INTRODUCTION
Welcome
to The
You are obligated
to be familiar with and abide by the policies and regulations presented in this
handbook. This handbook is not intended to create any contractual rights in
favor of the resident or the university. The State of
VERY
IMPORTANT
All resident
physicians new to The University of Oklahoma College of Medicine -
The statements, terms and provisions contained in the
Resident Handbook are subject to change at any time by the Board of Regents
and/or the administration of The University of Oklahoma, which expressly
reserves the right to make any changes or to establish new policies, rules and regulations
from time to time as it deems necessary and proper. The establishment of new policies, rules and
regulations will be expressly for the purpose of improving the quality of the
resident's experience in his or her training program.
Residents will be paid as indicated in the OUCM-T
residency agreement (contract). Any
salary increase approved by the Tulsa Medical Education Foundation (TMEF)
effective after the date of the contract will be automatically reflected in
paychecks without reissue of the contract.
While the
University expects to receive the full funds necessary to support the budget,
it reserves at all times the right to institute budget reduction actions in
accordance with state law, including changes in salaries and/or fringe
benefits.
DEFINITION
OF TERMS
Residents are M.D. or D.O. (graduate) physicians holding appointments to Emergency Medicine, Family Practice, Family Practice – Rural, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry, Surgery, or the combined Family Practice/Psychiatry and Internal Medicine/Pediatrics or the Sports Medicine fellowship graduate medical education programs at OUCM-T.
Program
Directors are full-time faculty members at OUCM-T with the responsibility for
graduate medical education at OUCM-T.
Eligibility
Criteria:
Applicants
for graduate medical education programs sponsored by the University of Oklahoma College of Medicine and its clinical departments
are eligible for appointment if they meet one of the following qualifications:
Graduates of medical schools in the
Graduates
of colleges of osteopathic medicine in the
Graduates
of medical schools outside the
a. Hold a currently valid standard certificate
from the Educational Commission for Foreign Medical Graduates (ECFMG), the
requirements for which include passing Step 1, Step 2-CK and Step 2-CS of the
USMLE in 3 or fewer attempts per step.
b. Are citizens of the
c. Hold a currently valid Social Security
Number as evidenced by an official Social Security Card.
Note: Foreign nationals who are graduates of
medical schools in the
Selection
Criteria
First-year (PGY1) appointments offered
to
Allopathic
(M.D.) applicants for first-year positions must have passed Step 1 and Step
2-CK and Step 2-CS of the United States Medical Licensing Examination (USMLE)
in 3 or fewer attempts per step.
Osteopathic (D.O.) applicants must have passed Level 1 and Level 2 and
Level 2-PE of the COMLEX-USA examination.
Individuals who do not meet these requirements will not be considered
for first-year residency appointments.
Appointments for second-year and above
levels are made in accordance with the policies established by each program in
compliance with the standards of the Accreditation Council for Graduate Medical
Education (ACGME), its Residency Review Committees (RRC), and the requirements
of the respective American specialty certification boards.
The
PGY level of the initial appointment is determined in part by the amount of
previously completed graduate medical education that is acceptable for credit
by the specialty board of the training program to which the resident is
appointed. Whenever there is uncertainty
in this regard, the applicant shall obtain from the specialty board a written
appraisal of previous training and a statement of additional training
requirements that must be met
to qualify the resident for certification by that board.
All
residents with the M.D. degree must have passed Step 3 of the USMLE examination
by the end of their second year (PGY2) of residency training. All residents with the D.O. degree must pass
Level 3 of the COMLEX-USA examination and be licensed by the Oklahoma State
Board of Osteopathic Examiners before proceeding beyond the first year of
residency. Any resident who fails to
pass the requisite examinations as stipulated above will be terminated from
his/her residency program at the end of the applicable resident year.
An
individual considered initially for any clinical training position at the PGY2
or above level must have passed all licensure examination steps and be capable
of being licensed by either the allopathic or osteopathic licensing boards of
the State of Oklahoma or already possess such license.
Residency appointments for graduates
of International Medical Schools (IMGs) may be offered only to those
individuals who meet all requirements of federal and state laws applicable to
such appointments including visa requirements.
They must hold a currently valid standard certificate from the
ECMFG. Foreign physicians admitted to
the
It
is the responsibility of the applicant to complete all ECFMG requirements and
visa requirements before appointment to a residency position and/or before beginning
residency training.
Residents are appointed for a period
of one year (or as specified in the individual contract) but in any event not
beyond June 30th. Renewal of
the appointment is contingent upon satisfactory performance and is not
automatic. Intention by either party not
to renew the appointment should be accompanied by notification in writing
within the time specified by the Residency Program Director
and
as indicated on the residency agreement (contract).
Each resident and fellow offered an
appointment is expected to read, sign, and abide by the residency agreement
(contract).
In general, the level of
resident pay will coincide with the level of appointment. It will be left to the discretion of the
Residency Program Director to recognize prior training within the same
specialty by contracting and arranging for payment at a level above the level
of appointment.
Each resident
or fellow offered an appointment must prove to be eligible for professional
liability insurance coverage by the carrier contracted by the University of Oklahoma College of Medicine. The contract offered to any resident or
fellow who is ultimately denied coverage by the University of Oklahoma College
of Medicine professional liability insurance carrier will be null and void.
Not withstanding the above provisions,
appointments are subject to the provisions of the Administrative Academic
Actions chapter of this Handbook.
ADMINISTRATIVE PROCEDURES
AND RESPONSIBILITIES
New
Resident Procedures
The
following administrative procedures must be initiated and/or completed prior to
assuming any duties as a resident at OUCM-T.
All procedures will be discussed during the mandatory orientation.
Issuance
of contract
Malpractice
insurance application
Medical,
dental and other insurance forms
W-4,
loyalty oath and other employment-related forms
Professional
membership applications
Personal
information form
Issuance
of pager equipment
Name
tag and OUCM-T picture identification card
Parking
decals for OUCM-T campus and hospitals
Application
for special training license
State
licensure application (PGY2 and above)
BNDD/DEA
registration (PGY2 and above)
Graduates of
medical schools in countries other than the
Proof of compliance with the Immigration Reform
and Control Act of 1986. This law provides for an employment
eligibility verification system designed to prevent the employment of
unauthorized aliens. Upon accepting
employment, law requires all new employees to document their
legal
employability and personal identity.
Documentation and completion of the
employment eligibility form, proving employability
and
personal identity must, by law, be furnished and verified before or on the
contractual commencement date of employment.
A
resident who fails to provide the required documentation cannot work.
Completion of all required training in HIPAA,
Coding, and Resident Time-Tracking.
Resident
Physician Responsibilities
Specific
duties and responsibilities of the resident will be outlined by the individual
Program Directors. The resident is
responsible to his or her Program Director for performance in all phases of
training.
Residents
appointed to training programs at OUCM-T are expected to:
Develop
a personal program of self-study and
professional
growth with guidance from the Residency Program Director and Faculty.
Be
aware of and abide by all
Participate
in safe, effective and compassionate patient care under supervision,
commensurate with his or her level of advancement and responsibility.
Participate
fully in the educational activities of his or her residency program and, as
required, assume responsibility for teaching and supervising other residents
and students. Program Directors will
provide residents with guidelines for required participation and attendance for
educational activities such as conferences, rounds, seminars, and ambulatory
rotations.
Fulfill
the requirements of the residency program.
Participate
in institutional programs and activities involving medical staff.
Adhere
to established practices, procedures, and policies of the institutions, and
affiliated hospitals. For example, excessively
delinquent hospital medical records may result in suspension of hospital
privileges of the resident, as well as the resident’s attending
physician, which will result in the
resident’s suspension from the OUCM-T
residency training program in all affiliated hospitals until the records are
completed.
Suspended time will be “dead” time; that is, time without pay and time
not counted toward completion of training that must be made up before a
certification of completion will be issued.
Foster
the principles of medical ethics and participate in peer review.
Participate
in institutional committees and councils; especially those that relate to
patient care review activities.
Apply
cost containment measures appropriately in the provision of patient care.
Agree
not to engage in any outside employment or professional activities, which
interfere with obligations to the training program.
Exhibit
conduct consistent with the dignity of the medical profession at all
times. Social and personal matters
should be conducted at appropriate times and places apart from professional
practice. Residents are representatives
of OUCM-T in their professional relationships with patients and their
relatives, colleagues, hospital personnel and the public.
Address
all physicians and hospital personnel by their last names in the presence of
patients.
Understand
that residents do not have administrative control over nurses or
employees. Hospital and clinic personnel
will do their best to provide good care for patients, and residents should be
courteous and helpful to them. When
nurses or employees apparently fail to discharge their duties and the welfare
of the patient is affected directly, the resident should report the matter
promptly to his or her attending physician.
Medical
Ethical Responsibilities
The medical
profession has long subscribed to a body of ethical statements developed
primarily for the benefit of the patient.
As a member of this profession, a resident must recognize
responsibility
not only to patients, but also to society, to other health professionals, and
to self. The following principles
adopted by the American Medical Association are not laws, but standards of
conduct that define the essentials of honorable behavior for the physician.
A
physician shall be dedicated to providing competent medical service with
compassion and respect for human dignity.
A
physician shall deal honestly with patients and colleagues, and strive to
expose those physicians deficient in character or competence, or who engage in
fraud or deception.
A
physician shall respect the law and also recognize a responsibility to seek
changes in those requirements, which are contrary to the best interests of the
patients.
A
physician shall respect the rights of patients, of colleagues, and of other
health professionals, and shall safeguard patient confidences within the
constraints of the law.
A
physician shall continue to study, apply and advance scientific knowledge, make
relevant information available to patients, colleagues and the public, obtain
consultation, and use the talents of other health professionals when indicated.
A
physician shall, in the provision of appropriate patient care, except in
emergencies, be free to choose whom to serve, with whom to associate, and the
environment in which to provide medical services.
A
physician shall recognize a responsibility to participate in activities
contributing to an improved community.
Patient
Relationships
The
attitude of the resident toward patients should be kind and sympathetic. Patients accepting care should never be
allowed to feel that the professional relationship between them and the
resident is altered by their economic status.
Residents
are legally and morally bound to keep medical information regarding patients strictly
confidential. Patients and their medical
conditions should not be discussed in public either inside or outside of the
hospitals. Inquiries regarding the
medical condition of patients by news media should be referred to the patient
information desk, Nursing Service Office or to the Hospital Administrator.
Medical
Records
Properly
maintained and completed medical records are of the utmost importance in caring
for patients and also serve as a basis for some clinical investigative
work. Therefore, great emphasis is
placed on the preparation, maintenance, and preservation of medical records in
the hospitals and clinics.
Specific
rules concerning medical records vary with the different hospitals and
clinics. General rules apply to all
hospitals and clinics and they are as follows:
Preservation
of Medical Records
1.
No medical record may be
removed from the files without a proper sign-out of the record to show where it
has been taken and who is responsible for it.
2.
If a medical record, subsequent
to its removal from the files, is transferred from one person to another, it is
the responsibility of the person to whom the record is charged to notify the
appropriate Medical Records Department.
3.
Medical records must not be
taken from the hospitals or clinics.
4.
Medical records of patients
previously treated are available to residents for approved education or
research purposes.
Preparation
and Maintenance of Medical Records
1.
A complete history and physical
examination shall be written or dictated within 24 hours after admission of
each patient, or within the guidelines determined by each hospital’s medical
staff executive committee and by the office of Clinical Affairs.
2.
Adequate, up-to-date progress
notes should accurately reflect the patient’s hospital/clinic course.
3.
Residents must date and sign
each entry made in the clinical record.
4.
When it is known that a patient
is to be discharged, all residents responsible for the preparation of items in
the record must attempt to complete those items before the patient leaves the
hospital.
5.
The service discharging the
patient is responsible for the summary of the patient’s entire hospitalization
in dictated form.
6.
Residents on duty in an
emergency department should complete the medical record immediately after a patient
is treated. Emergency department records
are needed by many. The record must not
be taken elsewhere; if copies are needed, photocopies will be prepared.
7.
At regular intervals, the
Medical Records Committees of the hospitals and clinics will review medical
record delinquencies, including those of residents. Serious deficiencies will be reported to the
appropriate Program Director for administrative action. (see Academic Administrative Actions)
Confidentiality
of Medical Records
Residents
are cautioned that medical records are confidential. The use and disclosure of the health
information contained in a medical record are restricted by the regulations
(Privacy Regulations) promulgated pursuant to the Health Insurance Portability
and Accountability Act (HIPAA) of 1996.
Residents
must comply with the University’s Privacy Policies and Procedures (Privacy
Policies) implementing the Privacy Regulations.
Failure to comply with the Privacy Policies will result in corrective
action, including the possibility of termination.
Residents
must make reasonable efforts to safeguard medical information. For example, residents should not discuss
particular patients in public and should not leave medical records in places
where unauthorized persons could access them.
Residents
must use extreme caution when storing health information on portable devices.
Residents
must comply with any policies developed by the University related to security
of health information.
Dress
Code
Professional
appearance and demeanor are a demonstration of self-respect, respect for the
patient and the profession. This
appearance and demeanor should be maintained at all times by faculty, residents
and medical students. Individual
departments should inform residents of standards unique to that
department. Individual institutions may
have additional dress code requirements of which all residents should be aware.
Hair
should be kept well groomed and neat.
Men may wear mustaches and beards that are neatly trimmed.
A
clean clinical jacket, suit, or sport coat, with nametag is to be worn at all
times, while on duty.
Clothing
should be clean and in good repair. Blue
jeans, shorts, t-shirts, hats, and exercise clothing are unac-ceptable.
Shoes
should be clean and neat.
Nametags
Resident
physicians are required to wear The
In
the event a resident’s nametag is lost, the Resident and Student Affairs Office
should be contacted to arrange for a replacement.
Identification
Cards
1.
The
2.
Residents completing and/or
leaving OUCM-T are required to return the ID card to their residency program.
Parking
Decals
1.
Hospitals will issue parking
permits as appropriate.
Resident
Mailing Address
Residents,
as a group, receive the largest volume of mail on this campus. Complete and accurate mailing addresses
ensure that the mailroom is able to sort and deliver mail on a timely
basis. Please provide the complete
mailing address to all of your correspondents as shown below.
Your Full Name
Department of _______________
Health
Screening