Resident Handbook - UC Davis Health System

1. According to the ACGME program requirements:Residents' FMC assignments over the course of 3 years of trainingmust include progressive responsibility for increased patient visitvolume and visit efficiency. The 3-year FMC experience for eachresident must include a documented total of at least 1650 patientvisits, with at least 150 visits occurring in the first year. Thenumber of patient visits from resident participation at a secondFMC and/or from other longitudinal clinics may be counted towardthe total number of patient visits if these visits are supervised byfamily physician faculty and if it can be documented that thesepatients are seen in continuity by the residents.Since continuity requires following patients to other settings, thecontinuity visit numbers may also include patients from theresidents’ panels who are seen at home, at long-term care sites, andpatients seen in an OB continuity care setting.REFERRAL PROTOCOLIn the past, we have received complaints from consultants regarding the lack of pertinentinformation when patients are referred from MFHC. Because of this problem, many consultantsnow refuse to accept referrals from our clinic. To address this issue, we have referral protocol,which all clinic providers must follow when obtaining consultation outside of the residencyclinic.1. Resident cases must be discussed with the clinic attending physician prior to referral.2. Residents must complete the referral form and also dictate a note so the consultingphysician will have pertinent information when seeing the patient.a. The referral note may be dictated in the form of a clinic note, with instructions forthe transcriptionist to send a copy to the consultant.b. Use the “stat” dictation line (01) for urgently needed referrals.3. The dictated referral note must include the following pertinent information:a. The patient’s general medical condition and current medical statusb. Past medical informationc. Medication listd. Prior studies, treatments, and procedurese. Any other information that would assist the consultantREPORTABLE CASESCalifornia law mandates that all health care practitioners make a formal report to the relevantauthorities when encountering cases in which there is:Page 150 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc