GME offices run on people, processes, and documentation — and when any one of those breaks down, accreditation risk follows. The GME Operations Review is a structured assessment of your program's operational infrastructure, designed to surface gaps and prioritize fixes before they become compliance problems.
What is gme operations review?
A GME Operations Review is a comprehensive audit of a program's day-to-day operational systems — including duty hours tracking, resident file management, documentation practices, affiliation agreements, coordinator workflows, and evaluation processes. The output is a prioritized improvement roadmap with ownership assigned and timelines recommended.
Who needs this
- ✓Programs preparing for an ACGME site visit who want to find gaps first
- ✓GME offices that have experienced coordinator turnover and need a systems reset
- ✓Programs that feel operationally overwhelmed and want an outside perspective
- ✓Institutions onboarding a new program director who wants to understand current state
- ✓Multi-program GME offices wanting to standardize workflows across programs
What we deliver
- →Duty hours systems and compliance tracking audit
- →Resident and fellow file documentation review
- →Affiliation agreement inventory and status assessment
- →Coordinator workflow mapping and gap identification
- →Evaluation system review — milestones, EPAs, faculty evaluations
- →Prioritized improvement roadmap with ownership and timelines
- →Executive summary suitable for DIO or department leadership review
How it works
Document request
Ashley provides a structured document request list covering all operational areas.
Review and analysis
Comprehensive review of documentation, systems, and workflows against ACGME requirements.
Findings report
Written report of findings organized by risk level — critical, important, and recommended.
Roadmap delivery
Prioritized improvement roadmap with specific action items, ownership, and timelines.
Debrief call
Live debrief with program leadership to walk through findings and answer questions.
Frequently asked questions
How disruptive is the review process for our coordinators?
Minimal. The document request is structured to minimize back-and-forth, and most reviews are conducted remotely. Ashley works around your team's schedule rather than creating additional burden.
What if the review finds serious compliance problems?
The roadmap prioritizes findings by urgency. Critical findings — those with direct accreditation implications — are flagged clearly with recommended timelines. Ashley can also provide remediation support as a follow-on engagement.
Can this be done remotely or do you need to visit our site?
Most operations reviews are conducted fully remotely using shared documentation. On-site visits are available for programs that prefer direct observation of workflows.