Resident Handbook - UC Davis Health System

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<strong>Resident</strong> <strong>Handbook</strong>Mercy Redding Family Practice Residency Program2012-2013I. WELCOME ................................................................................................................. 7Our Mission: ................................................................................................................................................................7RESIDENCY GOALS & COMPETENCIES ...........................................................................................................8OUR PARTNERSHIP IN LEARNING...................................................................................................................26II. CLINICAL ROTATIONS AND EXPERIENCES ........................................................ 26ADVANCED LIFE SUPPORT TRAINING ...........................................................................................................26BEHAVIORAL SCIENCE CURRICULUM ..........................................................................................................26CARDIOLOGY .........................................................................................................................................................28CLINIC I and CLINIC II ROTATIONS ................................................................................................................29COMMUNITY MEDICINE.....................................................................................................................................33CONTINUITY HOME CARE VISITS ...................................................................................................................34ENT.............................................................................................................................................................................36ELECTIVES ..............................................................................................................................................................37EMERGENCY MEDICINE.....................................................................................................................................39THE FAMILY PRACTICE CENTER ....................................................................................................................46FAMILY HEALTH CENTER CONTINUITY OBSTETRICS EXPERIENCE .................................................47FAMILY PRACTICE SERVICE (Inpatient/Outpatient Rotation)......................................................................48GYNECOLOGY........................................................................................................................................................50INTENSIVE CARE UNIT........................................................................................................................................51INTERNAL MEDICINE SERVICE........................................................................................................................52INTERNAL MEDICINE-NIGHT SHIFT...............................................................................................................56Page 2 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
PEDIATRICS/OB......................................................................................................................................................58OPHTHALMOLOGY...............................................................................................................................................63ORIENTATION ........................................................................................................................................................63ORTHOPEDICS/ SPORTS MEDICINE ................................................................................................................66PEDIATRIC OUTPATIENT ROTATION.............................................................................................................67MANAGEMENT OF HEALTH SYSTEMS...........................................................................................................67RESIDENT PRESENTATIONS AND SCHOLARLY ACTIVITY......................................................................73RESEARCH...............................................................................................................................................................75RURAL FAMILY MEDICINE ................................................................................................................................75SURGERY ROTATION...........................................................................................................................................76URGENT CARE (Elective).......................................................................................................................................76UROLOGY ................................................................................................................................................................77III. POLICIES AND PROCEDURES.............................................................................. 78ACADEMIC COUNSELING:..................................................................................................................................78ADMITTING PROCEDURES: ...............................................................................................................................79ADVANCE DIRECTIVES, NO CODE/NO CPR/DNR ORDERS: ......................................................................80APPEARANCE: ........................................................................................................................................................80AUTOPSIES: .............................................................................................................................................................80BALINT GROUP/ RESIDENT SUPPORT/ INTERN CONFERENCE:.............................................................80BOARD CERTIFICATION:....................................................................................................................................82CONFERENCES:......................................................................................................................................................83CONTINUITY POLICY...........................................................................................................................................84COUNTERSIGNATURE REQUIREMENTS FOR RESIDENT CHARTS: ......................................................85CONSENTS AND RELATED MATTERS:............................................................................................................85CRITERIA FOR ADVANCEMENT/PROMOTION OF RESIDENTS IN FAMILY PRACTICE: .................85DEATH RELATED ISSUES:...................................................................................................................................87DOCUMENTATION OF RESIDENCY EXPERIENCE: .....................................................................................88Page 3 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
Page 1: Resident HandbookMercy Redding Fami
Page 5 and 6: MASTER SCHEDULE:...................
Page 7 and 8: Resident HandbookMercy Redding Fami
Page 9 and 10: efore the start of the rotation tha
Page 11 and 12: Cardiology Competencies - PGY3Cogni
Page 13 and 14: Understand and describe Home care a
Page 15 and 16: Page 15 of 1532. OBRA "87 & "94 Reg
Page 17 and 18: Skills1. Monitor interpretation for
Page 19 and 20: Page 19 of 153Skills1. Diagnosis an
Page 21 and 22: 1. Management of well child care2.
Page 23 and 24: 3. Lab interpretation of joint flui
Page 25 and 26: 5. Hemorrhoid I & D6. Fluid and Ele
Page 27 and 28: B. Service DescriptionC. DutiesA tw
Page 29 and 30: C. DutiesAttendance at the cardiolo
Page 31 and 32: Dermatology Clinic (C1 and C2 - MFH
Page 33 and 34: Vasectomy Clinic (C1 - FPI)Resident
Page 35 and 36: ability to maximize their health/he
Page 37 and 38: hospital care of common ENT conditi
Page 39 and 40: viii. Resident may be responsible f
Page 41 and 42: Rawlings or Dr. Bland so we can mak
Page 43 and 44: for EM occur once a month(on the th
Page 45 and 46: Emergency Medicine Rotation Require
Page 47 and 48: HOME VISITSEach resident is to make
Page 49 and 50: Practice preceptors who rotate onto
Page 51 and 52: 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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other educational items as approved
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o Schedule II drugs may be written
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GYNECOLOGY PROCEDURE LISTPROCEDURES
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Breast FNA 0 5Wound Debridement 2 2
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Addressing Patients’ Perceptions:
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Reportable Diseases and Conditions:
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admission (e.g., circumstances may
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service for which the vacation is g
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(i.e. Medicare, Medi-Cal, etc.) req
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Call Expectations and Supervision R
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Page 121 of 153WORK HOURSResidency
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IV: ADDENDUM: Mercy Family Health C
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3. Privacy: Knock before entering i
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All new warfarin patients will be g
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MANAGEMENT OF SIGNIFICANTLY ELEVATE
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Beef liver Garbanzo beans SeaweedBr
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c. When C1 reviews lab and finds an
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Colposcopy Clinics (C2 - MFHC and S
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pertinent information. Dr. DeVlamin
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3. Perform a surgical “time out
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• If in doubt, contact the Reside
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Immediate feedback (Formative Evalu
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Please note: If you have more than
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chart holder that corresponding to
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1. According to the ACGME program r
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6. FPS resident if not the only sen
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Resident Handbook - UC Davis Health System

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