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

• Patient support services, such as intravenous services, phlebotomy services, and
laboratory services, as well as messenger and transporter services, must be provided in a
manner appropriate to and consistent with educational objectives and patient care.
• An effective laboratory, medical records, and radiological information retrieval system
must be in place to provide for appropriate conduct of the educational programs and
quality and timely patient care.
• A medical records system that documents the course of each patient’s illness and care
must be available at all times and must be adequate to support the education of residents,
support quality-assurance activities, and provide a resource for scholarly activity.
• Appropriate security and personal safety measures must be provided to residents in all
locations including but not limited to parking facilities, on-call quarters, hospital and
institutional grounds, and related clinical facilities (e.g., medical office building).
Licensing
According to the New York State Education Department, interns and residents participating in an
accredited training program need not be licensed. It is the Medical Center's recommendation that
all Clinical/Fellows, chief residents, and senior chief residents at the Medical Center be in
possession of a New York State license or limited permit on July 1 of the academic year in
question. Applications for licensure or limited permit are available on the internet at
www.op.nysed.gov or by calling NYS Education @ (518) 474-3841.
DEA Registration Number
In order to prescribe and administer narcotics to Hospital inpatients or outpatients, each member
of the House Staff will use the nine-digit Hospital DEA number with their own personal threedigit
suffix. The individual three-digit suffix will be assigned by the House
Staff Office (920-4091). A plastic blue card is issued to all House Staff that write prescriptions
with their name imprinted on it. This card is available through the House Staff Office.
Malpractice Insurance
Risk Management provides an annual in-service for new residents reflecting the parameters of
their malpractice coverage under Montefiore Medical Center's Umbrella Malpractice policy. For
more information regarding your coverage, please contact
Risk Management at (718) 920-6733.
Procedures for Evaluation, Supervision and Due Process
EVALUATION
The Director of Service is responsible for evaluating and reviewing each member of the House
Staff. The Director of Service will include consideration of:
• Professional and clinical performance
• Physical and mental health status
• Completion of education and training requirements
• Attendance at departmental conferences, meetings and rounds
• Timely completion of medical records
• Compliance with Medical Staff By-Laws, Rules and Regulations and with hospital policies
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