Resident Handbook - UC Davis Health System

esident can provide night sign-on for the call team. During evening and weekend hoursthe on-call residents will provide care for both FPS patients and those patients whosehospital care has been assumed by their PCP. The FP service will never close to FP ERadmissions.Faculty Notification Guidelines: The FPS preceptor MUST be notified at the time ofadmission for all emergency room and direct admits after the patient has beenevaluated by the admitting resident (or faculty member). Admissions or transfers toany of the critical care units MUST involve the immediate notification of thepreceptor who is required to personally see the patient within four hours. Thepreceptor should be notified of any significant deterioration in the status of anyservice patient. The preceptor should also be notified of all sick or unstable newbornsat the time of birth or deterioration. For normal, stable, uncomplicated healthynewborns, the preceptor can be notified in the morning following birth. Note: it isthe responsibility of the resident or faculty member arranging the direct admission ofa patient from the FPC to directly contact the on-call FPS preceptor to relay theappropriate information regarding the admission. Timely contact allows the attendingto make appropriate arrangements to see the patient and assist with care withoutdelay. The FPS resident will be admitting ER admissions by phone when scheduledin the FPC, and must inform the preceptor at the time of admission.Expectations and Duties: The FPS intends to have the senior resident function as a “realworld” family physician, combining inpatient duties with ongoing office responsibilities.We encourage, and expect, the senior resident will function with greater autonomy thanwhen on categorical services. The preceptor, who remains ultimately the attendingphysician of record, should serve more as a consultant and role model to the seniorresident while at the same time exercising his/her supervisory responsibilities.The preceptor should be available from 8:00am to 10:00 am on weekdays for rounds;earlier rounding times, or afternoon rounding times maybe negotiated under unusualcircumstances only. This timing is critical, as the resident is expected in clinic forscheduled patients at 10:00 am. Sit-down-rounds, followed by bedside rounds of newand critical patients, will have to be accomplished efficiently. The attending will thenhave another hour to complete notes and contact the resident by phone with anyimportant communications. The attending will still be responsible to supervise care ofpatients handed over to their PCP by the Cap. The preceptor is responsible for ensuringthe PCP residents round on their patients.Change of service for attendings occurs Friday at noon. Weekend and holiday roundingtimes should start no later than 9:00 am. As the covering resident team on weekendsfrequently does not include the FPS resident, close communication between attend andthe on-call team is essential.GYNECOLOGYPage 50 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc