Resident Handbook - UC Davis Health System

Practice preceptors who rotate onto the service each week. This senior resident “runs” theservice and has oversight of continuity residents as well. On weekends, holidays, andafter 5:00 p.m., the residents on call will be responsible for covering the FPS patients inaddition to other service patients on medicine, pediatrics and obstetrics.Residents are expected to round on all patients between 7:00 am and 9:00 am. Roundswith the attending have been occurring from 8:00 am to 9:00 am, but several attendingsare scheduling rounds in the afternoon to give more time for teaching. This is arrangedon an attending-by attending basis. Outpatient clinic is an important part of this rotation.Residents will be in the FPC from 10 to 12, seeing work-ins, hospital follow-ups, acutepatients, and their own continuity patients. Call for the FPS resident will include twoFridays/month, thus eliminating any post-call afternoon coverage problems in house andallowing for Saturday am rounds.When a resident (or faculty member) sees and admits his/her continuity patient fromMFHC, it is the responsibility of that PCP (Primary Care Physician) in the clinic to writeadmit orders and the admission H&P. If another provider is seeing the patient and the FPservice resident is available, the FP service resident should do admit orders and the H&P.If the FP service resident is not available, then admit orders and the H&P are to be doneby the provider seeing the patient at clinic. It is the duty of the physician writing theadmission orders to contact the FPS preceptor at the time of admission.The PCP of admitted patients, whether resident or faculty, should be alerted that theirpatient is in house no later than the morning following admission on weekdays, and onMonday morning for weekend admissions. PCPs are expected to round daily onweekdays, and to be actively involved in their patient’s care and disposition on discharge.As a reminder, a list of residents who have patients in the hospital will be available atnoon conference; residents are expected to sign-off that they have seen their continuitypatients.MFHC continuity OB patients are to be taken care of by their PCP or their OB residentpartners under the supervisions of OB faculty or FP Faculty (Dr. Edwards). Newbornsgo to the FP Service.Once six patients are on the FP service, a redistribution policy will go into effect unlessthe FP service team (resident & attending) agrees not to enact the policy. Once the policyis enacted, faculty and/or 3rd year resident patients that have been on the service thelongest will be taken over by their PCP until six or fewer patients are on the service (thefamily practice attending physician will continue to provide preceptor services to thePGY3 in such circumstances). If the service still has an excess number of patients,PGY2s will assume care of their continuity patients with attending backup. All patientsbeing taken care of by their PCPs will remain on the FPS computer list. Once a patient'scare is taken over by his PCP, that person will provide care throughout the remainder ofthe hospital stay. Well newborns will not count towards the total number of patients onthe service and should be followed by the resident providing care for the newly deliveredmom. The faculty members or senior residents following their own patients areresponsible to sign out those patients before 5:30pm Mon. - Fri to the FPS resident so thePage 49 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc