Resident Handbook - UC Davis Health System

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• Senior Residents must be notified of all admissions, pending deliveries, or significantchange in patient status. Any item that requires attending notification (see below)also requires communication with the senior resident. The PGY1 resident shouldprovide this notification immediately after evaluating the patient – sooner inemergent or urgent situations• The senior resident must be notified of all pending deliveries and is expected to bepresent for these deliveriesIt is important for both PGY1 and senior residents to follow these procedures. Failure to followthese procedures may result in cessation of the rotation, possible delay in residencyadvancement, and loss of future elective time while the rotation is made up. It is expected thatall residents will continue to follow the usual attending notification guidelines as outlined below:ATTENDING NOTIFICATION GUIDELINESAttending notification guidelines identify specific criteria that should trigger a phone call by aresident to an attending physician to inform the attending of a change in patient condition. It isexpected that the attending will be notified ASAP, following appropriate assessment andstabilization of the patient if necessary, for the following conditions/ circumstances:1. All Admissions2. Any significant change in condition3. Critical labs that may change the course of action of patient care4. Rapid Response Team call, Code, cardiac or respiratory arrest5. Unplanned intervention or transfer to higher level of care6. Iatrogenic event: serious complication from medical intervention7. Initiation of restraints8. Discharge AMA9. Unanticipated death10. At request of staff member, patient or family memberIn Addition for Obstetrics:1. All imminent deliveries2. All non-labor patients after evaluation prior to discharge3. Any significant or unclear FHT or TOCO that may require urgent evaluation and/ortreatment4. Unexpected blood transfusion pre or post delivery without prior attending knowledge orinstruction5. Fetal demiseIn Addition for Normal Newborns:1. Any concern or complication2. Any potential NICU transferNote: According to hospital Maternity Service Structure Standards normal newborns mustbe seen by attending within 18hrs of deliveryPage 120 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
Page 121 of 153WORK HOURSResidency Work Hours are monitored by the residency office. Residency rotation, clinic,conference attendance, and call expectations are structured to meet the work hour restrictions.The chief resident makes the monthly call schedules which are reviewed by the program directorto assure compliance. Residents sign a form at the end of each rotation confirming the schedulewas followed as written and document any work hour violations. Beginning in academic year2011-2012, the residency program is requiring documentation of hours worked using an on-lineprogram - New Innovations. In the event of a work hour violation, the program director exploresthe circumstance with the goal of preventing further occurrences.The Mercy Redding Family Practice Residency Program follows The ACGME ApprovedStandards for residency work hours effective July 2011:Maximum Hours of Work per Week - Duty hours must be limited to 80 hours per week,averaged over a four week period, inclusive of all in-house call activities and all moonlighting..Moonlighting - Moonlighting must not interfere with the ability of the resident toachieve the goals and objectives of the educational program. Time spent by residents in Internaland External Moonlighting (as defined in the ACGME Glossary of Terms) must be countedtowards the 80-hour Maximum Weekly Hour Limit. PGY-1 residents are not permitted tomoonlight.Mandatory Time Free of Duty- Residents must be scheduled for a minimum of one day free ofduty every week (when averaged over four weeks). At-home call cannot be assigned on thesefree days.Maximum Duty Period Length - Duty periods of PGY-1 residents must not exceed 16 hours induration. Duty periods of PGY-2 residents and above may be scheduled to a maximum of 24hours of continuous duty in the hospital. Programs must encourage residents to use alertnessmanagement strategies in the context of patient care responsibilities. Strategic napping,especially after 16 hours of continuous duty and between the hours of 10:00 p.m. and 8:00a.m. is strongly suggested. It is essential for patient safety and resident education that effectivetransitions in care occur. Residents may be allowed to remain on-site in order to accomplishthese asks; however, this period of time must be no longer than an additional four hours.Residents must not be assigned additional clinical responsibilities after 24 hours of continuousin-house duty. In unusual circumstances, residents, on their own initiative, may remain beyondtheir scheduled period of duty to continue to provide care to a single patient. Justifications forsuch extensions of duty are limited to reasons of required continuity for a severely ill or unstablepatient, academic importance of the events transpiring, or humanistic attention to the needs of apatient or family. Under those circumstances, the resident must: appropriately hand over the careof all other patients to the team responsible for their continuing care; and document the reasonsfor remaining to care for the patient in question and submit that documentation in everycircumstance to the program director. The program director must review each submissionof additional service, and track both individual resident and program-wide episodes of additionalduty.C:\Documents and Settings\dhutak\Desktop\rshb13.doc
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Resident HandbookMercy Redding Fami
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PEDIATRICS/OB......................
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MASTER SCHEDULE:...................
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Resident HandbookMercy Redding Fami
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efore the start of the rotation tha
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Cardiology Competencies - PGY3Cogni
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Understand and describe Home care a
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Page 15 of 1532. OBRA "87 & "94 Reg
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Skills1. Monitor interpretation for
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Page 19 of 153Skills1. Diagnosis an
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1. Management of well child care2.
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3. Lab interpretation of joint flui
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5. Hemorrhoid I & D6. Fluid and Ele
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B. Service DescriptionC. DutiesA tw
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C. DutiesAttendance at the cardiolo
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Dermatology Clinic (C1 and C2 - MFH
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Vasectomy Clinic (C1 - FPI)Resident
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ability to maximize their health/he
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hospital care of common ENT conditi
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viii. Resident may be responsible f
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Rawlings or Dr. Bland so we can mak
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for EM occur once a month(on the th
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Emergency Medicine Rotation Require
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HOME VISITSEach resident is to make
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Practice preceptors who rotate onto
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A. Service GoalsAs a second and thi
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attending re: the patient’s statu
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Attending duties:• Be the attendi
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11-15: the night shift resident rou
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ED, and admitted, must be discussed
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D. Service Guidelines: OBSTETRICS S
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OPHTHALMOLOGYA. Service GoalsThe go
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CLIA testing & LunchEpisiotomy Trai
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10) Concussion11) Athlete’s heart
Page 69 and 70: Significant training continues duri
Page 71 and 72: . Hospital Leadership TrainingResid
Page 73 and 74: • Health systems training• Prac
Page 75 and 76: Alternative Scholarly Activities:1.
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Page 79 and 80: • Summarize areas of needed impro
Page 81 and 82: as physicians, but especially inter
Page 83 and 84: CHIEF RESIDENTS:The Chief Residents
Page 85 and 86: . If the goal is not met as determi
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Page 89 and 90: Grounds for Disciplinary Action:Gro
Page 91 and 92: Appeal:include the reasons supporti
Page 93 and 94: MFHC conducts a health center evalu
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Page 97 and 98: must protect itself from possible s
Page 99 and 100: MEDICAL STAFF BYLAWS / RULES AND RE
Page 101 and 102: other educational items as approved
Page 103 and 104: o Schedule II drugs may be written
Page 105 and 106: GYNECOLOGY PROCEDURE LISTPROCEDURES
Page 107 and 108: Breast FNA 0 5Wound Debridement 2 2
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Page 115 and 116: service for which the vacation is g
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Page 123 and 124: IV: ADDENDUM: Mercy Family Health C
Page 125 and 126: 3. Privacy: Knock before entering i
Page 127 and 128: All new warfarin patients will be g
Page 129 and 130: MANAGEMENT OF SIGNIFICANTLY ELEVATE
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Page 133 and 134: c. When C1 reviews lab and finds an
Page 135 and 136: Colposcopy Clinics (C2 - MFHC and S
Page 137 and 138: pertinent information. Dr. DeVlamin
Page 140 and 141: 3. Perform a surgical “time out
Page 142 and 143: • If in doubt, contact the Reside
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Page 146 and 147: Please note: If you have more than
Page 148 and 149: chart holder that corresponding to
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Page 152 and 153: 6. FPS resident if not the only sen
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Resident Handbook - UC Davis Health System

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