House Staff Manual - Winthrop University Hospital

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 House Staff 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 House Staff 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 CODEWinthrop University Hospital House Staff 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.House Staff 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.House Staff 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