Resident Handbook - UC Davis Health System

THE FAMILY PRACTICE CENTERMercy Family Health Center is intended to function like physician group practices within theparameters of educational and supervisory mandates and residents are assigned to one or theother for their continuity family practice experience. Residents develop panels of patients forwhich they are responsible as the Primary physician, and develop strong relationships as well asprovide continuous, comprehensive and compassionate care. Over the three years, residentsspend progressively more time in their center, with one or two half-day per week in the first year,two half-days per week in the second year, and three or four half-days per week during the thirdyear. While office hours may vary somewhat according to the resident’s rotation, it is essentialthat the resident sign out from hospital duties in time to be in the center for the first appointment.When a resident is not in clinic, a fellow resident or faculty will care for his/her patients.Residents are an integral part of the operations at the health center and participate in the clinicmeetings designed to review and improve both the clinical and business performance of thecenters.Whenever a resident’s patient is admitted to the hospital, he/she is expected to make daily roundsand work with the in-patient team in clinical decision-making and disposition unless the residentis on an away elective, vacation, or in-patient service that precludes such visits. Each upper levelresident will have a number of obstetric patients for whom he/she is responsible throughout thepregnancy, labor and delivery.Osteopathic Manipulative Medicine: osteopathic manipulative medicine is done at the familyhealth center under the following policies:• Osteopathic medical students will only be allowed to do OMT under the directsupervision of osteopathic faculty• Only osteopathic residents, who have graduated from accredited Osteopathic schools,have had the appropriate basic and applied training to perform OMT, and havedemonstrated proficiency in OMT are eligible to perform OMT as residents in ourprogram• Direct supervision of OMT by osteopathic faculty is required until competency isdemonstrated and documented using the OMT Competency Form• Periodic direct supervision, or more frequently as deemed appropriate, will occur byosteopathic facultySkilled Nursing Facility Visits - SNFsEach second- and third-year resident is required to follow a minimum of two SNF patients. Dr.Nena Perry coordinates the patient assignments; she and other faculty provide back-up. SNFpatients should be seen each month at their facilities. These visits are to be documented in NewInnovations. Billing forms will be available as well. Nena Perry, MD will co-sign SkilledNursing Facility patient notesPage 46 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc