Resident Handbook - UC Davis Health System

This is only allowed during the same academic year. Hospital PTO will not be used in thesecircumstances. If all vacation time has already been used, then the residency training and theresident’s graduation date will be extended.SUPERVISION:Supervision of residents is essential to quality graduate medical education and to the safe care ofthe patients we serve. Residency is an educational experience that, more than anything elsedevelops judgment and skills and these qualities can only come from responsibility withfeedback. Supervision not only involves an assessment of the resident’s clinical knowledge andskills, but also interpersonal (professional and patient) skills essential to being an effectivedoctor.Supervision (and evaluation) is a requirement of the ACGME, which certifies all graduatemedical education programs, and is now re-focusing on competency-based curriculum, whichthis program has embraced. Each rotation has the defined competencies, which familyphysicians (and at times family practice residents in this hospital) require to be effective andsuccessful.Supervision also has regulatory components affecting the supervising physician and his/herobligations as described in Mercy Medical Center Redding’s Policy below. All issues ofsupervision policy are determined at Mercy’s Graduate Medical Education Committee, whichconsists of attending physicians, faculty, chief resident and administrative representatives(including the Vice President of Medical Affairs).Page 116 of 153POLICY STATEMENT ON GRADUATE MEDICAL EDUCATION PROGRAMMERCY MEDICAL CENTER REDDINGSUPERVISION OF A RESIDENT1. Attending staff physicians who agree to supervise residents do so under privileges granted to theattending by the medical staff. Residents themselves do not have privileges at Mercy MedicalCenter Redding. Accordingly, in accepting the attending role, a medical staff member agrees toassume responsibility for appropriate supervision of the residents' patient care. Medical staffmembers have the option of not participating in resident supervision and/or teaching.2. The attending physician is responsible to round everyday he/she is on service with the residentteam. The attending physician is responsible to review the clinical records of all patients onhis/her service, checking the work-up and progress notes of the residents. This monitoring shouldinclude attention to the resident’s ability to structure a differential diagnosis and diagnostic plan,review of therapeutic options and approval of all medications and therapies prescribed by theresident. The attending physician is responsible for signing off on the clinical records includingdischarge summaries of all patients admitted to their service. The attending physician will write abrief admission note or co-sign the residents’ admission note within 24 hours of admission. Forall admissions, the attending will review the resident progress notes daily and either co-sign, orwrite a separate note. For billing it is the attending physician’s responsibility to follow insuranceC:\Documents and Settings\dhutak\Desktop\rshb13.doc