UCSF Dermatology Residency Handbook - Dermatology - University ...

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22 RESIDENCY HANDBOOK 2010-2011 (b) The Program Coordinator and Program Director compile work hours data and report it yearly using the ACGME WebADS system. This occurs between November and January. (b) Once during the year residents may also be asked to carry a card for a week on which each resident lists his/her time in and time out. At the conclusion of the reporting period, the cards are submitted to the Program Director for review. D) Stress and Fatigue 1) Education (b) The residents are required to review the presentation entitled “Monitoring Fatigue and Performance: Implications for Resident Duty Hours” by David F. Dinges, PhD, on the GME website at http://www.medschool.ucsf.edu/gme and sign a form attesting they have done so. (b) Fatigue education will also take place during resident/fellow orientation for new and continuing Dermatology Housestaff by the Residency Program Director on July 1 of each academic year. (b) Fatigue education for the faculty consists of annual review of the presentation entitled “Monitoring Fatigue and Performance: Implications for Resident Duty Hours” by David F. Dinges, PhD on the GME website at http://www.medschool.ucsf.edu/gme and notify the Program Coordinator, in writing, that they have done so. 2) Monitoring Methodology (b) Faculty assessment: Residents spend a minimum of 3 to 4 hours each day in face to face interactions with an attending. The faculty assesses by observation residents fatigue and stress levels on a daily basis. Faculty and residents are educated to recognize the signs of fatigue and adopt and apply policies to prevent and counteract the potential negative effects. (b) Resident self-assessment: If a resident feels that they are fatigued or that any stressors are affecting their ability to ability to function as a resident physician, he/she must bring this to the immediate attention of an attending. 3) Back-up Systems for Fatigue (b) If a resident is found to be, under stress or fatigue that impacts his/her ability to function as a resident physician, he/she is sent home and the attending or another resident will cover the responsibility. X) Resident Supervision A) Faculty Supervision of Residents in Clinics 1) All patient care is supervised by qualified faculty. 2) At all three clinical sites, full-time faculty supervise residents on-site during patient care activities in the clinics. This continuous supervision and consultation is clearly documented on the faculty attending schedules at all three sites. 3) There must be a ratio of resident to faculty in patient care settings of 3 to 1 or less. 4) Faculty must not have other obligations during teaching time. 5) Such supervision will occur in structured, patient-oriented, small group educational activities, such as outpatient general dermatology clinics and outpatient subspecialty dermatology clinics. B) Faculty Supervision of Residents During On-Call Activities 1) On-call residents responsible for consults in the inpatient setting present all patients to faculty members. (See separate departmental policy regarding when immediate attending notification is required for inpatient consulations). 2) For weekend/holiday call, the on-call resident is expected to contact the on-call attending at the beginning of the call period (5pm on Friday, for instance) to
RESIDENCY HANDBOOK 2010-2011 confirm contact numbers, review existing patients (as needed), discuss plans for rounding (as needed), and discuss contingencies for reviewing new consults. 3) The ward attending schedule provides the residents with a rapid, reliable system for communicating with supervising faculty about inpatient consults. 4) The ward attending is available to the consult resident 24 hours per day, 7 days per week, by pager and telephone. (a) In the rare event that the resident is unable to reach the ward attending, the schedule clearly identifies a back-up attending, who is available 24 hours per day, 7 days a week. (b) In the event that an on-call resident is unable to reach both the ward and backup attendings, the residency program director and the department chair are both available by cell phone. (c) At no time is a consult resident ever left without reliable, available faculty consultation. XI) Academic Due Process and Dismissal Policies A) The Dermatology Residency Program abides by the UCSF GME Academic Due Process Policy, which sets forth administrative and academic actions (such as counseling letter, notice of concern, probation, suspension, requirement to repeat an academic year, nonrenewal of contract, dismissal, etc.). Importantly, this policy also establishes procedures that residents may use to resolve differences when such actions occur, and lays out appeals processes for certain appealable actions. The complete policy is available in the UCSF GME Resident Handbook and online at the UCSF GME Website. B) In accordance with the University GME Dismissal policy and the Academic Due Process Policy, a trainee may be dismissed from the Dermatology Residency Program for academic deficiencies. This action is appealable to the Dean of the School of Medicine. Reasons for dismissal may include, but are not limited to the following: 1) A failure to achieve or maintain Dermatology Training Program standards in any competency area; 2) A serious or repeated act or omission compromising acceptable standards of patient care, including by not limited to an act which constitutes a medical disciplinary cause or reason; 3) Unprofessional, unethical or other behavior that is otherwise considered unacceptable by the Dermatology Training Program; 4) A material omission or falsification of an application for the Dermatology Training Program, medical record, or University or medical document, including billing records. Any allegation regarding failure to comply with UCSF’s billing rules shall be forwarded to UCSF’s Corporate Compliance Officer and/or the Office of General Counsel for resolution in accordance with UCSF’s Corporate Compliance Program. XII) Resident Well-Being A) The Dermatology Residents have access to a variety of systems for supportive intervention for dependency treatment and to obtain counseling services for a broad range of personal problems (i.e. workplace stress, anxiety management, personal or work relationships, depression, grief and loss, caregiver concerns, etc.). B) The Dermatology Department recognizes a broad range of personal issues may arise during the course of a residency and encourages Residents to use any of the following services when necessary: 1) UCSF Physician Well-Being Committee 23
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