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

and the conditions under which living quarters, meals and laundry or their equivalents are to
be provided.
• Contracts: Sponsoring institutions must provide residents with a written agreement. or
contract outlining the terms and conditions of their appointment to an educational program,
and the institutions must monitor the implementation of these terms and conditions by the
program directors. The contract must contain or reference at least the following:
• Financial support
• Vacation policies
• Professional liability insurance in conformity with II.C.5
• Disability insurance and other hospital and health benefits for the residents and their
family in conformity with II.C.6
• Professional, parental, and sick-leave benefits in conformity with II.7
• Conditions under which living quarters, meals, and laundry or their equivalents are to
be provided
• Counseling, medical, psychological, and other support services in conformity with
IIC.8
• Institutional policies covering sexual and other forms of harassment
The contract must also delineate or reference specific policies as follows:
• Resident’s duration of appointment and conditions of reappointment
• Professional activities outside the educational program in conformity with II.C.II
• Grievance procedures in conformity with I.B.3.f.4
• Nonrenewal of Contracts: Institutions must ensure that programs provide their residents with
a written notice of intent not to renew a resident’s contract no later than 4 months prior to the
end of the resident’s current contract. However, if the primary reason(s) for the nonrenewal
occurs within the 4 months prior to the end of the contract, institutions must ensure that
programs provide their residents with as much written notice of the intent not to renew as the
circumstances will reasonably allow, prior to the end of the contract. Resident must be
allowed to implement the institution’s grievance procedures as addressed in section I.B.3.F.4,
when they have received a written notice of intent not to renew their contracts.
• Liability Insurance: Residents in GME must be provided with professional liability coverage
for the duration of training. Such coverage must provide legal defense and protection against
awards from claims reported or filed after the completion of GME if the alleged acts or
omissions of the residents are within the scope of the education program. The coverage to be
provided should be consistent with the institution's coverage for other medical/professional
practitioners. Each institution must provide current residents and applicants for residency
with the details of the institution's professional liability coverage for residents.
• Disability Insurance: Institutions sponsoring GME must provide access to insurance, where
available, to all residents for disabilities resulting from activities that are part of the
educational program.
• Leave of Absence: There must be a written institutional policy on leave (with or without pay)
for residents that complies with applicable laws. The institution must provide residents with a
written policy concerning the effect of leaves of absence, for any reason, on satisfying the
criteria for completion of a residency program.
• Counseling Services: GME places increasing responsibilities on residents and requires
sustained intellectual and physical effort. Therefore, institutions should facilitate resident
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