Medical Staff House Staff Orientation Manual - Montefiore Medical ...

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• interviews with the program director, faculty, and residents in the program and individuals outside the program deemed appropriate by the committee • There must be a written report of each internal review that is presented to and reviewed by the GMEC for the monitoring of areas of noncompliance and appropriate action. In addition, this report or a succinct summary of each report is required as part of the ACGME institutional review document. • Although departmental annual reports are often important sources of information about a residency program, they do not in themselves necessarily meet the requirement for a periodic review. • Assurance that each residency program establishes and implements formal written criteria and processes for the selection, evaluation, promotion, and dismissal of residents in compliance with both the Institutional and relevant Program Requirements. • Assurance of an educational environment in which residents may raise and resolve issues without fear of intimidation or retaliation. This includes: • Provision of an organizational system for residents to communicate and exchange information on their working environment and their educational programs. This may be accomplished through a resident organization or other forums in which to address resident issues. • A process by which individual residents can address concerns in a confidential and protected manner. • Establishment and implementation of fair institutional policies and procedures for academic or other disciplinary actions taken against residents. • Establishment and implementation of fair institutional policies and procedures for adjudication of resident complaints and grievances related to actions which could result in dismissal, nonrenewal of a resident’s contract, or other actions that could significantly threaten a resident's intended career development. • Collecting of intra-institutional information and making recommendations on the appropriate funding for resident positions, including benefits and support services. • Monitoring of the programs in establishing an appropriate work environment and the duty hours of residents. • Assurance that each program provides a curriculum and an evaluation system to ensure that residents demonstrate competence in the general areas listed in II.B, and as defined in each set of Program Requirements. Institutional Agreements When resident education occurs in a participating institution, the sponsoring institution continues to have responsibility for the quality of that educational experience and must retain authority over the residents' activities. Therefore, current institutional agreements must exist with all of its major participating institutions. Accreditation for Patient Care Institutions sponsoring or participating in GME programs should be accredited by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), if such institutions are eligible. If an institution is eligible for JCAHO accreditation and chooses not to undergo such 30
accreditation, then the institution should be reviewed by and meet the standards of another recognized body with reasonably equivalent standards. If the institution is not accredited, it must provide a satisfactory explanation of why accreditation has not been either granted or sought. Resident Eligibility and Selection The sponsoring institution must have written policies and procedures for the recruitment and appointment of residents that comply with the requirements listed below, and it must monitor the compliance of each program with these procedures. RESIDENT ELIGIBILITY Applicants with one of the following qualifications are eligible for appointment to accredited residency programs: • Graduates of medical schools in the United States and Canada, accredited by the Liaison Committee on Medical Education (LCME. • Graduates of colleges of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA) • Graduates of medical schools outside the United States and Canada who meet one of the following qualifications: • Have received a currently valid certificate from the Educational Commission for Foreign Medical Graduates, or • Have a full and unrestricted license to practice medicine in a US licensing jurisdiction • Graduates of medical schools outside the United States who have completed a Fifth Pathway program provided by an LCME-accredited medical school. [Note.- A Fifth Pathway program is an academic year of supervised clinical education provided by an LCME accredited medical school to students who meet the following conditions: • Have completed, in an accredited college or university in the United States, undergraduate premedical education of the quality acceptable for matriculation in an accredited United States Medical school • Have studied at a medical school outside the United States and Canada but listed in the World Health, Organization Directory of Medical Schools • Have completed all of the formal requirements of the foreign medical school except internship and/or social service • Have attained a score satisfactory to the sponsoring medical school on a screening examination • Have passed either the foreign Medical Graduate Examination in the Medical Sciences, Parts I and II of the examination of the National Board of Medical Examiners, or Steps 1 and 2 of the United States Medical Licensing Examination (USMLE) RESIDENT SELECTION The sponsoring institution must ensure that programs select from among eligible applicants on the basis of the preparedness, ability, aptitude, academic credentials, communication skills, and personal qualities such as motivation and integrity. Programs must not discriminate with regard to sex, race, age, religion, color, national origin, disability, or veteran status. In selecting from among qualified applicants, it is strongly-suggested that institutions and all of their sponsored programs participate in an organized matching program, where available, such as the National Resident Matching Program (NRMP). 31
Page 1 and 2: Medical Staff House Staff Orientati
Page 3 and 4: We would like to take this opportun
Page 5 and 6: Montefiore’s Institute for Reprod
Page 7 and 8: TABLE OF CONTENTS SECTION 1- Genera
Page 9 and 10: Plastic and Reconstructive Surgery
Page 11 and 12: SECTION 1 • GENERAL INFORMATION 1
Page 13 and 14: Contract Management Organization (C
Page 15 and 16: Neurology M 4656 3351 Steuben A 316
Page 17 and 18: MOSES NURSING STATIONS C 741-2377 P
Page 19 and 20: M 5584 Lupus Clinic M 5584 Neurolog
Page 21 and 22: MEDICAL STAFF CREDENTIALING OFFICE
Page 23 and 24: MONTEFIORE INTEGRATED PROVIDER ASSO
Page 25 and 26: • Referral by the ED physician is
Page 27 and 28: HOUSE STAFF OFFICE 150 East 210th S
Page 29: • Institutions must have a GME Co
Page 33 and 34: and the conditions under which livi
Page 35 and 36: • Patient support services, such
Page 37 and 38: following: counseling, appointment
Page 39 and 40: Physician Impairment and Drug Abuse
Page 41 and 42: participants the opportunity to com
Page 43 and 44: WALDO AVENUE SHUTTLE Those resident
Page 45 and 46: First Year Residents: Assignments o
Page 47 and 48: SECTION III • MONTEFIORE MEDICAL
Page 49 and 50: Administrator: Jennifer Ortiz Medic
Page 51 and 52: Medical Director: Marta Rico, MD, A
Page 53 and 54: 2532 Grand Concourse Bronx, New Yor
Page 55 and 56: Briggs Avenue Academy 3010 Briggs A
Page 57 and 58: Nurse: Maria Campos, LPN Sheila Mon
Page 59 and 60: Gloria Feliciano - Director FRANKLI
Page 61 and 62: ANESTHESIOLOGY Chairman 718-920-280
Page 63 and 64: Director John Fisher, MD 718-920-42
Page 65 and 66: Christine Clarke 718-920-5996 PROGR
Page 67 and 68: SOCIAL PEDIATRICS 3544 Jerome Ave.
Page 69 and 70: Vladimir Kvetan, MD 718-920-5440 De
Page 71 and 72: Residency Program Director Eugene S
Page 73 and 74: No procedure can be performed until
Page 75 and 76: Bronx, New York 10461 Administrativ
Page 77 and 78: Director, Education Programs Rasim
Page 79 and 80: North Central Bronx Hospital 718-51
Page 81 and 82:
Arlene Saunders 718-741-2492 Admini
Page 83 and 84:
printed name of the referring physi
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The radiology department at Jack D.
Page 87 and 88:
Pediatric Surgery 718-920-7200 Burt
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SECTION V • POLICIES AND PROCEDUR
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Note: This summary contains key poi
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WHERE: • Advance directives are a
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• family has moral or religious o
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• OD1091-4 Affidavit of Close Fri
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Bioethics (Moses) 718- 920-6226 (We
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HOW: • Capacitated patients may r
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VERIFICATION OF OPERATIVE PROCEDURE
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INFECTION CONTROL PROGRAM Moses Nur
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person who feels that he/she may be
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CONTROLLED SUBSTANCES IN THE MEDICA
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• Practitioners will immediately
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One Quality Improvement Plan exists
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SECTION VI • SERVICE DEPARTMENTS
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Legal Certificates 718-904-3456 Fin
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CHILD PROTECTION CENTER The Childre
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CME REQUIREMENTS: Attending physici
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Hours: Monday - Friday 8:00AM - 5:0
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delivery system. Medical record inf
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All physician orders whether writte
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additional information is uncovered
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THE TISHMAN LEARNING CENTER HEALTH
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MAILROOM MOSES Brown Zone, Moses Ba
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The mission of the Occupational Hea
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• Families and caregivers need as
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The Patient Safety Officer and the
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Unified Director of Pharmacy Frank
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successful, expanded to other areas
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• Professional Misconduct • Pho
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Outpatient testing, evaluation and
Page 149 and 150:
Office Coordinator Lillian Zambardi
Page 151 and 152:
E Educational Administration 28 Eme
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Paychecks, House Staff 40 Pediatric
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Medical Staff House Staff Orientation Manual - Montefiore Medical ...

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