Resident Handbook - UC Davis Health System

Attending duties:• Be the attending physician of record and supervise care according theGraduate Medical Education Committee policy.• Round daily with residents, review service notes, see the patients onservice and make personal chart documentation as appropriate.• Be available to residents for specific questions related to themanagement of patients on the service.• Supervise residents as appropriate for any procedures.• Complete an evaluation on each resident’s performance and review theevaluation in person with the resident. (Please see EVALUATION,SECTION)A full-time faculty member, Dr. Nena Perry, is the coordinating attending. She isresponsible for overseeing the residents' overall responsibilities and experience andproviding assistance with issues as they arise.Physician Guidelines for Admit StatusThe following are key points to consider in assigning patient status on admit, or, in changingpatient status after initial assignment. If you have questions, a Case Manager can assist you inmaking a determination.• Patients are assigned Inpatient, Observation or Outpatient upon admission.• Your order must read “Admit to Inpatient to (location)”, “Admit to Observation for (whatis being observed)”, or “Admit as Outpatient for (procedure)”. No other verbiage isacceptable.• The admitting order must be based upon severity of illness and intensity of service(InterQual criteria).• Observation status is appropriate for the patient who can be evaluated and treated within24 hours, if rapid improvement is expected within 24 hours, or if additional time isneeded to determine appropriate diagnosis or treatment.• Observation status may progress to inpatient status if severity of illness and intensity ofservice warrant a longer stay in the hospital.• Patient status should never be changed to inpatient based upon the length of time thepatient has been under observation.• Patients should never be kept overnight for observation for the convenience of thephysician, patient or family.Page 55 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc