements on behalf of the County, pursuant to the 2023-24 Physician Residency Program Master Employment Agreement identified in Recommendation No. 1.
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The annual cost of $16,047,756 associated with Arrowhead Regional Medical Center (ARMC) residency programs is funded by State Medi-Cal, Federal Medicare, and reimbursements from local area hospitals participating resident curriculum. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue will be included in the ARMC’s 2023-24 recommended budget.
BACKGROUND INFORMATION
The 2023-24 Physician Residency Program Master Employment Agreement (Agreement) will allow resident physicians to receive medical training at ARMC. Authorization for the Director of ARMC to execute the individual agreements will enable ARMC to enter into agreements with resident physicians within particular residency programs in a timely manner. During the 2023-24 Residency Program, ARMC will employ approximately 224 residents. Residencies and fellowships aid in providing healthcare services to the patients at ARMC. Training future healthcare providers provide for the safety, health and social service needs to county residents by ensuring specialty training of resident physicians.
The Accreditation Council for Graduate Medical Education (ACGME), the regulatory agency for the ARMC residency programs, requires that ARMC participate in an organized resident physician interview process and selection. To meet this requirement, ARMC participates in the Electronic Resident Application Service (ERAS) and National Residency Matching Program (NRMP). ERAS allows medical students to apply and interview with appropriate medical facilities. NRMP matches postgraduate medical students with those medical facilities the student has interviewed. During the interview process, the potential resident is presented with an informational packet that outlines the ARMC residency programs and the requirement for each of these programs. Included in the informational packet is a copy of the ARMC one-year Agreement, outlying certain work conditions, benefits, and compensation for the resident physician.
The Residency Program Master Employment Agreement is updated annually, per the ACGME requirements, and submitted to the Board of Supervisors for approval. The 2023-24 Agreement includes revisions to the contract language to ensure residents meet the Post Graduate Training license requirements in a timely manner.
ARMC recommends approval of the Agreement to provide for the safety, health and social service needs to County resident by ensuring specialty training of resident physicians to provide care to ARMC patients.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Cynthia O’Neill, Deputy County Counsel, 387- 5455) on March 15, 2023; Human Resources (Gina King, Deputy Director, 386-8623) on May 2, 2023; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on May 1, 2023; Finance (Jenny Yang, Administrative Analyst, 387-4884) on May 3, 2023; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on May 4, 2023.