Policies

TABLE OF CONTENTS PAGE(S)

1.INSTITUTIONAL ORGANIZATION 4-5

1.1 Sponsoring Institution & OPTI 4
1.2 Participating Sites 4
1.3 Statement of Commitment to GME 5
1.4 Accreditation for Patient Care 5

2. INSTITUTIONAL RESOURCES 5-8

2.1 Resources 5
2.2 Program Director 5-6
2.3 Faculty and Other Administrative Staff 6-7
2.4 Resident/Fellow Forum 7
2.5 Educational Tools 8
2.6 Support Services and Systems 8

3. LEARNING AND WORKING ENVIRONMENT 8-9

3.1 Supervision 8
3.2 Clinical & Educational Work Hours 9
3.3 Transitions of Care, Quality Improvement, and Patient Safety 9
3.4 Fatigue Management and Mitigation 9

4.INSTITUTIONAL POLICIES AND PROCEDURES 9-13

4.1 Eligibility and Selection 9
4.2 Resident Transfers and Advanced Standing 10
4.3 Program Closures and Reductions 10-11
4.4 Agreement of Appointment/Contact 11
4.5 Non-Competition or Restrictive Covenant 11
4.6 Promotion and/or Renewal of Appointment 12
4.7 Sexual and Other Forms of Harassment 12
4.8 Accommodations for Disabilities 12
4.9 Vendor Interactions 12
4.10 Disaster or Interruption in Patient Care 12
4.11 GME Track 12-13
4.12 National Resident Matching Program (NRMP) 13

5.BENEFITS 13-14

 

5.1 Professional Liability Insurance 13
5.2 Health and Disability Insurance 13
5.3 Vacation and Other Leaves of Absence 14

6. RESIDENT/FELLOW RESPONSIBILITIES 14-15

7. ISSUES AND CONFLICT MANAGEMENT 15

8. DUE PROCESS 15-16

9. PHYSICIAN IMPAIRMENT 16

10.EDUCATIONAL CURRICULUM 16-17

10.1 Core Curriculum 16
10.2 Educational Curriculum 16-17
10.3 Scholarly Activities 17 
10.4 Other Learners Policy 17

11. EVALUATIONS 17-21

11.1 Resident Evaluation and Clinical Competency Committee 17-19
11.2 Formative Evaluation 19
11.3 Semi-Annual Evaluations 19-20
11.4 Summative Evaluation 20
11.5 Faculty Evaluation 20
11.6 Program Evaluation and Improvement 20-21

12. INSTITUTIONAL OVERSIGHT 21-24

12.1 GMEC 21
12.1.1 Resident Complement Increase Requests 21-22
12.1.2 New Program Request 22-23
12.1.3 New Participating Site Request 23

12.1.4 Appointment of New Program Director 23-24

APPENDIX

1.   Responsibilities of the Program Director Policy #0.04 26-33
2.   KCU Resident Forum Policies and Procedures #0.02 34-37
3.   Learning and Working Environment Policy #0.19 38-39
4.   Supervision Policy #0.12 40-41
5.   Clinical & Educational Work Hours Policy #0.07 42-46
6.   Handoffs and Transitions of Care Policy #0.20 47-48
7.   Quality Improvement/Patient Safety Policy #0.22 49
8.   Fatigue, Sleep Deprivation, and Mitigation Policy #0.21 50-51
9.   Eligibility and Selection Policy #0.08 52-54
10. Non-Competition or Restrictive Covenant Policy #0.17 55
11. Promotion and/or Renewal of Appointment Policy #0.09 56-57
12. Sexual and Other Forms of Harassment Policy #0.10 58-59
13. Accommodations for Disabilities Policy #0.11 60-63
14. Vendor Interactions Policy #0.16 64-65
15. Disaster or Interruption in Patient Care Policy #0.18 66-67
16. Vacation and Other Leaves of Absence Policy #0.15 68-69
17. Due Process Policy #0.13 70-74
18. Grievance Policy #0.14 75-76
19. Physician Impairment Policy #0.06 77-80
20. Program Evaluation and Improvement Policy #0.03 81-83
21. GMEC Composition and Responsibilities Policy #0.01 84-86
22. GMEC Protocol for Special Review Policy #0.05 87-88
23. Resident Complement Change Request Form 89-91
24. New Participating Site Request Form 92-93
25. New Program Director Request Form 94-95