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Psychiatry Residency Training Program
 
  Applicants Department GME Office Home School of Medicine UW UWHA

Residency Policies & Procedures
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V. CLINICAL ROTATIONS

ROLE DESCRIPTION OF INPATIENT ATTENDING AND RESIDENT

  1. Residents are assigned to a specific faculty member, who makes daily clinical rounds with the Resident, examines all new patients,  and reviews the treatment plans.
  2. The Attending Physician has the final clinical, legal, and fiscal responsibility in the care of his/her patients.  The Attending supervises and teaches Residents and medical students, and is responsible for admission and progress notes, which allow for utilization review and billing.
  3. Under supervision of the Attending, the Resident is responsible for the admission and the daily medical and psychiatric management of the patient.  The Resident is responsible for physician orders, admission and clinical progress notes, and discharge summaries.  The Resident is responsible for the integration of the multidisciplinary treatment plan.  The Resident supervises, and teaches medical students.
  4. In addition to clinical rounds, the Resident will receive a minimum of one hour per week scheduled supervision time with his/her Attending, and another hour of formal one-to-one supervision by another faculty member (see "Off Ward" Supervision), as well as regular supervision by the Chief Resident.
  5. 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 ward, and supervision needs to be sufficiently close to allow him/her to notice problems.
  6. 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 prepared to fully inform the Attending about all matters of patient care.  It is strongly recommended that the specific terms of the supervisory agreement (i.e. how much supervision?, how much reporting is expected?, coverage?, etc.) be made explicit in a collegial discussion between Resident and Attending.
  7. 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 unit.
  8. There will at all times be a Resident and an Attending available to the inpatient unit.  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 for immediate on-site supervision.
  9. Residents will cover for one another for the required half-day Continuity Clinic.
  10. The Attending will support and facilitate the Residentís attendance at Didactics, Grand Rounds, Business Meetings, Continuity Clinic and supervision sessions.  The Attending will honor the Residentís right to take one or two weeks vacation on a particular three month inpatient rotation, as specified in, and subject to, University and Department policies.

(Approved by the RESC on June 15, 2006, and by the Department Chair on June 15, 2006.)

 

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560
206-543-6577
email: psychres@u.washington.edu