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DEPARTMENTOFSURGERYGeneralSurgeryResidencyProgram
HANDBOOK
2018–2019
Revised01.25.19
ProgramMissionTheprogrammissionoftheGeneralSurgeryResidencyistoprovideanorganizededucationalprogramwithguidanceandsupervisionoftheresident,facilitationtheresidents’personalandprofessionaldevelopmentwhileensuringsafeandappropriatepatientcare.ThemissionistopreparetheresidenttofunctionasaqualifiedpractitionerofsurgeryatthehighlevelofperformanceexpectedofaspecialistcertifiedbytheAmericanBoardofSurgery.
DavidShibata,MD,FACS,FASCRSScheinbergEndowedChairinSurgery
ProfessorandChairDepartmentofSurgery
AlexanderFeliz,MDProgramDirector
910MadisonAvenue,2ndFloorMemphis,TN38163(901)[email protected]
F.ElizabethPritchard,MD,FACS
ProgramDirectorEmeritus
GeorgeO.MaishIII,MD,FACSAssociateProgramDirector
AnkushGosain,MD,PhD
AssociateProgramDirector~Research
AlexMathew,MDAssociateProgramDirector~CurriculumDesign
BenjaminPowell,MD
AssociateProgramDirector~Simulation
ReganWilliams,MDAssociateProgramDirector~Wellness
CynthiaTooley,BSResidencyCoordinator
910MadisonAvenue,2ndFloorMemphis,TN38163(901)448-7635
TheUniversityofTennesseeGeneralSurgeryResidencyProgram
Handbook
TableofContentsDepartmentofSurgeryFaculty/AdministrativeStaff………………………………………………………..1GeneralSurgeryResidents……………………………………....………………………………………………………4ParticipatingInstitutions………………………………………………………………………………………………...5RotationBlockDiagram…………………………………………………………………………………………………..6Application/Eligibility…………………………………………………………………………………………………….7Confidentiality/HIPAA………………………………………………..........................................................................7Curriculum……………………………………………………………………………………………………………………..7 Conferences………………………………………………………………………………………………………....7 ReadingAssignments…………………………………………………………………………………………...8 RotationGoalsandObjectives……………………………………………………………………………....8 SimulationLabs……………………………………………………………………………………………………8
Exams………………………………………………………………………………………………….………………8ResidentClinicalandEducationalWorkHoursPolicy……….……….………………………………………..….9Evaluation/PromotionPolicies……………………………………………………………………………………...10 ResidentEvaluation…...…………………………………………………………………………………………10 Milestones……….…………………………………………………………………………………………..10 RotationSpecific…………………………………………………………………………………………..11 MidyearandEndofYear…...………………………………………………………………………….12 GraduatingResidents…...………………………………………………………………………………12 Academicperformanceimprovementactions………………………………………………..12 FacultyEvaluation………………………………………………………………………………………………..13 ProgramEvaluation……………………………………………………………………………………………...13 ProgramEvaluationCommittee…………………………………………………………………….13 AnnualProgramEvaluation………………………………………………………………………….13HandsoffandTransitionsofCarePolicy…………………………………………………………………….….14AlertnessandFatigueMitigation…………………………………………………………………………………...14LeavePolicy………………………………………………………………………………………………………………….15LegalInquires……………………………………………………………………………………………………………….15MedicalRecords……………………………………………………………………………………………………………16Travel/MeetingPolicies………………………………………………………………………………………………..17Moonlighting……………………………………………………………………………………………………………......18OperativeLog……………………………………………………………………………………………………………….18Professionalism…………………………………………………………………………………………………………….18Research/ScholarlyActivity…………………………………………………………………………………………..18SupervisionPolicy………………………………………………………………………………………………………...19USMLERequirements…………………………………………………………………………………………………...21HospitalContacts………………………………………………………………………………………………………….22ResourceLinks………………………………………………………………………………………………………….….25GMEPolicies…………..…………………………………………………………………………………………………….26
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DepartmentofSurgeryFacultyGeneral,MIS&AcuteCareSurgeryDavidShibata,MD,FACS,FASCRSScheinbergEndowedChairinSurgeryProfessorandChairDepartmentofSurgeryStaff: LoisDonnelly 901-448-5914 [email protected],MDAssistantProfessorDanielleBarnard,MDAssistantProfessorDenisForetia,MDAssistantProfessorJohnNelson,MDAssistantProfessorMaryBrinsonOwens,MDAssistantProfessorBenjaminPowell,MDAssociateProfessorStaff: TeresaShelton“Sissy” 901-272-7792
[email protected],MDAssistantProfessorBariatricSurgeryVirginiaWeaver,MDAssistantProfessorDavisMatthew,MDAssistantProfessor
MinimallyInvasiveSurgery(BMH)NathanielStoikes,MDAssistantProfessorDavidWebb,MDAssistantProfessorStaff: LisaEverly [email protected] 901-866-8530PediatricSurgeryJamesW.EubanksIII,MDAssociateProfessor&DivisionChiefAlexanderFeliz,MDAssociateProfessorAnkushGosain,MD,PhDAssociateProfessor EuniceHuang,MD,MSProfessor&ProgramDirectorTimothyJancelewicz,MD,MSAssistantProfessorMaxLangham,Jr.,MDProfessor&DepartmentofSurgeryViceChairmanReganWilliams,MD,MSAssistantProfessorYingZhuge,MDAssistantProfessor
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PediatricSurgeryStaffStaff:VeronicaJames
[email protected]@uthsc.edu901-287-6446EricaMitchellemitch49@[email protected]
SurgicalOncologyDavidShibata,MD,FACS,FASCRSProfessorSurgicalOncologyContinuesMartinFleming,MD,FACSAssociateProfessor&DivisionChiefStephenBehrman,MD,FACSProfessorJeremiahDeneve,DOAssociateProfessorPaxtonDickson,MDAssociateProfessorEvanGlazer,MD,PhDAssistantProfessorNathanHinkle,MDAssistantProfessorJustinMonroe,MDAssistantProfessorF.ElizabethPritchard,MD,FACSAssociateProfessorStaff:NancyWedgworth
TransplantJamesEason,MDProfessor&DivisionChiefLuisCampos,MDAssociateProfessorRyanHelmick,MDAssistantProfessorPeterHorton,MDAssociateProfessorNosratollahNezakatgoo,MDAssociateProfessorStaff: JeannieWagner
[email protected] 901-516-7469
LatashaLovett [email protected] 901-516-0929
Trauma/SurgicalCriticalCareMartinCroce,MDProfessor&DivisionChief*TiffanyBee,MDAssociateProfessorCoryEvans,MDAssistantProfessorTimothyC.Fabian,MDProfessorEmeritusPeterFischer,MDAssociateProfessorLouisMagnotti,MDAssociateProfessor
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Trauma / Surgical Critical Care Continues*GeorgeMaishIII,MDAssociateProfessor*GayleMinard,MDProfessorJohnSharpe,MDAssistantProfessorStaff: *CourtneyBishop [email protected] 901-448-8370 FlaveniaLeaper 901-4488140VAMCGeneral,Thoracic&ColorectalSurgeryEugeneMangiante,Jr.,MDProfessorAhmadBashar-Abdulkarim,MDAssistantProfessorAlexMathew,MD,FACSAssistantProfessorCarterMcDaniel,MDAssistantProfessor
GanpatValaulikar,MDAssociateProfessorVascularSurgeryMichaelRohrer,MDProfessor&DivisionChief
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DepartmentofSurgeryResidents(Residents’pagersareassignedwitheachrotationandareavailableontheResidents’AssignmentSchedule)PGY5ResidentsDavisBerryGrantBondRebeccaEmptingDavidHall(AdministrativeChief)Charles“Patrick”Shahan(AdministrativeChief)DrewTurnerSusanWcislakNicoleWhatleyPGY4ResidentsBennettJ.BerningOliviaDeLozierWhitneyGuerreroMarkIltisReneeLevesqueJessicaStaszakDerekThackerIrene“Rene”UlmPGY3ResidentsKeithChamplinMargaretFergusonNathanManleyStefanOsbornZacharyStilesDeniseYeungPGY2ResidentsMichaelBrightDomenicCranerKristinHarmon
PGY2ResidentsContinuesKathleenHayesStaceyKubovecKaylnMulhernBenjaminPettigrewBenjaminZambettiXu“Steve”ZhaoWilliamZicklerPGY1ResidentsShravanChintalapaniNidhiDesaiNathanJudgeMichaelKeirseyMariaKnausGarrettLimClarisseMuenyiJacquelineStuberPGY1PrelimResidentsStephenDejiAdedokunSeifAtyiaChristianDewanErinHeitmanCalebJonesRobertLibbyStewartLoganTaylorPateJulieReddickResearchResidentsMarcusAlvarez(PGY2)JustinDrake(PGY2)LeahHendrick(PGY2)
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ParticipatingInstitutionsRegionalOneHealth 877JeffersonAvenue
Memphis,TN38104SiteDirector:F.ElizabethPritchard,MD,FACS
[email protected] 1030JeffersonAvenue
Memphis,TN38104SiteDirector:AlexMathew,MD
[email protected] 1265UnionAvenue
Memphis,TN38104SiteDirector:BenjaminPowell,MD
[email protected],Memphis 6019WalnutGrove
Memphis,TN38120SiteDirector:StephenBehrman,MD
[email protected]’sMedicalCenter 848AdamsAvenue
Memphis,TN38103SiteDirector:JamesW.Eubanks,MD
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UTHSCGeneralSurgeryResidencyProgram2018–2019BlockDiagram
PGY1 July August September October November December January February March April May June Rotation General
Surgery MIS Pediatric
Surgery Surgical
Oncology General Surgery
Acute Care
Surgery
Transplant Surgery
GS/Trauma Surgery
Vascular Surgery
SICU Nutrition Endoscopy
Trauma Surgery
Site BMH BMH LB MLH - MUH
VAMC MLH - GT MLH - MUH
ROH MLH - MUH
ROH ROH ROH
% Clinic 10% 10% 10% 10% 20% 10% 10% 10% 10% 0% 10% 10%
PGY2 Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8 Block 9 Block 10
Rotation General Surgery
GS/Trauma Surgery
Surgical Endoscopy
Pediatric Surgery
CT Surgery
GS/Trauma Surgery
ACS/Night MIS GS/Trauma Surgery
ACS/MIS
Site VAMC ROH VAMC LB VAMC ROH MLH - MUH
BMH ROH MLH – MUH
% Clinic 20% 10% 10% 10% 10% 10% 10% 10% 10% 10%
PGY3 Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7
Rotation GS/Trauma Surgery
Transplant Surgery
Vascular Surgery
GS/Trauma Surgery
Surgical Oncology
GS/Trauma Surgery
Surgical Oncology
Site ROH
MLH – MUH MLH – MUH ROH MLH – GT ROH MLH - MUH
% Clinic 10% 10% 10% 10% 10% 10% 10%
PGY4 Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8
Rotation GS/Trauma Surgery
Colorectal Surgery
Vascular Surgery
ACS/MIS Thoracic Surgery
General Surgery
Pediatric Surgery
GS/Trauma Surgery
Site ROH BMH ROH MLH – MUH MLH – MUH VAMC LB ROH
% Clinic 10% 10% 10% 10% 10% 20% 10% 10%
PGY5 Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8
Rotation GS/Trauma Surgery
General Surgery
ACS/Bariatric Surgery
ACS Surgical Oncology
Surgical Oncology
General Surgery
ACS/General Surgery
Site ROH BMH MLH - GT MLH – North MLH – MUH MLH – GT VAMC MLH - S
% Clinic 10% 10% 10% 10% 10% 10% 10% 10%
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Application/EligibilityAllapplicationinformationshouldbesubmittedtotheDepartmentofSurgerythroughtheElectronicResidencyApplicationSystem(ERAS):https://www.aamc.org/students/medstudents/eras/.Threelettersofreference,inadditiontotheDean’sletterandyourUSMLEscoresshouldbeincludedinyourapplication.ApplicantsmustpassUSMLESteps1and2(CKandCS)orequivalentexaminationspriortobeginningtraining.Alleligibleapplicationsarereviewed.Wedoacceptapplicationsfrominternationalmedicalgraduates.Wehavealargenumberofhighlyqualifiedapplicantsandareonlyabletoconsiderthetopinternationalgraduates.Theapplicationdeadlinefortheacademicyear2018–2019isNovember16,2018.Confidentiality/HIPAAAllpatientinformationisconfidentialandsubjecttoHIPAAregulation.Servicelists,dischargesummaries,opnotesandallotherpapersormaterialcontainingpatientinformationshouldbeguarded.Papersshouldbeplacedintheshreddersprovided,notinthetrash.Allpatientidentifiersshouldberemovedforpresentationatconference.AllresidentsarerequiredtocompletetheHIPAAmoduleprovidedbytheGMEofficeannually.ResidentsshouldnotstoreanypatientrelateddocumentsoffsiteofUTorspecifichospitals.CurriculumConferences
MandatoryConferencesareheldonWednesdaymorningintheColemanBuilding,SouthAuditorium(956CourtAvenue).75%attendanceistheminimumacceptable(anACGMErequirement).CompliancewithClinicalandEducationalWorkHoursinanacceptablereasontomissconferenceandshouldbedocumentedbyemailtotheresidencycoordinator.• MortalityandMorbidityConference:7–8:30a.m.
o Casepresentationsofmorbidity,mortalityandinterestingcases• SurgeryGrandRounds:8:45–9:45a.m.
o Topicsofinterestbyfaculty,includingvisitingfaculty,andseniorresidents• SCOREConference:9:50–10:50a.m.
o BasedontheSCOREcurriculumo Includestopicssuchasqualityimprovement,professionalism,etc.
• ChiefResidentConference:11:00a.m.–12:00p.m.o TopicsbasedonABSITEandMockoralexampreparation
• SimulationLab:11:00a.m.–1:00p.m.o Basedonspecificscheduleperclasso 75%attendancerequired
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AdditionalConferences(attendanceisrotationspecific)• VascularConference(heldweeklyatBaptistEastHospital,MethodistUniversity
Hospital,orVAHospital).• TraumaConference/PI(FridaymorningsfollowingTurnover)TraumaTrainingCenter,
RegionalOneHealth[ROH]• MultidisciplinaryOncologyTreatmentPlanningConferences-TheSurgicalOncology
DivisionMultidisciplinaryscheduleisavailablefromtheDivisionOffice.ReadingAssignmentsResidentsareresponsiblefordevelopmentofaprogramofself-study.AllresidentsreceivesubscriptionstotheSCOREcurriculum(http://www.surgicalcore.org),asitedevelopedbytheAmericanBoardofSurgery,theAmericanCollegeofSurgeons,andothergroupstoprovidearesourceforSurgeryresidents.ResidentsareresponsibleforcompletingmodulesdevelopedfortheirPGYyearintheSCOREcurriculum.Residentsareexpectedtocompleteatleast5modulespermonth,andatleasthalfofthemoduleslistedforyouryearontheSCOREwebsite.Theresidencycoordinatorandprogramdirectorwillmonitorcompliance.RotationGoalsandObjectivesTherotationgoalsandobjectivesweredevelopedandapprovedbytheSEC,appropriatesitedirectorsanddivisionchiefsandimplementedbytheprogramdirector.Theseobjectivesareusedfortheevaluationofresidentsandarelocatedonthesurgerywebpage,(https://www.uthsc.edu/surgery/residency/rotations.php).Goalsandobjectivesareemailedtoresidentsthedaybeforeanewrotationbegins,andtheyshouldbereviewedbeforetherotation.SimulationLabs/VirtualRealityTrainerParticipationinscheduledsimulationlabsismandatory.Scheduleswillbeprovidedandallresidentsareexpectedtoattendthelabsasscheduled,unlessitwouldbeaviolationofClinicalandEducationalWorkHoursregulations(inwhichcaseanexplanationshouldbesenttotheprogramdirectororcoordinator).Youmustattend75%ofthelabsassigned.Ifyoumissascheduledsession,youcanmakeitupinasimilarsessionforanothergroup.YouwillalsoberequiredtocompletetheassignedVRsimulationmodulesforyourPGY.Thesewillbeassignedinquarterlysegments.FailuretosatisfytherequirementsforlabattendanceandVRmodulecompletionmayresultinfailuretoprogressthroughtheresidency,basedonfailuretomeettherequiredmilestones.Exams ABSITE
AllresidentsarerequiredtotaketheannualAmericanBoardofSurgeryinTrainingExam(ABSITE)eachyear.Thisexaminationismosthelpfulintheresident’sandthefaculty’sassessmentofclinicalandbasicsciencefundofinformation.Althoughperformanceonthisexamisnotthesoledeterminantinpromotionandprogressionintheresidency,itisusedaspartoftheglobalevaluation.ItisahelpfultoolinassuringthattheresidentwillbeablethepasstheQualifyingExamoftheAmericanBoardofSurgery(QE).Performancebelowthe25thpercentileonthisexamwillresultinaperformanceimprovementplan.Failureto
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abidebyperformanceimprovementtermsandcontinuedpoorperformanceontheexammayresultintermination.Ifpoorperformanceonthisexamisthoughttobebaseduponlearningdisabilities,theprogramdirectormayrefertheresidenttotheLearningResourceCenterforevaluation.MockOralExaminationAllresidentswilltakea“mockoral”examinationinMay.ThisexaminationisusedasapracticefortheCertifyingExaminationoftheAmericanBoardofSurgery(CE).TheresultsareprovidedtotheresidentstobeusedasfeedbackintheirpreparationfortheCE.Theresultswillalsobeusedaspartoftheglobalevaluationforeachresident.ExamScheduleABSITE:JanuaryMockOrals:May
ResidentClinicalandEducationalWorkHours(AlsoseeGMEPolicy#310-http://www.uthsc.edu/graduate-medical-education/policies-and-procedures/documents/clinical-and-educational-work-hours.pdf)Clinicalandeducationalworkhoursmustbelimitedtonomorethan80hoursperweek,averagedoverafour-weekperiod,inclusiveofallin-houseclinicalandeducationalactivities,andclinicalworkdonefromhome.Clinicalandeducationalworkincludesallclinicalandacademicactivitiesrelatedtotheresidencyprogram;i.e.,patientcare(bothinpatientandoutpatient),administrativedutiesrelatedtopatientcare,theprovisionfortransferofpatientcare,timespentin-houseduringcallactivities,andscheduledacademicactivitiessuchasconferences.Clinicalandeducationalworkhoursdonotincludereadingandpreparationtimespentawayfromthedutysite.Graduatemedicaleducationclinicalandeducationalworkstandardsincorporatetheconceptofgradedandprogressiveresidentresponsibilityleadingtotheunsupervisedpracticeofmedicine.ClinicalandeducationalworkhoursmustberecordedinNewInnovationsweekly,asrequiredbytheGMEoffice.Residentsareresponsibleforenteringsick/vacationleaveandforenteringjustificationforallviolations.MandatoryTimeFreeofClinicalWorkandEducation
• Clinicalandeducationalworkhoursmustbelimitedto80hoursperweek,averagedoverafour-weekperiod.
• Musthave1dayin7freefromalleducationalandclinicalactivities,averagedoverafour-weekperiod.At-homecallcannotbeassignedonthesefreedays.
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• Shouldhaveeighthoursoffbetweenscheduledclinicalworkandeducationperiods.o Theremaybecircumstanceswhenresidentschoosetostaytocarefortheir
patientsorreturntothehospitalwithfewerthaneighthoursfreeofclinicalexperienceandeducation.Thismustoccurwithinthecontextofthe80-hourandtheone-day-off-in-sevenrequirements.
• Musthave14hoursfreeofclinicalworkandeducationafter24hoursofin-housecall.MaximumClinicalWorkandEducationPeriodLength
• Clinicalandeducationalworkperiodsmustnotexceed24-hoursofcontinuousscheduledclinicalassignments.
o Uptofourhoursofadditionaltimemaybeusedforactivitiesrelatedtopatientsafety,suchasprovidingeffectivetransitionsofcare,and/orresidenteducation.
§ Additionalpatientcareresponsibilitiesmustnotbeassignedtoaresidentduringthistime.(Nonewpatients,noclinic,nosurgery)
ClinicalandEducationalWorkHourExceptions
• Inrarecircumstances,afterhandingoffallotherresponsibilities,aresident,ontheirowninitiative,mayelecttoremainorreturntotheclinicalsiteinthefollowingcircumstances:
o tocontinuetoprovidecaretoasingleseverelyillorunstablepatient;o humanisticattentiontotheneedsofapatientorfamily;or,o toattenduniqueeducationalevents.
• Theseadditionalhoursofcareoreducationwillbecountedtowardthe80-hourweeklylimit.
Evaluation/PromotionPoliciesAspartoftheoverallresidentevaluationprocess,thedepartmentusestheACGMESurgeryMilestonestohelpwiththeassessmentofresidents’overallprogressthroughthetrainingprogram.ItistheresponsibilityoftheClinicalCompetencyCommittee(CCC)toformallyrevieweachresidenttwiceayeartakingintoconsiderationrotationevaluationsbyfacultyandseniorresidents,scoresontheABSITEandyearlyMockOralexam,reviewofoperativelogs,qualityofpresentationsatweeklyM&Mconference,adhoc/midrotationreviewssubmittedbyfaculty,360evaluationssubmittedbyhospitalstaff,andanyothersubmittedwrittenmaterialavailableinordertoobtainanoverallpictureofresidentperformance.DepartmentofSurgeryMilestones:http://www.uthsc.edu/surgery/residency/documents/patient-care.pdfResidentsareevaluatedineachofthesixACGMEcorecompetencies.Multiplemethodsareusedtoassesseachoftheseareas.Onlineevaluationsforeachrotationareperformedbytheattendingstaff,chiefresidentsandnursingpersonnel(360°evaluation).
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PatientCareo Dailyserviceroundso Attendingroundso Clinico Surgicaltechniqueo Conferencepresentation
MedicalKnowledge
o Dailyroundso Attendingroundso Clinico ABSITEo Mockoralsexaminationo Conferenceparticipation
PracticeBasedLearningandImprovement
o M&Mpreparationo Skillslabparticipationo SCOREcurriculumcompletiono Conferenceattendance
Professionalism
o Interactionwithmultidisciplinaryteamandotherserviceso Conferencepreparationo Adherencetopoliciesandprocedureso Patientevaluations
InterpersonalRelationshipsandCommunication
o Interactionwithmultidisciplinaryteamandotherserviceso Commentsfrompatientsandfamilieso Medicalstudentevaluationso Evaluationbyotherresidents
SystemsBasedPractice
o Conferenceattendanceo Conferencepreparationo Medicalrecordandcaselogcompletiono Clinicalandeducationalworkhourlogcompletiono Compliancewithpoliciesandprocedures
RotationspecificevaluationsaredonethroughtheNewInnovations©system.TheevaluationprocessisbasedontheACGMEMilestonesofprogress.TheClinicalCompetencyCommittee(CCC),whichincludesnine(9)facultyandtheprogramdirector,isresponsiblefordeterminingresidents’progressionbasedontheeducationalmilestones,makingrecommendationsonpromotionandgraduationdecisions,andrecommendingperformanceimprovementordisciplinaryactionstotheprogramdirector.
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Mid-yearandendoftheyearevaluations:Mid-yearandattheendofeachresidencyyear,theprogramdirectorwillprovideasummativeevaluationforeachresidentdocumentingprogressionorpromotiontothenextyear.Thisevaluationassessescurrentperformancebasedonwrittenevaluations,facultyobservations,simulationlabparticipation,andotherperformancemeasuresthathavebeenreviewedbytheprogram’sQIC.Thesummativeevaluationwillbediscussedwiththeresidentandacopysignedbythementorand/ortheprogramdirectorandresidentandwillbeplacedintheconfidentialresidentfile.Graduatingresidents:Theprogramdirectorwillalsoprovideasummativeevaluationtograduatingresidentsuponcompletionoftheprogram.Theend-of-programsummativeevaluationwillincludedocumentationoftheresident’sperformanceduringthefinalperiodofeducationandverificationthattheresidenthasdemonstratedsufficientcompetencetoenterpracticewithoutdirectsupervision.Appointmenttothesurgicalresidencyprogramismadeonayear-to-yearbasisandisdependentuponsatisfactoryperformancebytheresident.ThereisanimpliedresponsibilitybytheDepartmentofSurgeryandtheresidentsurgeontorenewthisappointmentonayearlybasisaslongasworkissatisfactory,theresidentdesiresthepositionandtheneedsofthedepartmentandtheinstitutionaremet.Itmustbeemphasized,however,thatnoteveryonelearnsataconsistentrateandthatadditionaltrainingmaybenecessary.
AcademicPerformanceImprovementActionsAfulldescriptionoftheseactionsmaybeviewedontheGMEwebsiteunderacademicperformanceimprovementpolicy.
SingleIncidentForm Documentationofpoorperformance,notrequiringaformalaction.
PerformanceImprovementPlan(PIP)Thisisanofficialnoticetotheresidentofunsatisfactoryperformanceand
expectationsforimprovement.ExamplesofindicationsforPIPinclude(butarenotlimitedto):poorperformanceonexams(mockoralsorABSITE),clinicalperformanceand/orsurgicalskillsbelowthelevelexpectedfortheleveloftraining,unprofessionalbehavior,failuretocompletemedicalrecordsand/orcaselogsinatimelymanner.IftheresidentfailstosatisfactorilymeettheexpectationsinthePIP,actionsimplementedmayincludeadditionalimprovementplans,repeatingtheacademicyear,orotherdisciplinaryactions.
RepeatAcademicYear
Aresidentwillreceivewrittennoticefour(4)monthspriortotheendoftheacademicyearofhis/herrequirementtorepeattheacademicyear.Iftheprimaryreason(s)fornon-promotionoccursinthelastfour(4)months,noticewillbeprovidedascircumstancesreasonablyallow.
Determinationbythedepartmentchairandprogramdirector(alongwiththefacultyQualityImprovementCommittee)thattheresidentfailstocorrectadeficiencyorthatthedeficiencyorviolationofUniversityrulesisofsufficient
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gravitytowarrantdismissal,theresidentmaybedismissedwithoutbeingplacedonprobation.However,theprogramdirectormustconsultwiththeOfficeofGraduateMedicalEducationpriortoinstitutingadismissalthatisnotprecededbyaperiodofprobation.Inthatinstance,theresidentmayobtainreviewundertheGraduateMedicalEducationpolicyofAcademicDueProcess.Thispolicyisdelineatedinthehousestaffmanual.Alldisciplinaryactions,includingprobation,suspensionanddismissalwillbecomeapermanentpartoftheresidenttrainingrecord.GrievanceandDueProcessTheDepartmentofSurgeryfollowstheGrievancepolicyoftheGraduateMedicalEducationofficeofUTHSC.Residentsmayraiseandresolveissueswithoutfearofintimidationorretaliation.Foracademicorotherdisciplinaryactions,grievancesareprocessedaccordingtotheGMEAcademicAppealPolicy,availableontheGMEwebsite.TheGrievancepolicyisattachedtothishandbook.
FacultyEvaluation
Theresidentsevaluateeachfacultymemberannually,anonymouslyontheNewInnovationswebsite.Theseevaluationsarepartofthefacultymember’sannualevaluationbythedivisionchiefandthechairman.Theyarereviewedfortrends,positiveandnegative.
ProgramEvaluation
TheProgramEvaluationCommittee(PEC)consistsof14facultymembersandresidentrepresentatives.Thiscommitteeisresponsibleforreviewingthecurriculumanddevelopingandimplementingneweducationalactivities.Itisresponsibleforreviewingandupdatingrotationgoalsandobjectives.ItwillreviewACGMEstandardsandensurecompliance.Itwillrenderaformal,writtenannualprogramevaluationwithaplanforimprovement.Theresidentsandfacultysubmitevaluationsoftheprogramasawholeandindividualrotations(anonymously)ontheNewInnovationswebsiteannually.Allaspectsoftheprogramareevaluated,includingconferences,personnel,rotationsandfaculty.ThePECreviewstheseevaluations;residentandfacultyscholarlyactivity,ABS(AmericanBoardofSurgery)passrates.ThesearepresentedattheAnnualProgramEvaluation(APE)meeting.Theprogrameffectivenessisformallyreviewed.ThismeetingensurestheresidencyprogramisincompliancewithACGMEstandards.Anactionplanisdevisedforareasthatneedimprovementand/orchange.Resultsofthefacultyandrotationevaluationsaresharedwiththeprogramchairmanandthefacultymembers,includingdivisionchiefs.
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HandoffsandTransitionsofCare–GMEPolicy#312http://www.uthsc.edu/graduate-medical-education/policies-and-procedures/documents/handoffs-and-transition-of-care.pdfToensureresidentsarecompetentincommunicatingwithteammembersinthehand-overprocess,residentsmustadheretotheseprogramspecificpolicies:
Transitionsmayoccur:• Facetoface• Overthetelephone• Viasecurecomputernetwork
Informationtransferredmustinclude:• Patientname• Accountnumber• Roomnumber• Responsibleattendingandresidentcontactinformation• Patientage• Diagnosisandsurgeriesperformedorpending• Allergies• Resuscitationstatus• Antibiotics• Pendingtests• “Todo”list• Asamplelistisattached
AllinformationmustbetransmittedincompliancewithHIPPAAAlertnessandFatigueMitigation
ToincorporateproperfatigueawarenessintotheGeneralSurgeryResidencyprogram,arequiredlecture/presentationdedicatedtothistopicwillbegivenduringBasicScienceconference.Thislecturewilleducateresidentstorecognizethesignsoffatigueandsleepdeprivation;educateresidentsinalertnessmanagementandfatiguemitigationprocesses;and,encourageresidentstousefatiguemitigationprocessestomanagethepotentialnegativeeffectsoffatigueonpatientcareandlearning.TheaccompanyingslidepresentationwillbeavailableontheGeneralSurgerywebsite(http://www.uthsc.edu/surgery/conferences_schedule.php).AdditionalAlertnessandFatiguetrainingisavailableonline;seeGMEpolicy#315,http://www.uthsc.edu/graduate-medical-education/policies-and-procedures/documents/fatigue-management.pdf.Aresidentsufferingfromfatiguewillberelievedbythemostseniorresidentontheservice,whowilldesignatetheremainingresponsibilitiestoavailableresidentsasnecessary.ResidentswhoareunabletoarrangereliefshallcontactanAdministrativeChiefResidentortheProgramDirectorforassistance.
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LeavePolicy
UTGMELeavepolicy#220http://www.uthsc.edu/GME/documents/policies/leave.pdf
Allresidentsareallowedthree(3)weeks,consistingof21days(Monday–Sunday)ofpaidannual(vacation)leaveperyear,plusleaveasnotedintheinstitutionalrequirementsforfamily,maternity,andpaternityleave.ThedeadlinetosubmitvacationrequeststotheprogramdirectorisJune15,2018viathewebsite.Scheduleswillbemaintainedandpublishedinanonlineschedulingprogram(medrez.net).Vacationrequestswillbesubmittedthroughthesystemforapprovalbytheschedulingchiefresident.
WewillusethefollowingsystemforvacationassignmentforPGY2-5.VacationblockswillbeassignedbyalotterysystemfromeachPGYclass.Foreachofthethree(3)scheduledvacations,residentswillbeallowed(basedonlottery)toselectavacationblock.Eachblockmayonlybeusedonceperroundofvacationselection.Theresidentmaytakevacationatanypointduringtheassignedblock,withonlyoneresidentperserviceonvacationatanygiventime.PrioritywillbegivenbasedonPGYlevel.Educationalleave(formeetings)isnotcountedasvacationifapprovedbytheprogramdirector.Vacationleavedoesnotcarryoverfromyeartoyearandresidentsarenotpaidforunusedleave.Leaveforinterviewsmustberequestedbyemailtotheprogramdirector.Afterfive(5)daysoffforinterviews,interviewswillcountasvacationdays.
Residentsareallottedthree(3)weeksofpaidsickleavepertwelve-monthperiodforabsencesduetopersonalorfamily(spouse,child,orparent)illnessorinjury.Aphysician'sstatementofillnessorinjurymayberequiredforabsencesofmorethanthree(3)consecutivedaysoranexcessivenumberofdaysthroughouttheyear.Sickleaveisnon-cumulativefromyeartoyear.Residentsarenotpaidforunusedsickleave.Undercertaincircumstances,additionalsickleavewithoutpaymaybeapproved.InadditiontoapprovalfromthePD,aleaverequestformmustbecompletedbytheresidentandsignedbythechiefresident.Wellnessday(1/2day)Eachresidentisallowedone(1)–halfday(1/2day)every3monthsforpersonalhealthandwellness.Thisdaymustbesubmittedtotheadministrativechiefresidentandapprovedpriortotakingthe½day.Nootherresidentonthatservicemaybeawayontherequesteddayandwillonlybeapprovedoncethevacationandtravelscheduleisapproved.Priorityforrequestedleave1. Yearlyvacationschedule–3weeksperresident,schedulesetinJulyofeachacademic
year.2. Leaveforpresentationatregionalornationalconferences–timeforrequestedleave
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topresentataconferencemustbesubmittedtotheschedulingadministrativechiefresidentinwritingassoonastherequestingresidentreceivesnotificationofacceptancetopresent.(Note–youmustsubmittimeawaytotheadminchiefandrequestforfundingtotheprogramoffice,twopartprocess.)
3. Leavetointerviewforfellowshipprograms–residentsmaytakeleavetointerviewforfellowshipprogramsifnootherresidentisawayfromtheserviceduringtherequestedleave.Ifanotherresidenthasscheduledleavefromtheabovecategories,itistheresponsibilityoftheresidentinterviewingtofindcoverageforhis/hertimeaway.
4. WellnessDay–Doesnothavepriorityovertheabovescheduledleave.Note:Ifyourleaveisnotonthedepartmentwideresidentleavecalendar(maintainedbytheadministrativechiefresidents),youdonothavepriorityforleave.Makesuretoscheduleyourleaveassoonasyouknowaboutit.
TheAmericanBoardofSurgeryrequiresthatallresidentsapplyingforcertificationmusthavenofewerthan“48weeksoffulltimeclinicalactivityineachresidencyyear,regardlessoftheamountofoperativeexperienceobtained.The48weeksmaybeaveragedoverthefirstthreeyearsofresidency,foratotalof144weeksrequired,andoverthelasttwoyears,foratotalof96weeksrequired.”(fromtheABSwebsite)TheresidentmayberequiredtomakeupanytimemissedinaccordancewiththeResidencyProgramandBoardeligibilityrequirements.
LegalInquiries
Allinquiriesfromattorneys(unlesstheyarefromtheUniversityofTennesseeOfficeofGeneralCounsel)shouldbereferredtotheattending.Inquiriesfrominsuranceofficialsorhospitalofficialsshouldalsobeansweredingeneralities,andthenreferredtotheattending.Thisisthecase,evenifyouareassuredthatnolitigationisintended.Ifyouareservedwithpapersortherearehintsatlitigation,theattendingsurgeonandprogramdirectorshouldbeinformedimmediatelyandyouwillbeassistedincontactingtheUniversityCounsel(901-448-5615).
MedicalRecords
Medicalrecordsarelegaldocuments.Theyaremaintainedforcontinuityofpatientcare,documentqualitycare,justifypayment,reportingtogovernmentagencies,andserveasadefenseagainstmalpracticeclaims.Theyshouldneverbeusedtoairdisagreementswithotherservicesorcommentonthecareofotherservicesorhospitalpersonnel.Correctterminologyisimportant.
Allrecordsmustbetimedanddatedandsigned,andincludeblockletterofyournameafterthesignatureandapagernumber(orothercontactnumber).Apreopnoteshouldbeenteredonallpatients.AHistoryandPhysicalmustbeperformedwithin30daysprior
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toadmissionandupdatedwithin24hoursofadmissionorbeforetransporttotheoperatingroom.Alloperativereportsmustbedictatedwithin24hoursofsurgery.Dischargesummariesshouldbedictatedatthetimeofdischarge.Residentswhoaredelinquentwithmedicalrecordcompletionaresubjecttothesamepenaltiesasthefaculty–suspensionofoperativeand/oradmittingprivileges.Suspensionofprivilegesmayresultinlossofvacationdays.
Neveralteramedicalrecordafteraqueryismaderegardingthecareofthepatient.Travel/Meetings
Residentsareeligibletoattendmeetingsforpresentation(oralorposter)oftheirresearch.TheDepartmentofSurgerywillfund(atUniversityrates)themeetingregistration,travel,andhotelfees.Thiseducationalleavedoesnotcountasvacation.ResidentsmustcompleteandemailaTravelRequest(TR)formatleastonemonthinadvancetotheprogramdirectororresidencycoordinatorforapproval.TheTRformislocatedathttp://www.uthsc.edu/surgery/residency/documents/travel-request.pdf.AftertheprogramdirectorapprovestheTR,CynthiaTooley,residencycoordinatorwillnotifytheresidenttocontactFlaveniaLeaper,[email protected],tomaketravelarrangements.Inaddition,theresidentmustalsorequesttimeawayfromtheadministrativechiefresidentsothattravelrequestcanbeaddedtothemasterresidentleaveschedule.(Seetheleavepriorityscheduleformoredetails)IftheDepartmentpaysforresidents’traveltoconferencesthroughouttheyear,itisnowmandatoryforresidentstopresentattheHarwellWilsonSurgicalSociety(HWSS)ScientificSessioninJune.TravelreimbursementisbasedonGMEpolicy(http://www.uthsc.edu/GME/documents/policies/travel.pdf).Travelisaprivilegeandnotaright;allresidentsunderGraduateMedicalEducationarerequiredtoknowandfollowallUTtravelpolicies.GMEwillNOTaskforexceptionstothetravelpolicy.Alltravelersmustsignanattestationstatingthateveryoneunderstandsthetravelpolicyandagreestofollowit.GMEwillnotprocessanynewtravelforanyresidentorprogramuntiltheformsarereturnedfromtheresidentsandprogramadministration.FailuretofollowGMEpolicyanduseappropriateGMEformsmayresultinnon-reimbursement.
ReceiptssubmittedforreimbursementofallotherexpensesMUSTshowtotalandpaymentinformation.Alltravelreimbursementwillbedirectdepositedintotheresident’saccount.
ALLairlinereceiptsmustshowtheclassofservice(Coach)ordesignatedletterin
ordertoreceivereimbursement.
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Moonlighting Moonlightingisnotpermitted;violationofthispolicymayresultindismissal.OperativeLog
AllresidentsarerequiredtokeepanaccurateoperativelogofallproceduresperformedwhilearesidentintheDepartmentofSurgery.ThelogisprovidedontheACGMEwebsite.ThislogisusedforapplicationfortheAmericanBoardofSurgeryQualifyingExamandforRRCmonitoringoftheexperienceprovidedatthisinstitution.Proceduresshouldbeloggedatleastmonthly,andwillbemonitoredbytheresidencycoordinatorandprogramdirector.FailuretokeepupwithcaselogswillresultinlossofORprivilegesandmayresultinlossofvacationdays.
Professionalism
Honestyisexpectedatalltimes.Violationofthispolicyisgroundsforimmediatedismissal.AllresidentsontheGeneralSurgeryServiceareexpectedtolookandactasaresponsiblephysician.Professionalappearanceandmanneraretobeexercisedinallenvironments,eventhoughtheworkandconditionsmaybeverystressful.Allpatientsaretobetreatedwiththerespectyouwouldwishaffordedtoyourfamilymembers.
Itisneveracceptabletoswearatapatient,regardlessofthelanguageusedbythepatientorfamilymember.Itisneveracceptabletostrikeapatient.
Residentsareexpectedtodressprofessionallywheneveratwork.Scrubsareacceptableattire,butshouldbecleanandfreeofbloodandotherbodyfluids.Attireshouldbechangedassoonaspossibleafteracontaminatedorbloodycase.Yourwhitecoatshouldbeclean.Collegialityandrespectforothermembersofthehealthcareteamisessentialtogoodpatientcare.Whencalledforaconsultorcalledbyanurseforaquestion,theresponseshould,atalltimes,beprofessionalandcourteous.
Research/ScholarlyActivity
Research/scholarlyactivityisencouragedforallresidents–eitherbasicscienceorclinical.Facultymentorsarealwayswillingtosupportresidentsonprojects.Allresidentswitharesidencytrainingcompletiondateof2022orlaterarerequiredtoparticipateinatleastoneresearchproject.Ataminimum,eachresidentwillbe
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requiredtosubmitoneabstracttotheTennesseeChapteroftheAmericanCollegeofSurgeonsannualmeetingonceduringresidency.
Residentshaveanoptionoftakingtwo(2)yearsawayfromclinicalresidencytopursueadditionalresearch.Itisavailabletoresidentsingoodstanding.InaccordancewiththeRRCandtheABS,thistimedoesnotcounttowardtheminimumfive-yearclinicalcurriculum.
SupervisionPolicy
TheDepartmentofSurgeryfollowstheGraduateMedicalEducationResidentSupervisionPolicy#410,whichisavailableathttp://www.uthsc.edu/graduate-medical-education/policies-and-procedures/documents/resident-supervision.pdf
Theattendingphysicianisresponsiblefortheoverallcareofeachindividualpatientadmittedtothesurgicalserviceandforthesupervisionoftheresident(s)assignedtothepatient.Thereisaclearchainofcommandcenteredaroundgradedauthorityandclinicalresponsibility.
LevelsofSupervisionTopromoteoversightofresidentsupervisionwhileprovidingforgradedauthorityandresponsibility,theprogrammustusethefollowingclassificationofsupervision:
DirectSupervision–thesupervisingphysicianisphysicallypresentwiththeresidentandthepatient.
IndirectSupervision:o withDirectSupervisionimmediatelyavailable–thesupervisingphysicianis
physicallywithinthehospitalorothersiteofpatientcare,andisimmediatelyavailabletoprovideDirectSupervision.
o withDirectSupervisionavailable–thesupervisingphysicianisnotphysicallypresentwithinthehospitalorothersiteofpatientcare,butisimmediatelyavailablebymeansoftelephonicand/orelectronicmodalities,andisavailabletoprovideDirectSupervision.
Oversight–thesupervisingphysicianisavailabletoprovidereviewofprocedures/encounterswithfeedbackprovidedaftercareisdelivered.
Theprivilegeofprogressiveauthorityandresponsibility,conditionalindependence,andasupervisoryroleinpatientcaredelegatedtoeachresidentmustbeassignedbytheprogramdirectorandfacultymembers.
Theprogramdirectormustevaluateeachresident’sabilitiesbasedonspecificcriteria,guidedbytheMilestones.
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Facultymembersfunctioningassupervisingphysiciansmustdelegateportionsofcaretoresidentsbasedontheneedsofthepatientandtheskillsofeachresident.Seniorresidentsorfellowsshouldserveinasupervisoryroletojuniorresidentsinrecognitionoftheirprogresstowardindependence,basedontheneedsofeachpatientandtheskillsoftheindividualresidentorfellow.
Admissions
Theattendingsurgeonmustbenotifiedofeachadmission.Eachpatientisadmittedunderthenameofanattending.
Surgery
Theseniorresidentmustimmediatelynotifyandreceiveconcurrenceforanypatientgoingtotheoperatingroom.Supervisionofresidentswillalwaysmeetorexceedhospitalpolicy.Attendingswilldocumenttheirparticipationinthesupervisionprocess.Anattendingmustalwaysbeavailableforconsultationandsupport.Informationregardingtheresponsibleattendingshouldbeavailabletoresidents,facultymembersandpatients.Sitedirectorsofallintegratedandaffiliatedhospitalsintheprogrammustassuretheprogramdirectorthatthesepoliciesarebeingfollowed.Theattendingsurgeonisexpectedto:
o Confirm(orchange)thediagnosis.o Approvetheoperativeprocedureandproceduretiming.o Beimmediatelyavailableorphysicallypresent(asdictatedbyhis/her
judgment)duringtheoperativeprocedureandassurethatitisproperlycarriedout.Exceptionsareonlyallowedforlife/limbthreateningemergencies.
o Supervisethepostoperativecare.o Assurecontinuingcareafterthepatientleavesthehospital.
ProceduresoutsidetheOR
ThespecificClinicalActivitiesandLevelofSupervisionforGeneralSurgeryResidencyProgramisattachedtothishandbook.ThisoutlinesthemethodofinstructionandthelevelofsupervisionrequiredbeforecertificationtoperformactivitiesoutsidetheOR(i.e.centrallines,lacerationrepair,etc.)withoutdirectsupervision.
PGY1Residents
• Shouldbesuperviseddirectlyorindirectlywithdirectsupervisionimmediatelyavailable.
• Mustcompletetheprocedurelogtobecompetenttoperformthelistedprocedureswithindirectsupervision,withdirectsupervisionavailable.
SupervisingPhysiciansFacultymembersdelegateportionsofcaretoresidents,basedontheneedsofthepatientandtheskillsoftheresidents.Seniorresidentsorfellowsshouldserveinasupervisoryroleofjuniorresidentsinrecognitionoftheirprogresstowardindependence,basedonpatientneedsandtheskillsoftheindividualresidentorfellow.
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Transfer
Theattendingsurgeonmustbenotifiedofpatienttransfertoahigherlevelofcare,suchastransferfromthefloortotheintensivecareunit.
EndofLifeDecisions
Theattendingsurgeonshouldbeinformedofandinvolvedinendoflifedecisions,including,butnotlimitedto,donotresuscitateordersandwithdrawalofcare.
USMLERequirements
Steps1and2(CKandCS):Allresidents/fellowsenteringanyMemphis-basedgraduatemedicaleducationprogramsponsoredbytheUniversityofTennesseeCollegeofMedicineonorafterJuly1,2009musthavepassedUSMLESteps1and2(CKandCS)orequivalentexaminations(COMLEX-USAorMCCQE).
AnyAgreementofAppointmentorofferletterwillbecontingentuponpassingSteps1and2(orequivalentexams).Eachresident/fellowisresponsibleforprovidingcopiesofpassageofSteps1and2(CKandCS)orequivalentexaminationstotheprogramdirectorandtheGMEOfficeandwillnotbeallowedtostarttraininguntilthisdocumentationissubmitted.AvalidECFMGcertificatewillbeacceptedasproofforinternationalmedicalschoolgraduates.
Step3:AllresidentsarerequiredtopassUSMLEStep3beforetheycanadvancetothePGY3level.AllresidentsonthestandardcyclemustregistertotakeStep3nolaterthanDecember31stofthePGY2year.ResidentsmustprovideproofofpassagebyJune30thtobepromotedtothePGY3level.FailuretoprovideproofofpassagebyJune30thwillresultinnon-renewaloftheresident’scontractandtheresidentwillbeterminatedfromtheprogram.Itistheresponsibilityoftheresidenttoprovidethenecessaryprooftotheprogramdirectorandcoordinator.AnyAgreementofAppointmentorofferlettertobegintrainingatthePGY3orhigherlevelwillbecontingentuponpassingStep3(orequivalentexam).AcceptedormatchedresidentsandfellowswhohavenotpassedtherequiredU.S.MedicalLicensingExaminations(orequivalentexams)priortotheirscheduledstartdatedonotmeeteligibilityrequirementsandwillbereleasedfromtheirappointment.
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HOSPITALCONTACTSBAPTISTMEMORIALHOSPITALGraduateMedicalEducationZachMcBroomTeamMember–GME6025WalnutGroveRoad,Suite417901-226-1350(Office)901-226-1351(Fax)Zachary.McBroom@bmhcc.orgNikkiSwanGMEAssistant901-226-1356Nikki.swan@bmhcc.orgMedicalRecordsTheresePaige901-226-5157or901-226-5088LEBONHEURCHILDREN’SHOSPITALDictation287-5100MealAllotmentsCherylWilkinsonc/oPhysicianandReferralServices850PoplarAvenue,Bldg.2Memphis,TN,38105901-287-5158(Office)/901-287-4790(Fax)MedicalRecords901-287-6076Security(BadgeandParking)901-287-4456METHODISTUNIVERSITYHOSPITALMealAllotmentsMartyKeith1265UnionAvenueT-100ThomasWing/AdministrationMemphis,TN38104901-516-2346(Office)[email protected]
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MedicalRecordsP.J.Hayes901-516-8493PagersGlynisSandefurTelecomAnalyst5865ShelbyOaksCircleMemphis,TN38134901-516-3305Glynis.Sandefur@mlh.orgMETHODISTUNIVERSITYHOSPITALCONTINUESMedicalEducationJudyWatts251SClaybrook,2ndFloorMemphis,[email protected](IT)901-545-7480MealAllotmentsBradJordanMedicalStaffServicesAdministrativeCoordinator901-545-7509(Office)901-515-9503(Fax)bjordan@regionalonehealth.orgMedicalRecordsBuffyBell901-545-6319MedicalStaffServicesSheriWahlYendrek,BPS-HADirector,MedicalStaffServices&ResidentLiaison901-545-8336(Office)901-515-9486(Fax)[email protected]
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Pagers–(MaterialManagement)SonyaJonesBasement(AcrossfromJeffersonElevators)901-545-6971ScrubsAccessBrendaWellsSupervisor,LaundryServices877JeffersonAvenueMemphis,TN38103901-545-7990(Office)901-545-7169(Fax)901-304-7145(Cell)BMcFarland@regionalonehealth.orgVAMEDICALCENTERElstonHowardManagement&ProgramAnalystGraduateMedicalEducation&AssociatedHealthPrograms1030JeffersonAvenueEducation/11AVoice:(901)577-7395Fax:(901)577-7575Email:[email protected]:vhamemtraineeonboarding@va.govMedicalRecordsRebeccaEngland1030JeffersonAvenue,136FMemphis,TN38104(Room6018,GroundFloor)901-523-8990,[email protected]–AdministrationLindaEllis1030JeffersonAve.,112Memphis,TN38104(RoomCW424A-1,Thirdfloor)(901)523-8990,ext.2774)ReginaldLomax1030JeffersonAve.,112Memphis,TN38104(RoomCW353-1,ThirdFloor)
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(901)523-8990,ext.2123)
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ResourceLinksSite LinkACGMEResidentCaseLogSystem
www.acgme.org
AmericanBoardofSurgery
http://www.absurgery.org/
GeneralSurgeryPolicies
http://www.uthsc.edu/surgery/residency/policy_main.php
GraduateMedicalEducation(GME)
http://www.uthsc.edu/GME/
GMEPolicies
http://www.uthsc.edu/GME/policies.php
NewInnovations–ClinicalandEducationalWorkHours
http://www.new-innov.com/pub/
TravelRequestForm
http://www.uthsc.edu/surgery/residency/documents/travel-request.pdf
ScoreCurriculum
http://www.surgicalcore.org
UniversityHealthServices
http://www.uthsc.edu/univheal/
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TheGeneralSurgeryResidency
ProgramfollowsallUTGMEPoliciesandProcedures
AdditionalGMEPolicies
www.uthsc.edu/gme
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ProgramEligibilityandSelectionCriteria
AllapplicationinformationshouldbesubmittedtotheDepartmentofSurgerythroughtheElectronicResidencyApplicationSystem(ERAS):https://www.aamc.org/students/medstudents/eras/.Alleligibleapplicationsareaccepted.Theapplicationdeadlinefortheacademicyear2018–2019isNovember16,2018.InadditiontotheUniversityofTennesseeGraduateMedicalEducation(UTGME)SelectionPolicy#110(http://www.uthsc.edu/GME/policies/ResidentSelection.pdf),applicantsmustmeetthefollowingcriteria:VisaStatus–VisastatusforinternationalMedicalGraduatesmustfallwithinthefollowingcategories:
• EligibletoseekJ-1Visa• PermanentresidentorAlienstatus(i.e.“GreenCard”)• InaccordancewithUTGMEguidelines,thisprogramdoesnotsponsorresidentsfor“H”
typevisas.
Interviewsarerequiredforconsideration.InvitationswillbesentbeginninginSeptemberandinterviewswillbeheldonWednesdays,earlyNovemberthroughmid-January.Applicantsareselectedforinterviewsbasedon:
• Medicalschooltranscript• Personalstatement• Threelettersofrecommendation• USMLEorCOMLEXscores
Note:Toensurethatallresidents/fellowsmeetminimalstandards,theGraduateMedicalEducationProgramrequiresthatallresidents/fellowsenteringanyMemphis-basedgraduatemedicaleducationprogramsponsoredbytheUniversityofTennesseeCollegeofMedicineonorafterJuly1,2009musthavepassedUSMLESteps1and2(CKandCS)orequivalentexaminations(COMLEX-USAorMCCQE).AnyAgreementofAppointmentorofferletterwillbecontingentuponpassingSteps1and2(orequivalentexams).Eachresident/fellowisresponsibleforprovidingcopiesofpassageofSteps1and2(CKandCS)orequivalentexaminationstotheprogramdirectorandGMEOfficeandwillnotbeallowedtostarttraininguntilthisdocumentationissubmitted.AvalidECFMGcertificatewillbeacceptedasproofforinternationalmedicalschoolgraduates.AcceptedormatchedresidentsandfellowswhohavenotpassedSteps1and2(orequivalentexaminations)byJuly1willbereleasedfromtheircontract.
• USClinicalExperience(USCE)isnotrequired;however,itisencouraged.
Applicantsareselectedforresidencybasedontheabovecriteriaandonpersonalinterviews.
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PolicyAdditionalpoliciesrelatedtoprofessionalismarelocatedatthefollowinglink(http://policy.tennessee.edu/hr_policy/hr0580/)underCodeofConduct,DisciplinaryActions,andPersonnelPolicies(DisciplinaryActions).
GrievanceProceduresGMEPolicy350http://www.uthsc.edu/graduate-medical-education/policies-and-procedures/documents/grievances.pdf
TravelPolicyUTTravelPolicyFI0705http://treasurer.tennessee.edu/travel/policy-and-forms.htm
HealthandWellnessUniversityHealthoffersanumberofservicestosupportallemployeesincludinghousestaff.UHiscommittedtoprovidingahealthyandsafeworkenvironmentforemployeesandstudentsthrougheducation,preventionandtreatmentprograms.SomeoftheservicesofUTinclude:
• Immunizationsandotherpreventativeservicestoprotectagainstwork-relatedexposures.
• Routinescreeningforexposuretoworkplacehazards.• Evaluationandtreatmentofwork-relatedillnessorinjury.• Facilitationofproperreportinganddocumentationofwork-relatedinjuryorinjury.
Location: 910MadisonAvenue,9thFloor Phone:448-5630 EmergencyPhone:448-4444(CampusSecurity) Website:www.uthsc.edu/univheal
Workers'CompensationClaimsProcessIfyouhaveaworkerscompissue(i.e.needlestick,cutyourselfwithascalpel,falldownthestairs)youmustcallthevendorandputintheclaim.ThevendorisCorVelandthenumberis866-245-8588.Itisstaffed24/7byanurse.Oncethatisdone,theywillinstructyouwheretogotogetyourtreatment.Mostallofourhospitalsarein-networkwiththemaswellasUniversityHealth.Generally,youwillbereferredtothesamehospitalyouarecurrentatbutyoucanrequesttohaveitdoneatUniversityHealthoranotherlocation.WepreferthatyougotoUniversityHealthifitisduringbusinesshoursasGMEcaninterveneifyourunintoissues.Whereveryougetyourinitialtreatmentiswhereyouwillberequiredtogetyour
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follow-upcare.Afteryoucallyourclaiminandgetyourinitialtreatment,youmustcompletetheWorkers’CompInstructions/Procedures(http://www.uthsc.edu/hr/benefits/documents/employee-and-supervisor-workers-compensation-instructions-and-procedures.pdf),ReportontheJobInjury(http://www.uthsc.edu/hr/benefits/documents/report-of-on-the-job-injury-or-illness.pdf),andInitialMedicalChecklist(http://www.uthsc.edu/hr/benefits/documents/Initial_Med_Info_Checklist.pdf)forms.Yoursupervisor(canbeyourattendingoryourcoordinator)mustcallCorVeltoverifyandcompletetheinitialmedicalchecklistreportwithin5days.ItisimportantthatyoufollowthisprocesssothattheStatewillpickupthecostofthetreatmentandyouarenotbilledforit.Ifthereisanyproblemcallingthenumber,youcangetyourinitialtreatmentatthehospitalandcallitinthenextdayandsayitwasanemergencytreatment.Thisshouldbetheexception,asthenumbershouldalwaysbestaffed.ForadditionalinformationaboutWorkers’Comp,pleaseclickonorcopyandpastethefollowinglinkintoyourwebbrowser:http://www.uthsc.edu/hr/benefits/workers_compensation.phpReturntheformstoGME,920MadisonAvenue,Room447ordirectlytoHR,910MadisonAvenue,Room764.TheOfficeofRiskManagementwillfinedepartments$1,000eachtimeaclaimisnotdone,includingthecoordinatororsupervisorcalling,within5daysoftheincident.TheStateofTennesseemanagestheworkerscompprogramforeveryagencyandpublicuniversity.ThisisnotaGMEorUTprocessthatwecanchange.ThecampushasbeenworkingwiththeUTSystemOfficetomakesomesuggestionsforimprovement,aswhatwedoattheHealthScienceCenterisdifferentfromyourtypicalStateagency.IfyouhaveanyissuescalltheGMEOffice,901-448-5128orcallHRdirectlyat901-448-5600.
Off-SiteRotations
UniversityofTennesseeGraduateMedicalEducationProgramOffsiteRotationApprovalProcess
ThepurposeofoffsiterotationsistomeettrainingrequirementsthatcannotbesatisfiedwithinUniversityofTennessee(UT)affiliatedhospitalsorclinicaltrainingsites.Inordertoavailitselfofanoffsiterotationopportunity,therequestingprogrammustfirstreceiveapprovalfromtheDesignatedInstitutionalOfficial(DIO)/ProgramAdministrator.Theprogramdirectorisultimatelyresponsiblefortheabilityofhis/herprogramtomeetACGMEandRRCrequirementswithinUTfacilitieswheneverpossible.Intheeventthattrainingrequirementscannotbesatisfiedwithinfacilities,completionofthefollowingprocedureisrequiredbeforeanoffsiterotationmaybegin:
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1)Atleastthreemonthspriortothestartoftherequestedoffsiterotation,theprogramdirectorwillsubmitthefollowingdocumentationtotheOfficeofGraduateMedicalEducation:
(a)RequestforApprovalofOffsiteRotationForm(b)ProgramDirectorStatement(c)OffsiteAffiliationAgreementincludingAcceptance/WaiverofCompensation(d)GoalsandObjectivesfortherotation
2)UponreceiptofcompletedRequestforApprovalofOffsiteRotationFormandaccompanyingdocumentation,GMEstaffwillpresenttherequesttotheOffsiteandDIOforapproval.3)GMEstaffwillsendnoticeofapprovalofrequesttotheprogramdirectorwhentheDIOgivesfinalapproval.Likewise,theGMEOfficewillsendnoticeofdenialtotheprogramdirectoriftherequestisdenied.4)Unlesstheresident’sdepartmentreimbursesGMEfortheassociatedcosts,theresidentwillnotbepaidbyUTduringthedatesoftheoffsiterotationandwillberesponsibleforpayingthefullcostofgroupmedicalinsurance(bothUTandemployeeportion).Theresidentisalsoresponsibleformeetingthelicensurerequirementsinthestatewheretherotationoccurs.5)Theresidentandprogramdirectorarejointlyresponsiblefordeterminingthattheresidenthasobtainedprofessionalliabilitycoveragefortheoff-siterotation.UndertheprovisionoftheTennesseeClaimsCommissionAct,theUniversityofTennesseecannotprovidemedicalliabilitycoverageforout-of-staterotationsorforunpaidin-staterotations.In-stateinstitutionsmayalsorequirecommercialcoveragewithpre-determinedlimitsinlieuofClaimsCommissioncoverage.AdditionalinformationonOff-siterotationsislocatedat:https://www.uthsc.edu/GME/policies/offsite2010.pdf
