Resident Handbook - UC Davis Health System

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Key Points• Boundaries between physician and patient permit the unique intimacy of the physician–patient relationship.• Sexual contact crosses these boundaries and violates the relationship.• Erotic feelings are signs of potential boundary crossings.• Physicians and patient erotic feelings and behaviors can be constructively managed.• It is highly recommended to consult with a faculty member or trusted colleague whenpotential boundary issues of any kind are detected, and to practice prevention beforeproblems emerge.Male providers are required to have a female chaperons present for female breast,pelvic, and rectal examinations.PSYCHIATRIC TEMPORARY CUSTODY (5150):Effective June 2003, Residents no longer write 5150’s. Any discussion about a 5150 for aninpatient needs to occur between the patient’s attending physician and the Shasta County MentalHealth Department or the Redding Police Department (police have the 5150 privilege).REPORTABLE CASES:California law mandates that all health care practitioners make a formal report to the relevantauthorities when providing professional care to a person suffering from:• Injury caused by a firearm or assault or abusive conduct• Sexual assault/rape• Child abuse• Abuse of elders and dependent adults• An injury or condition resulting from neglect or abuse in a patient transferred fromanother health facility resulting from neglect or abuseAdditional information or reporting requirements may be found in the California HealthCareAssociation Consent Manual; these are available for review at MFHC, Mercy Ob clinic,Hospital Administration, and from departmental nursing supervisors.Note that simple, standardized forms are available in the family health center (MFHC) and in thehospital (obtained from the nursing staff) for use in fulfilling the written reporting requirementsdescribed above.All residents should feel welcome and comfortable obtaining guidance and assistance from afaculty member or attending in any case in which potential reporting requirements exists.Consulting and coordinating in these situations is often indicated in order to ensure that sensitivelegal and ethical requirements are fulfilled.Page 110 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
Reportable Diseases and Conditions: (communicable diseases, STDs, Hepatitis, TBC, etc.):Telephone, fax and/or written reporting of certain diseases to the Shasta County Public HealthDepartment are mandated. A reporting form is available in each family health center and in thehospital that delineates the specific reportable diseases and provides a listing of the requiredreporting modes (e.g. some diseases require immediate telephone reports, other require reportsby phone and by mail, etc.).RESIDENT IMPROVEMENT PLANS AND RESIDENT CONFIDENTIALITY1. In the event that a junior resident requires additional training and supervision in one ormore area, the senior resident(s) supervising the junior resident will be informed by theProgram Director or another faculty member. With the intent of promoting bettereducation and patient safety, this briefing will include the aspects of the junior resident’simprovement plans as it relates to senior residents function as the supervising resident.2. In addition, residents may be involved in confidential discussions about other residents’performance when serving in their role as the chief resident, assistant chief resident, or asa member of the promotions committee.SCHEDULESAny change in your schedule including master schedule (rotations), daily schedule, or callschedule must be reported and/or coordinated with the residency office as soon as possible.Changes in the schedule without approval from the residency office may result in a loss of creditfor the rotation.sCall Positions and DutiesA call hierarchy exists in which junior residents have primary responsibility forcoverage of the inpatient services. They are supervised by more senior residentswho are responsible for overseeing admissions and care of all patients admitted tothe resident services. The attending physician is responsible for supervising allresident care, answering questions, and addressing problems.At least two residents are on call each night or weekend, providing 24 hoursresident coverage.PGY 1In-patient 7:00 a.m. to 5:30 p.m. (10.5 hours), unless on Long Call which will be 7:00a.m. to 7:00 p.m. (12 hours). Long call occurs 4 days per week when the PGY1 is on anin-patient service (OB, Pediatrics, Medicine). Weekend calls for PGY 1 will consist of12 hour shift which will begin 7:00 p.m. to 7:00 a.m. (12 hours) with additional hours(maximum of 4 additional hours) for finishing notes and signing out to the oncomingPage 111 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
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Resident HandbookMercy Redding Fami
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PEDIATRICS/OB......................
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MASTER SCHEDULE:...................
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Resident HandbookMercy Redding Fami
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efore the start of the rotation tha
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Cardiology Competencies - PGY3Cogni
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Understand and describe Home care a
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Skills1. Monitor interpretation for
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Page 19 of 153Skills1. Diagnosis an
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1. Management of well child care2.
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3. Lab interpretation of joint flui
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5. Hemorrhoid I & D6. Fluid and Ele
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B. Service DescriptionC. DutiesA tw
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C. DutiesAttendance at the cardiolo
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Dermatology Clinic (C1 and C2 - MFH
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Vasectomy Clinic (C1 - FPI)Resident
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ability to maximize their health/he
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hospital care of common ENT conditi
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viii. Resident may be responsible f
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Rawlings or Dr. Bland so we can mak
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for EM occur once a month(on the th
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Emergency Medicine Rotation Require
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HOME VISITSEach resident is to make
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Practice preceptors who rotate onto
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A. Service GoalsAs a second and thi
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attending re: the patient’s statu
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Attending duties:• Be the attendi
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11-15: the night shift resident rou
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Resident Handbook - UC Davis Health System

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