• Patient Care – providing care that is compassionate, appropriate and effective for the treatment ofhealth problems and the promotion of health.• Medical Knowledge – demonstrating knowledge about established and evolving biomedical, clinicaland cognate sciences and the application of this knowledge to patient care.• Practice-Based Learning and Improvement – investigating and evaluating their own patient carepractices, appraising and assimilating scientific evidence and improving their patient care practices.• Interpersonal and Communication Skills – demonstrating skills that result in effective informationexchange and teaming with patients, their families, and professional associates.• Professionalism- - demonstrating commitment to carrying out professional responsibilities, adherenceto ethical principles and sensitivity to diverse patient populations.• Systems-Based Practice – demonstrating an awareness of and responsiveness to the larger context ofhealth care and the ability to effectively call on system resources to provide optimal care.<strong>House</strong> <strong>Staff</strong> at <strong>Winthrop</strong> are helping develop and implement the new curriculum through participation onGraduate Medical Education and departmental subcommittees responsible for developing templates forcurricula and evaluation outcome methodologies.31. DISASTER POLICYIn the event that WUH has to suspend or close a residency program(s) due to a disaster, there is a processby which <strong>Winthrop</strong> maintains communication among housestaff, WUH GME and Administrativeleadership and the accrediting bodies for the purpose of facilitating relocation of residents on either atemporary or permanent basis, consistent with ACGME Policies and Procedures and CMS rulings.The Designated Institutional Official (DIO) is responsible for implementing this policy and relatedprocesses. Program Directors are responsible for coordinating information with their respective RRC’s. Ifapplicable <strong>Winthrop</strong>’s Director of Reimbursement is responsible for working with his/her counterpart at thereceiving institution regarding the transfer of capped positions and/or funding.If, because of a disaster, WUH cannot provide an adequate educational experience for a resident/fellow,WUH, as the sponsoring institution will• Arrange for temporary transfer to an ACGME accredited program.• Cooperate in and facilitate permanent transfer to another ACGME accreditedprogram as necessary in a manner to cause the least disruption to the time cycleof training. If more than one program is available for temporary/permanenttransfer for a particular resident then the resident’s preference must beconsidered.• Inform each resident of the minimum duration of his/her temporary transfer andcontinue to keep them informed of the duration.32. DISCLOSURE OF PROGRAM ACCREDITATION STATUSAs per ACGME requirements, all current residents, incoming residents and applicants to the program mustbe aware of the accreditation status of their residency or subspecialty residency.When an ACGME accreditation letter is received, WUH residents are to be notified of the accreditationstatus. If the action is “Continued Accreditation” (residencies), “Accreditation” or “Accreditation withWarning” (subspecialty residencies), notification could be done in writing or verbally at the discretion ofRev. 1/08
the program director. Residents should also be informed of the length of accreditation, and be given asummary of any citations and the program’s intended response to and remediation regarding the citations.Should an adverse action occur, i.e. “Probationary Accreditation” or “Withdrawal of Accreditation”,Program Directors must notify all current residents as well as applicants to the program in writing. Copiesof these letters must be kept on file by the program director. The Internal Review Process, a series ofinterviews that takes place mid-cycle in the accreditation timeline with integral members of a specificdepartment, will include questions regarding compliance with this policy.33. DISMISSAL PROCEEDINGSDismissal of <strong>House</strong> <strong>Staff</strong> members for unsatisfactory performance and/or professional misconduct isreportable to the New York State Department of Health’s Office of Professional Medical Conduct and insome circumstances, may be reportable to the National Practitioner Data Bank. (See section entitled"Professional Conduct Reporting".)Normally a decision of dismissal will be preceded by verbal counseling and a written warning, a period ofprobation, the recommendation that the resident receive counseling or other actions which will makeabundantly clear the serious nature of the sanction which may be imposed. A decision to dismiss a memberof the <strong>House</strong> <strong>Staff</strong> is arrived at after consultation with the resident's faculty supervisors and the ChiefAcademic Officer. Residents always have the opportunity to appeal a dismissal through a Due Processhearing (see below).34. DRESS CODE<strong>Winthrop</strong> <strong>University</strong> <strong>Hospital</strong> <strong>House</strong> <strong>Staff</strong> are expected to present an image that is consistent with their role as healthcare professionals, and appropriate to their interactions with patients, colleagues, staff and the public.<strong>House</strong> <strong>Staff</strong> are todress and appear in a professional manner at all times when on duty. They should present an appearance which isconsistent with their daily activities and which engenders a sense of confidence, trust and meets customer and patientexpectations.Dress must comply with Center for Disease Control and Joint Commission (JCAHO) standards. Nails must be short (upto 1/4 inch beyond finger is acceptable). Nail polish is acceptable if free of chips or cracks. Artificial nails or nailenhancements are not permitted. Bracelets and ornate rings (which impede effective handwashing) are not permitted.Jewelry, make-up and fragrances must be conservative, and must not interfere with patient care. Sandals and open-toedshoes are not considered acceptable footwear. Visible body piercing, with the exception of non-dangling earrings, isnot permitted. Men are to wear ties in all patient care settings when not wearing scrubs.Scrub suits are to be worn in designated areas only (for example, OR and Labor and Delivery). Faculty practices,private offices and conference rooms are not designated areas. If, in an exceptional situation, a scrub suit must beworn outside a designated area, a long white coat must cover it. In all other clinical settings, a long white coat is to beworn over professional attire. (Exceptions could be made by Program Directors in those situations where a white coatproduces anxiety among the patients being served.) White coats and scrub suits may not be worn innon-hospital related settings.At all times while on duty, house staff must wear their WUH identification badge and/or the identificationbadge of the institution to which they are rotating. The badge must be conspicuously displayed at chestlevel or above with the photo facing out so it is visible and readable to all concerned. Attire must always bein compliance with the dress code of the facility in which the resident is serving.<strong>House</strong> <strong>Staff</strong> who do not adhere to this policy will be counseled by their Chief Resident and/or theirProgram Director. Repeated violations will be considered an issue of professionalism, and will be so notedin the individual’s evaluation file.35. DUAL EMPLOYMENTRev. 1/08