Resident Handbook - UC Davis Health System

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6. FPS resident if not the only senior covering inpatient services7. Residents on outpatient rotationsThe clinic manager or clinic director will make the final determination in cases that are unclear.SUPERVISION REQUIREMENTS FOR MEDI-CALCHW Graduate Medical Education Uniform Policy for California HospitalsThe requirements effective as of 2004 are more stringent than the Medicare billingrequirements. We will no longer be able to employ the 6-month Medicare exemption. Instead,we must have the teaching physician present for all billable patient care services performed byunlicensed residents. This includes all interns and all second year residents who have notreceived their licenses. More details about supervision guidelines are included below:FIRST YEAR RESIDENTS• All patients must be verbally presented in detail to the preceptor.• All patients seen by PGY1s must be physically seen and evaluated by the preceptor with caredocumented in the chart.• The preceptor must directly supervise all procedures.SECOND AND THIRD YEAR RESIDENTS• All patients seen by unlicensed PGY2s must be physically seen and evaluated by thepreceptor with care documented in the chart.• For licensed PGY2s and PGY3 s, all patient care must be reviewed with the preceptor duringor immediately after each visit.• E/M codes 99201, 99202, 99211 99212, 99203, and 99213 qualify for an exception and neednot be seen by the preceptor unless clinically warranted.• The preceptor must see all patients seen by residents on visits with E/M codes 99204, 99214,99205 and 99215.• The preceptor must directly supervise all proceduresPRECEPTOR RESPONSIBILITIES• May supervise no more than four residents (or other students) at any given time.• Must be on site and immediately available.• Must assume responsibility for care given by residents.• Must have no other responsibilities at the time of teaching (including supervision of otherpersonnel or clinical duties). An exception will be made when there is only one resident inclinic, during which time the preceptor may see one patient per hour.• Must review each patient’s care with each resident in a timely manner and appropriatelydocument the extent of his/her participation in the review and direction of care.• The preceptor must be present during all critical and key portions of all procedures.Page 152 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
• Must document his/her role in supervision on the resident’s chart note. If the note is dictated,he/she documents on the resident’s handwritten note.• Additional preceptor responsibilities include reviewing residents’ charts for propercompletion of the Medication List, Problem List, HCM, and Billing.Approved:Duane Bland, MDResidency Director ____________________________ Date______________Steve Namihas, MDAssociate Director ____________________________ Date______________Anne Neumann, DOChief ResidentMeghan McClymont, DOChief Resident____________________________ Date__________________________________________ Date______________Page 153 of 153C:\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
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Significant training continues duri
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. Hospital Leadership TrainingResid
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• Health systems training• Prac
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Alternative Scholarly Activities:1.
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B. Service DescriptionC. DutiesThe
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• Summarize areas of needed impro
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as physicians, but especially inter
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CHIEF RESIDENTS:The Chief Residents
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. If the goal is not met as determi
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• Complete, or provide evidence o
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Grounds for Disciplinary Action:Gro
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Appeal:include the reasons supporti
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MFHC conducts a health center evalu
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UNFINISHED BUSINESS:NEW BUSINESSDEP
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must protect itself from possible s
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MEDICAL STAFF BYLAWS / RULES AND RE
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Page 105 and 106: GYNECOLOGY PROCEDURE LISTPROCEDURES
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Page 121 and 122: Page 121 of 153WORK HOURSResidency
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Page 125 and 126: 3. Privacy: Knock before entering i
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Page 137 and 138: pertinent information. Dr. DeVlamin
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Page 148 and 149: chart holder that corresponding to
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Resident Handbook - UC Davis Health System

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