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Residents In This Section

Resident Promotion Policy

I. Purpose of Policy

The purpose of this policy is the expectation of how the Dartmouth-Hitchcock (D-H) Graduate Medical Education Office (GME) determines the criteria for promotion and/or renewal of a resident’s appointment within each of its Accreditation Council for Graduate Medical Education (ACGME)- accredited programs as per the Institutional Requirements set for by the ACGME.

II. Policy Scope

The policy applies to all ACGME-accredited residency and fellowship programs at Dartmouth-Hitchcock (D-H).

III. Definitions

Resident: Any physician in an accredited graduate medical education program, including interns, residents, and fellows.


IV. Policy Statement

  1. General
    1. Each program must have a policy regarding the promotion of residents to a higher level of training.

    2. As the position of resident involves a combination of supervised, progressively more complex and increasing responsibility in the evaluation and management functions of patient care, reappointment and promotion will be dependent upon meeting the academic standards and curricular requirements of the program.

  2. Non-renewal of appointment or non-promotion
    1. In instances where a resident’s agreement will not be renewed, or when a resident will not be promoted to the next level of training, the program must provide the resident with written notice of intent no less than one hundred twenty (120) days prior to the expiration of the resident’s current agreement.

    2. If the primary reason(s) for the non-renewal or non-promotion occur(s) within the four months prior to the end of the agreement, the program must provide the resident with as much written notice as circumstances will reasonably allow, prior to the end of the agreement.

    3. Residents are allowed to implement the grievance process if the resident receives a written notice either of intent not to renew the agreement, or of intent to renew the agreement but not to promote the resident to the next level of training.

    4. Programs must provide residents with a copy of the institutional grievance policy at the time of initial notification.


D-H Policy ID: 11269

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