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The governance structure for Memorial University is attached. Other external governance organizations would include the Royal College of Physicians and Surgeons of Canada, the Medical Council of Canada, the College of Family Physicians, the Committee on Accreditation of Canadian Medical schools, etc

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My current workplace is a small private practice so I have decided to share the governance of the hospital where I did my undergraduate training and resident years.

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Goverance in CGMH

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External Governance
Pakistan medical and Dental Council
College of Physicians and Surgeons Of Pakistan
UHS
Provincial and federal health Policies

Internal
Board of Governors of the hospital
Principal
Medical Superintendent
Head of Department

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UHL Management and CMG Structure 3 August 2015

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Internal governance:
Departmental SOP (standard operating procedures) and management structure i.e. mentor, clinical supervisor, head of department.
Hospital - clinical and medical directors (UHL structure added) up to directors etc.

External governance:
Local and regional NHS policies e.g. Regional MDT policies.
NHS England, Government.
RCPath
EQAs - lab and pathologists
ISO 15189 (lab)

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Morgan Here is a diagram showing the internal governance structure of my employer/institution. Other relevant governance from outside: NHS England (NHSE); some regional clinical commissioning groups (CCGs) that have been authorised to commission healthcare services for their communities; The Royal College of Psychiatrists; the Care Quality Commission (CQC) which is the independent regulator of all health and social care services in England. Also Mental Health Act.

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Morgan Here is a diagram showing the internal governance structure of my employer/institution. Other relevant governance from outside: NHS England (NHSE); some regional clinical commissioning groups (CCGs) that have been authorised to commission healthcare services for their communities; The Royal College of Psychiatrists; the Care Quality Commission (CQC) which is the independent regulator of all health and social care services in England. Also Mental Health Act.

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Here is my mind map (copy from my notes) of how I think our Governance works in the GP school. There are many bodies that the school board report to and it is rather a complex system, I have been able to simplify it as  I sit on the board which is very large...

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Governance for residency education training:

Internally generated governance
- Residency program
- Graduate Medical Education (GME) Office
- Hospital Clinical Governance Board

Externally imposed governance
- ACGMEi
- Residents Advisory Council
- Residency Review Committee
- GME Exco
- Ministry of Health

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Internal Governance:
- Hospital policies and guidelines
- Local guidelines (eg antimicrobials)
- Evidence from Governance meetings
- Members of the supervisor teams: educations, clinical, department, medical and clinical director.

External Governance
- GMC
- CQC
- Royal Colleges in terms of training provision
- UKFP
- Government/DoH/CCGs.

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As discussed by others, many of us work in organizations subject to multiple internal and external governances.

For example at my hospital, I am subject to:
1) Policies for my division AND department
2) Hospital policies
3) Regional policies for our local health network
4) Provincial policies
5) National/federal policies
6) Provincial cancer organization (Cancer Care Ontario)

From an educational standpoint we are also subject to:
1) Royal College of Physicians and Surgeons of Canada
2) University of Ottawa policies
3) Post-graduate medicine governance

Etc... The list seems endless in fact!

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There is an excellent diagram outlining the internal governance structure of my organisation (see below).

External governance comes from: the CCG, the Royal Colleges, the CQC, NHS Improvement, the GMC/NMC, NHS England and the Secretary of State.

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Internal Governance from my perspective in the hospital is the way in which I would raise concerns and the channels you pass through.
Clinical supervisor
Educational supervisor
Clinical Director
Assistant medical director
Medical director

Externally the policies and guidance come from the Scottish Government and department of health.

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We have a complicated governance in that  we are a collaborative degree/diploma program between two different institutions. Our students are taken in through McMaster University. McMaster faculty teach a couple of the the common first year courses. We deliver the rest of the Mohawk portion of the curriculum For all our courses we follow Mohawk education policies. Our students have a dual status or citizenship. There are many layers or rules and regulations to be followed. For most policies we answer to McMaster but for educational policies it is Mohawk. For things like Human Rights it will be McMaster. due to the agreement between the two.

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Memorial University Faculty of Medicine - attachment shows internally generated governance; external would include (I think) bodies such as the Medical Council of
Canada, the Royal College of Physicians and Surgeons of Canada, the College of Canadian Family Physicians

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Memorial University Faculty of Medicine Governance

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Université Laval's Faculty of Medicine
Unfortunately, the document is in French. However, I do believe that most of you will people to understand almost all the words appearing on the diagram. As an example, 'Faculté' means 'Faculty' and 'Département' mean 'Department'... See? It is fairly easy.

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Dundee University

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University of Dundee School of Medicine Governance structure