Resident Handbook - UC Davis Health System

Residents following patients for their prenatal care at the family health center areexpected to deliver these patients and follow them post partum.Residents should establish backup with one or two fellow residents, so that they cancover for each other in the event of away electives, vacations, etc. The backup residentshould meet with and establish a relationship with the patient at some point duringprenatal care, preferably during the first or second trimester. The backup’s name shouldbe noted in the chart so that he/she can assume responsibilities for the patient in theabsence of the primary resident.Prenatal patients who become high risk or with whom questions arise should beappropriately discussed with an OB attending and/or referred to the Mercy MaternityClinic for care as appropriate.A. Service Goals:FAMILY PRACTICE SERVICE (Inpatient/Outpatient Rotation)The family practitioner must be competent to manage the care of his/her patients in thehospital, either in its entirety or as the coordinator and manager of the more complexpatients involving multiple specialists. In addition, the practitioner cares for the patientpre- and post-hospitalization and interacts with family members as appropriate. Theskills and experience therefore go well beyond a disease/illness orientation. The RRC inFamily Practice considers this experience so important that it requires the family practiceresident to follow any of their continuity patients when admitted to the hospital unlesstheir current rotation makes this impossible (e.g. Away Elective). (See also ResidencyGoals and Competencies)B. Service Description:C. DutiesAll resident adult and pediatric continuity patients, Mercy Family Health Center (MFHC)faculty patients, and Hill Country Community Clinic (HCCC) patients are admitted to theFamily Practice Service (FPS). The FPS will also admit pediatric and newborn patientswho receive their primary care from Redding Family Medicine Group.All Residents are required to follow their continuity patients in-house along with the FPSteam, writing a "primary care doctor" note daily. While this can be a challenge at times,continuity of care is a foundation of family practice and one of the EssentialRequirements of the ACGME. One PGY III resident is assigned to the service eachrotation and provides primary in-house coverage for patients and meets daily with FamilyPage 48 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc