2014-2015 SURGERY RESIDENT HANDBOOK 2014-2015 SURGERY RESIDENT HANDBOOK. 2 2013-2014 RESIDENT...

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Transcript of 2014-2015 SURGERY RESIDENT HANDBOOK 2014-2015 SURGERY RESIDENT HANDBOOK. 2 2013-2014 RESIDENT...

  • 2014-2015 SURGERY RESIDENT HANDBOOK

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    2013-2014 RESIDENT HANDBOOK TABLE OF CONTENTS

    SECTION 1: PROGRAM OVERVIEW ............................................................................ 5

    The Program ........................................................................................................................... 7 Introduction ...................................................................................................................... 6 Overall Goals .................................................................................................................... 6 General Objectives ........................................................................................................... 7 PGY-1 Overall Goals & Objectives ................................................................................. 7 PGY-2 Overall Goals & Objectives ................................................................................. 8 PGY-3 Overall Goals & Objectives ................................................................................. 9 PGY-4 Overall Goals & Objectives ............................................................................... 10 PGY-5 Overall Goals & Objectives ............................................................................... 11

    The Hospitals ......................................................................................................................... 13

    Baylor St. Luke’s Medical Center .................................................................................. 12 Harris Health System/Ben Taub Hospital ...................................................................... 13 Michael E. DeBakey Veterans Affairs Medical Center ................................................. 13 Texas Children’s Hospital .............................................................................................. 14 M.D. Anderson Cancer Center ....................................................................................... 14

    The Rotations ......................................................................................................................... 16

    First & Second Year ....................................................................................................... 16 Third Year ...................................................................................................................... 16 Fourth Year ..................................................................................................................... 17 Fifth (Chief) Year ........................................................................................................... 17 Preliminary Residents ..................................................................................................... 17

    Site Directors 18 The Surgery Education Office Faculty & Staff ..................................................................... 19

    Vice Chair for Education ................................................................................................ 19 Program Director & Associate Program Director .......................................................... 19 Surgical Educator ........................................................................................................... 19 Educational Manager ...................................................................................................... 19 Academic Coordinators .................................................................................................. 19

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    SECTION 2: CURRICULUM & RESIDENT EXPERIENCE ......................... 20 Core Competencies ................................................................................................................ 21

    Patient Care .................................................................................................................... 21 Medical Knowledge ........................................................................................................ 21 Practice-Based Learning & Improvement ...................................................................... 21 Interpersonal & Communication Skills .......................................................................... 21 Professionalism ............................................................................................................... 22 Systems-Based Practice .................................................................................................. 22

    Education Program ................................................................................................................ 23 Objectives ....................................................................................................................... 23 Conferences .................................................................................................................... 23 Department of Surgery Grand Rounds ........................................................................... 23 Core Competency Curriculum in Surgery ...................................................................... 23 Resident Research & Scholarly Activity Requirements/Expectations ........................... 24 Conference Attendance .................................................................................................. 25

    SECTION 3: POLICIES .............................................................................................. 26

    Graduate Medical Education House Staff Policies ................................................................ 27 Recruitment & Selection of House Staff ............................................................................... 27 Eligibility & Appointment Requirements .............................................................................. 27 Responsibilities of House Staff ............................................................................................. 29 Reappointment ....................................................................................................................... 30

    Program Methods for Assessment & Criteria for Promotion ......................................... 30 Mechanism for Remediation and/or Disciplinary Action .............................................. 30

    Appeal of Non-Reappointment .............................................................................................. 31 Appeal of Non-Promotion ..................................................................................................... 31 Adverse Action ...................................................................................................................... 31 Appeal of Probation ............................................................................................................... 31 Appeal of Dismissal ............................................................................................................... 32 Grievances & Due Process .................................................................................................... 32 Texas Medical Board Reporting ............................................................................................ 32

    Duty to Report ................................................................................................................ 32 Sexual Harassment ................................................................................................................. 32 Vendor Interaction Policy ...................................................................................................... 32 Disaster Policy ....................................................................................................................... 32 Vacations & Leaves of Absence ............................................................................................ 33 Professionalism ...................................................................................................................... 36

    Professionalism Standards & Program Expectations ..................................................... 36 Professionalism Misconduct ........................................................................................... 36

    Duty Hours & the Working Environment ............................................................................. 37 Principles ........................................................................................................................ 37 Supervision of Residents ................................................................................................ 37

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    Duty Hours ..................................................................................................................... 38 Duty Hour Compliance Monitoring ............................................................................... 38 On-Call Activities ........................................................................................................... 38 Moonlighting .................................................................................................................. 39

    Stress, Fatigue & Impairment ................................................................................................ 39 Signs & Symptoms of Fatigue, Stress, or Impairment ................................................... 39 Attending Clinician & Supervising Resident Responsibilities ....................................... 40 Resident Responsibilities ...