Policies

TABLE OF CONTENTS

1.INSTITUTIONAL ORGANIZATION

1.1 Sponsoring Institution & OPTI
1.2 Participating Sites
1.3 Statement of Commitment to GME
1.4 Accreditation for Patient Care

2. INSTITUTIONAL RESOURCES

2.1 Resources
2.2 Program Director
2.3 Faculty and Other Administrative Staff
2.4 Resident/Fellow Forum
2.5 Educational Tools
2.6 Support Services and Systems

3. LEARNING AND WORKING ENVIRONMENT

3.1 Supervision
3.2 Clinical & Educational Work Hours
3.3 Transitions of Care, Quality Improvement, and Patient Safety
3.4 Fatigue Management and Mitigation

4.INSTITUTIONAL POLICIES AND PROCEDURES

4.1 Eligibility and Selection
4.2 Resident Transfers and Advanced Standing
4.3 Program Closures and Reductions
4.4 Agreement of Appointment/Contact
4.5 Non-Competition or Restrictive Covenant
4.6 Promotion and/or Renewal of Appointment
4.7 Sexual and Other Forms of Harassment
4.8 Accommodations for Disabilities
4.9 Vendor Interactions
4.10 Disaster or Interruption in Patient Care
4.11 GME Track
4.12 National Resident Matching Program (NRMP)

5.BENEFITS

5.1 Professional Liability Insurance
5.2 Health and Disability Insurance
5.3 Vacation and Other Leaves of Absence

6. RESIDENT/FELLOW RESPONSIBILITIES

7. ISSUES AND CONFLICT MANAGEMENT

8. DUE PROCESS

9. PHYSICIAN IMPAIRMENT

10.EDUCATIONAL CURRICULUM

10.1 Core Curriculum
10.2 Educational Curriculum
10.3 Scholarly Activities 
10.4 Other Learners Policy

11. EVALUATIONS

11.1 Resident Evaluation and Clinical Competency Committee
11.2 Formative Evaluation
11.3 Semi-Annual Evaluations
11.4 Summative Evaluation
11.5 Faculty Evaluation
11.6 Program Evaluation and Improvement

12. INSTITUTIONAL OVERSIGHT

12.1 GMEC
12.1.1 Resident Complement Increase Requests
12.1.2 New Program Request
12.1.3 New Participating Site Request
12.1.4 Appointment of New Program Director

APPENDIX

1.   Responsibilities of the Program Director Policy #0.04
2.   KCU Resident Forum Policies and Procedures #0.02
3.   Learning and Working Environment Policy #0.19
4.   Supervision Policy #0.12
5.   Clinical & Educational Work Hours Policy #0.07
6.   Handoffs and Transitions of Care Policy #0.20
7.   Quality Improvement/Patient Safety Policy #0.22
8.   Fatigue, Sleep Deprivation, and Mitigation Policy #0.21
9.   Eligibility and Selection Policy #0.08
10. Non-Competition or Restrictive Covenant Policy #0.17
11. Promotion and/or Renewal of Appointment Policy #0.09
12. Sexual and Other Forms of Harassment Policy #0.10
13. Accommodations for Disabilities Policy #0.11
14. Vendor Interactions Policy #0.16
15. Disaster or Interruption in Patient Care Policy #0.18
16. Vacation and Other Leaves of Absence Policy #0.15
17. Due Process Policy #0.13
18. Grievance Policy #0.14
19. Physician Impairment Policy #0.06
20. Program Evaluation and Improvement Policy #0.03
21. GMEC Composition and Responsibilities Policy #0.01
22. GMEC Protocol for Special Review Policy #0.05
23. Resident Complement Change Request Form
24. New Participating Site Request Form
25. New Program Director Request Form