Residency Policies & Procedures
V. CLINICAL ROTATIONS
ROLE DESCRIPTION OF CONSULTATION-LIAISON ATTENDING AND RESIDENT
- Residents are assigned to a specific faculty member who meets daily
with residents to discuss all new patients and review treatment plans.
- The Attending Physician has the final clinical, legal, and fiscal
responsibility in the care of patients. The Attending supervises
and teaches Residents and medical students, and is responsible for review
of initial evaluations, which allow for utilization review and billing.
- Under the supervision of the Attending, the Resident is responsible
for the initial evaluation and any needed follow-up, as well as
appropriate communication with the primary team. Supervision and
teaching of medical students is a joint responsibility of Attendings
- In addition to clinical rounds, the Resident will receive a minimum
of one hour per week scheduled supervision time with his/her Attending.
- As a teacher, the Attending will provide the Resident with information,
options, and choices in patient care. The Attending needs to keep
abreast of the clinical issues on the service, and supervision needs
to be sufficiently close to allow him/her to notice problems.
- The Attending needs to monitor the Residentís performance and give
feedback. The Attending determines how closely a resident needs
to be supervised and how much reporting he or she expects from a particular
resident, depending on the Residentís level of training and experience.
The Resident will be open to learning, willing to consult, and be prepared
to fully inform the Attending about all matters of patient care.
It is strongly recommended that the specific terms of the supervisory
agreement be made explicit in a collegial discussion between the Attending
and the Resident.
- As a role model, the Attending will demonstrate interviewing skills,
the process of clinical thinking, and effective interaction with patients
and staff. The Resident will function as a role model to the medical
student. Resident and Attending share the responsibility for promoting
an educational climate on the service.
- There will at all times be a Resident and/or an Attending available
to the service. During the day the Attending is available at the
hospital site and/or can be consulted by phone. If the Attending
cannot be available at the site, a specific other Attending will be
designated to cover for emergencies that require the physical presence
of an Attending. Attendings are expected to honor a Residentís
request at any time to examine a patient for initial evaluation or re-evaluation.
- Whenever possible, Residents will cover for one another for the required
half-day Continuity Clinic.
- The Attending will support and facilitate the Residentís attendance
at Didactics, Grand Rounds, Business Meetings, and Continuity Clinic.
If the resident is gone for these reasons, the Attending will cover
the service and a designated person will carry the regular consult pager.
The Attending will honor the Residentís right to take one week of vacation
during a one or two month consult rotation. (As for clinical coverage,
the general policy applies: Residents will make a ďgood faithĒ
effort to cover for one another during absences, but the final responsibility
rests with the Attendings. Residents on inpatient units or other
required rotations can not be asked to cover for an absent consultation-liaison
(Approved by the RESC on June 15, 2006, and by the
Chair on June 15, 2006.)
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