Residency training programs have detailed and elaborate policies and procedures for their trainees, which delve into things like clinical evaluations, leaves of absence, hours requirements, moonlighting, and other day-to-day activities of the residents. As a residency program director, you will have the top responsibility for the enforcement of the policies and the altering/creation of new and existing policies. When doing this, you'll also have to ensure that the program you are responsible for is meeting all ACGME requirements. With this question, the interview panel is simply looking to hear if you have direct experience in policy administration. Be honest as you answer and don't fret if you feel your experience is lacking here. What will be important is that you show your excitement and passion for this part of the job.