House Staff Manual - Winthrop University Hospital

1. The denial, suspension, restriction, termination or curtailment of the training, employment,association or professional privileges related in any way to: Alleged mental or physical impairment Incompetence Malpractice Misconduct Endangerment of patient safety or welfare2. The denial or withholding of certification of completion of training for reasons related to thoselisted in 1.3. The voluntary or involuntary resignation or withdrawal of association, employment, or ofprivileges, to avoid the imposition of disciplinary measures.4. The receipt of information that indicates a resident has been convicted of a crime.54. PROGRAM REDUCTIONS OR CLOSURESIn the event that a GME program is downsized or eliminated, residents will be informed of any action assoon as possible. Every effort will be made to allow residents already in the program to complete theireducation. If residents are to be displaced by either reductions or closure, the program director and otherinstitutional members will make every effort to assist the residents in identifying programs where they cancontinue their education. In addition, should there be any adverse accreditation actions taken by theAccreditation Council for Graduate Medical Education, the hospital will inform the house staff in areasonable period of time.55. PHARMACEUTICAL SALES AND PROMOTIONAL ACTIVITIESThe GMEC has guidelines for interactions between House Staff and Faculty with pharmaceutical andhealth-related companies. They are based on the premise that pharmaceutical and other detailing shouldnot bias physician practice, and that the primary mission of Winthrop’s training programs is to preparephysicians to order patient-focused, competent, evidence-based and responsible clinical care. Theseguidelines are distributed and discussed at Orientation. It is expected that House Staff will adhere to themin concept and practice.56. RESIDENT PROMOTION AND RENEWALResidents shall be advanced to the next level of training upon satisfactorily meeting the goals andobjectives for that year of training. Promotion shall not be automatic. It shall be based upon cumulativeevaluation of residents, by core competencies, and other criteria as defines by the Program Directors intheir respective curricula.Residents whose contracts are not being renewed, or residents who will not be promoted to the next level oftraining, shall be given written notice of intent four months prior to the end of the resident’s currentcontract. If the primary reason for non-renewal is within four months prior to the end of the currentagreement, the Program Director is to provide the resident with as much notice as possible. At the time ofnotification of non-renewal or non-promotion, residents have the right to grieve the decision through theGMEC’s Due Process Policy.57. RESPONSIBILITIES OF RESIDENT PHYSICIANSGENERALAs a member of Winthrop’s House Staff, residents and subspecialty residents will:Rev. 1/08