Welcome to UCSF!

Robert B. Baron, MD, MS Professor of Medicine

Associate Dean for GME and CME

UCSF Graduate Medical Education

26 residencies 62 ACGME/ABMS fellowships 83 non-accredited fellowships 1,450 residents and fellows

UCSF School of Medicine is

Sponsoring Institution

http://meded.ucsf.edu/gme

Housestaff Information Booklet Leave (vacation) Moonlighting Duty Hours Academic Due

Process Supervision Evaluation Salary/Benefits Services Disaster

GME Grand Rounds Third Tuesday each month Videos on GME website Topics: Well-being and Fatigue Patient Safety and Quality Handoffs Patient Care Ethics Health Care Disparities Communication Strategies Root Cause Analysis/Incident Reports

Resident and Fellow Affairs Committee

Mary McGrath MD, MPH Faculty, residents, fellows and staff

from all sites Work to improve life at UCSF for

residents and fellows

Faculty and Staff Assistance Program (FSAP) Confidential

employee assistance program

Licensed counselors Offer brief counseling

sessions and referrals http://ucsfhr.ucsf.ed

u/index.php/assist/ (415) 476-8279

UCSF Office of the Ombuds Confidential employee

assistance program Another option for those who

do not know where to turn Confidentially discuss any

issue http://Ombuds.ucsf.edu (415) 502-9600

UCSF Housing Allowance Never enough but:

$10,000 per year (14%

increase from last year)

UCSF Medical Center, SFGH, SFVA, all affiliates

Health Benefits

Already selected medical-- have until July 30th to change Insurance bundled ◦ If you opt out of health insurance, you opt out of all ◦ Includes: Vision Dental Long-Term Disability Life Insurance

If you select HealthNet (HMO) and want a UCSF physician, designate a PCP in Hill Physicians – San Francisco network

HMO vs PPO Health Maintenance Organization

(HMO) Preferred Provider Organization

(PPO)

Must use network providers Freedom to use any providers

Must select Primary Care Physician (PCP) for each covered family member

No need to select Primary Care Physician (PCP)

Need PCP’s referral to see specialists

No referral needed for specialists

Most services are covered in full Most services are covered at 80% for in-network providers or 60% for out-of-network providers

No premium contribution required Some premium contributions required

Retirement Accounts 403B/457 ◦ Optional ◦ Fidelity --- representative at

Resource Fair Safe Harbor (Fidelity) ◦ Required ◦ You manage (with Fidelity) ◦ 7.5% deducted from each

paycheck ◦ In lieu of social security

You take both with you

Blumberg Loan $2,400 interest free loan

Payments automatically deducted from paycheck ($200 per month)

$1200 also available

Apply through the Office of GME

USMLE and License Reimbursement

Residents and fellows in ACGME and ABMS programs are eligible

Partial reimbursement for USMLE Step III, new licenses, and license renewals

Must be a UCSF trainee at time payment is made for USMLE or license

Contact program coordinator for more information and to submit receipts

Need-Based Relocation Reimbursement

Residents and fellows in ACGME and ABMS programs are eligible

Participation not required Payment not guaranteed: need-based Needs assessment similar to what is used

for patients Maximum reimbursement is $1,800 Contact program coordinator for more

information, to join program, and submit receipts

MyAccess Single-sign on Access to (and more): VPN Collaborative Learning Environment (CLE) Library online resources Learning Management System (LMS or SumTotal) UCSF Podcasts Wiki@UCSF E*Value

To activate account you need your UCSF email address and go to https://myaccess.ucsf.edu

UCSF Pathways to Discovery Clinical and Translational Research Global Health Health & Society Health Professions Education Molecular Medicine

http://meded.ucsf.edu/pathways

Supervision versus Autonomy

Supervision versus Autonomy

Autonomy and Decision Making

Supe

rvis

ion

Low

Low

High

High

Student ---------------------------- Intern -------------- Resident ------------ Fellow---------------------Attending

Supervision Direct supervision, indirect

supervision, and oversight

Faculty and trainees may supervise trainees ◦ Progressive responsibility ◦ Interns are required to have direct or indirect supervision at all times; day after “oversight” is not permitted

Duty Hours 80 hours per week, including all moonlighting

One day off in seven (including home call)

Maximum duty period length: PGY1=16; 24 + 4 for others

Minimum time off between scheduled duty periods

Night float no more than six consecutive nights

In-house call no more than every third night

At-home call must not preclude rest; counts toward 80 hour per

week maximum, but not in the shift break

Reporting accurately is part of UCSF professionalism

◦ .

Fatigue Mitigation Jeopardy/back up call schedules,

strategic napping, etc. Adequate sleep facilities and safe

transportation options for those who are too fatigued to drive home

Taxi vouchers at UCSF, SFGH and VA

Optimizing Communication

AIDET ◦ A: Acknowledge ◦ I: Introduce ◦ D: Duration ◦ E: Explanation ◦ T: Thank you

SMiLe ◦ S: Sit Down ◦ M: Manage Up ◦ L: Listen

GME Confidential Help Line 415-502-9400 Confidential line for housestaff, faculty, and program administrators to voice their questions, comments, or concerns 24 hours a day.

Keeping an “E” in GME

Read your program requirements Expect to receive goals and objectives for each rotation Expect to receive feedback for each rotation Help make your program better in every way possible