Resident Handbook - UC Davis Health System

o Hospital's Medical Director or Administration, even if the problem seems to betheir responsibility.o Patients, especially in public areas• If you believe a significant issues exists that impacts the safety and quality of patientcare, a written report should be made so that the appropriate analysis and corrections aremade by the relevant clinical supervisors (e.g. nursing, radiology, lab, OR, etc.) Seesection on Incident Reports.IN-TRAINING EXAMINATIONThe In-Training Exam (ITE) developed by the American Board of Family Medicine andadministered by all residency programs in November provides one of many gauges of residenttraining and progress. Our program uses as a passing score above or equal to 20% (z-scoregreater than -0.85) Composite Score for the Post-Graduate Year. Given that the ITE simulatesthe board exam, the program takes specific action for residents who score below 20% (z-scoreless than -0.85), including the following:• No moonlighting privileges for that resident*• Resident meets with academic advisor and develops written plan for study and retesting• Academic Advisor meets with resident on a regular basis to monitor progress• Resident takes ITE (retest) and academic advisor makes recommendations to programdirector based on results• Program director considers reinstating moonlighting privileges*Exception: In consultation with academic advisor, the program director mayconsider continuation of moonlighting under the following circumstances:• Composite Score of >20% for National Total Percentile (z-score greaterthan -0.85)• Good performance on residency clinical rotations• Moonlighting occurs at a site that has a residency faculty member(community preceptors or core faculty) who has been informed by the resident ofplans for study and retest due to a low score on the ITELEAVE POLICIES:Refer to Human Resources Policies and ProceduresPage 96 of 153LEAVING THE HOSPITAL AGAINST MEDICAL ADVICE (AMA):Should a patient insist upon leaving the hospital without approval of the attending physician, thehospital has absolutely no right to detain him, unless he is a minor or under legal commitment.The hospital must avoid, as far as possible, permitting the patient to jeopardize his safety andC:\Documents and Settings\dhutak\Desktop\rshb13.doc