Resident Handbook - UC Davis Health System

. If the goal is not met as determined by quarterly audit, the resident will bescheduled to give a noon conference case presentation on one of his or herpatients.COUNTERSIGNATURE REQUIREMENTS FOR RESIDENT CHARTS:In addition to the preceptor’s own written notes, resident charts require faculty preceptorcountersignature on the H&P, Discharge Summary, and any Operative/Procedure Notes dictated,and the format needs to comply with Mercy Medical Center Staff Bylaws. The H&P needs to becountersigned by the faculty attending on service at the time of the patient's admission. Theresident will note on the dictation itself who that attending is. For example, for a nighttimepediatric admission, the attending responsible to countersign the H&P will be the on-callpediatrician whom the resident contacted at the time of the patient's admission.The Discharge Summary needs to be countersigned by the faculty attending involved the day ofdischarge. The resident will note on the dictation itself who that attending is. The resident willalso note to whom the patient is being sent for further care. This could be an individualphysician or a facility (e.g. SCHC). This information should also be placed on the dischargeorder sheet since many individuals and agencies need this information shortly before or afterdischarge.The “surgeon” of record should countersign operative reports dictated by residents. Theattending physician listed by the resident in the dictation should countersign procedure notes.First-year resident orders for discharge medications require the countersignature of a licensedphysician (resident or attending).Page 85 of 153CONSENTS AND RELATED MATTERS:Up to date information of consents may be found in the Hospital Consent Policy and/orCalifornia Hospital Association (CHA) Consent Manual located in Risk ManagementServices, Health Information Management, Emergency Departments, and Mercy FamilyHealth Center.CRITERIA FOR ADVANCEMENT/PROMOTION OF RESIDENTS IN FAMILYPRACTICE:The decision to promote a resident each year shall be determined by the Residency director withthe advice of the promotions board and faculty. The method of evaluation shall consist of directobservation of the resident as well as by indirect observation through videotapes, rotationevaluations, and written examination (National Boards, In-training exams). It is expected thatresidents will participate in all aspects of the curriculum, as well as in the periodic evaluation ofeducational experiences and faculty. It is further expected that residents will complete alladministrative responsibilities of a resident, including medical records, licensure, credentialing,etc. in a timely fashion. Incorporated into the criteria for advancement are the ACGME’s sixC:\Documents and Settings\dhutak\Desktop\rshb13.doc