House Staff Manual - Winthrop University Hospital

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Chief Resident/Attending MD, Admin ChiefNotifiedIssue ResolvedYesNoChief/ Chairman/ Medical Director NotifiedESCALATION FLOWCHART (cont’d)AdministrativeIssueStaffDepartment Manager/Administrative NursingSupervisorDepartment AdministratorVice President, Administration/AOC40. EVALUATIONS AND ADVANCEMENTRev. 1/08
All House Staff are evaluated in writing at least twice each academic year by the program director andteaching faculty. The resident or subspecialty resident is given an opportunity to review this evaluation,and is provided with verbal feedback. He/she is asked to sign and date the evaluation form, therebyindicating that the review has occurred. House Staff are advanced to positions of higher responsibilityonly if they have achieved the educational goals outlined for that particular year of training.Educational goals, by level of training, are distributed to all House Staff at the beginning of their residencyprogram. Unsatisfactory house staff evaluation can result in required remedial activities, temporarysuspension from duties, or termination of residency education.41. FACULTY/PROGRAM EVALUATIONSEvery residency and fellowship program has a confidential process by which House Staff evaluate facultyand program effectiveness. House Staff are expected to use that process at least yearly as a way toreinforce areas of excellence and to offer constructive criticism regarding aspects of the training which theyfind less than satisfactory.Should a resident wish to discuss programmatic concerns with someone outside his or her department,senior staff in the Office of Academic Affairs (ext. 2521) are available for that purpose.42. GRADUATE MEDICAL EDUCATION COMMITTEEThe Graduate Medical Education Committee (GMEC) is a committee of the Medical Staff, which bearsresponsibility for oversight of all ACGME-accredited training programs at Winthrop.The GMEC comprises department chairpersons, program directors, representatives from Administrationand Academic Affairs, as well as representatives from the House Staff, as full voting members. In addition,a rotating Academic coordinator sits as a non-voting member. Two housestaff representatives are electedby their peers from the membership at large; a third is elected from the House Staff Committee. The HouseStaff Committee representative reports to the GMEC at each of its regularly scheduled meetings, and backto the House Staff Committee re: GMEC activity. The GMEC meets a minimum of four times a year.43. HOUSE STAFF COMMITTEEWinthrop’s House Staff Committee consists of representatives from each of the hospital’s residencyprograms. They are elected to the Committee by a vote of their peers. The Committee meets on aregularly scheduled basis to address matters of concern or interest to the house staff. Among itsresponsibilities, the House Staff Committee:Serves in an advocacy role for the house staff at largeHelps to identify and resolve issues of concern among the house staff relating both to work and livingenvironmentsIdentifies and helps plan core interdisciplinary educational programsServes as a conduit for communication with the house staff44. INDEPENDENT RESEARCHHouse Staff are encouraged to participate in research and investigative studies. Full-time biostatisticians(see "House Staff Benefits and Services") are available for research design and statistical analysisconsultations. Members of the House Staff who wish to engage in research must submit a proposal inwriting to the Department Chair, for written approval. If the project involves human subjects, the proposalmust then be submitted to the Institutional Review Board.Rev. 1/08
Page 1 and 2: OFFICE OF ACADEMIC AFFAIRS222 Stati
Page 3 and 4: Winthrop-University HospitalHouse S
Page 5 and 6: WINTHROP-UNIVERSITY HOSPITALHOUSE S
Page 7 and 8: 72) Institutional Review Board73) O
Page 9 and 10: HOUSE STAFF BENEFITSAND SERVICES1.
Page 11 and 12: The New York State Department of He
Page 13 and 14: valuable information and resources,
Page 16: 25. STUDENT LOAN DEFERMENTSResident
Page 19 and 20: the program director. Residents sho
Page 21 and 22: 2. Residents shall not be scheduled
Page 23: PROCEDUREImmediate Action:1. Clinic
Page 28 and 29: appropriate in every circumstance.
Page 32 and 33: Delegating professional responsibil
Page 36 and 37: TREATMENT OF EMERGENCY DEPARTMENT P
Page 38 and 39: The commencement of brain death cri
Page 40 and 41: Diseases in all capital letters req
Page 42 and 43: Either the patient or person consen
Page 44 and 45: If a patient has a living will, it
Page 46 and 47: should be referred to Risk Manageme
Page 48 and 49: Refusal of treatment on behalf of a
Page 50 and 51: Sentinel events are considered unex
Page 52 and 53: Discharge plans are made based on p
Page 54 and 55: 2. Telephone orders are limited to
Page 56 and 57: 8. The Heath Information Management
Page 58 and 59: Manual kept at each nursing station
Page 60 and 61: The Microbiology Lab on the second
Page 62 and 63: Intravenous fat emulsion or solutio
Page 64 and 65: 1. Diagnostic ProceduresEmergency R
Page 66 and 67: using a bar code format and your pe
Page 68 and 69: 100. PATIENT RELATIONSStaff in the
Page 70 and 71: patient has the right to timely not
Page 72 and 73: infections in body and other body f
Page 74 and 75:
Winthrop-University HospitalFrequen
Page 76 and 77:
Pulmonary (Dir.) ..................
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House Staff Manual - Winthrop University Hospital

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