Florida Hospital - Graduate Medical Education

In support of its educational mission, FH GME provides medical students who are in their first or second of medical school with a clerkship experience that offers a variety of clinical exposures in its Residency Training Programs or with its registered FH Medical Staff members in good standing. The clerkship experience is designed to fulfill the requirements as outlined by the participating medicals schools. The clerkship experience is limited only to outpatient settings. The purpose of this policy is to provide an environment that is safe for patients, office staff, medical trainees and medical staff; respect patients' rights to privacy and confidentiality; and enhance the educational experience of the trainees.

I. The Florida Department of Education, Commission for Independent Education, has formulated specific regulations in order to ensure that:

3. The responsibilities of the hospital, the medical school and residency training program are properly delineated.

6. The citizens of Florida are protected by ensuring that students whom they may encounter in a hospital setting have received a medical education comparable in quality and content to that provided by an accredited US medical school.

II. In compliance with the Florida Department of Education, Commission for Independent Education, international medical schools must be licensed by the Commission for Independent Education for clerkship opportunities within the Florida Hospital system.

As of August 2009, the following international medical schools are licensed by
the Florida Department of Education, Commission for Independent Education:

- American University of the Caribbean, St. Maarten
- Ross School of Medicine, Dominica
- Saba University School of Medicine, Netherlands-Antilles
- St. George's University, Grenada
- St. Matthew's University, Grand Cayman
- Una Universidad De Emprendedores, Santo Domingo

III. In compliance with the Florida Department of Education, Commission for Independent Education, international medical schools licensed by the Commission must have an executed FH GME's Hospital and Medical School Affiliation Agreement.

IV. FH GME does not accept any application for clerkships from international applicants matriculating at any international medical schools not included in the listing of those licensed by the Florida Department of Education, Commission for Independent Education.

V. US medical students applying for clerkships at Florida Hospital must be enrolled in AOA, CPME or LCME accredited medical schools.

1. Medical students must complete the FH GME application online and obtain prior approval from their medical school before being considered for acceptance.

2. Applicants who have been approved for a clerkship at Florida Hospital must report for general orientation with the GME Coordinator prior to the start of their training.

3. Applicants who have been approved for a clerkship at Florida Hospital must complete the I-Extend training within 48 hours after completing the orientation process. Applicants will receive an email notification of successful completion of the I-Extend training, and must forward this email to the GME Coordinator immediately.

4. Medical students must be identified by an FH ID badge provided by the GME Coordinator during orientation and the medical school's photo ID badge. Both badges must be worn at all times while on FH sites. The FH ID badge is required for identification purposes only, and not for any security access to hospital units/areas, and must be returned at the end of the clerkship period. There is an assessment of $10.00 for unreturned or damaged FH ID badge.

5. For emergent circumstances approved by the preceptor, FH GME permits no more than 1 day off per two-weeks during each clerkship training period.

6. Medical students must be under full supervision by the assigned attending at all times.

1. Medical students may document services in the medical records. However, the documentation of an Evaluation / Management service by a medical student that may be referred to by the teaching physician is limited to documentation related to the review of systems and/or past family/social history. The teaching physician may not refer to a medical student's documentation of physical exam findings or medical decision making in his or her personal notes. If the medical student documents Evaluation / Management services, the teaching physician must verify and re-document the history of present illness as well as perform and re-document the physical exam and medical decision making activities of the service.

2. Medical students must not write orders under any circumstance since such is beyond the scope of the functions for medical students in FH sites.

VIII. There may be extraordinary circumstances where there is a request for a clerkship experience that does not meet the extent of this policy. Such requests may be approved at the discretion of the Director of Academic Affairs.

X. Any violation to any of the above policies will result in immediate termination of the clerkship experience and may be denied future clerkship experience at Florida Hospital sites.

Constance Clark, GME Coordinator
Graduate Medical Education
2501 N Orange Ave, Suite 235
Orlando , FL 32804
Phone 407-303-5268
Fax 407-303-5273

Yara Ildefonso, Program Coordinator
Family Medicine (Allopathic Program)
Geriatric Medicine Fellowship
Family Medicine Residency
2501 N. Orange Avenue, Suite 235
Orlando, FL 32804
Phone 407-303-2814
Fax 407-303-2885

Rebecca Morgan, Program Coordinator
Family Medicine (Osteopathic Program)
FM, FM/NMM and PM&S Residency
7975 Lake Underhill Road, Suite 210
Orlando, Florida 32822
Phone 407-303-8683
Fax 407-303-8659

Katherine D. Newsum, Program Coordinator
General Surgery Residency Program
Minimally Invasive Surgery Fellowship Program
Colon & Rectal Residency Program
2501 N. Orange Ave, Suite 401
Orlando, FL 32804
Phone 407 303-7203
Pager: 303-5599, #8939

Angela M. Babcock, Program Coordinator
Emergency Medicine Residency
Florida Hospital East Orlando
7727 Lake Underhill Road
Orlando, FL 32822
Phone 407-303-6413
Fax 407-303-6414

	DeAnna Santana, Program Coordinator Internal Medicine Residency 2501 N. Orange Ave, Suite 235 Orlando, FL 32804 Phone 407-303-7331 Fax 407-303-2885

	Lilia Portilla, Program Coordinator GYN/MIS Fellowship 2501 N. Orange Ave, Suite 286 Orlando, FL 32804 Phone 407-303-2721 Fax 407-303-2782

In support of its educational mission, FH GME provides medical students who have successfully completed their second year of medical school with a clerkship experience that offers a variety of clinical exposures in its Residency Training Programs or with its registered FH Medical Staff members in good standing. The clerkship experience is designed to fulfill the requirements as outlined by the participating medicals schools. The purpose of this policy is to provide an environment that is safe for patients, office staff, medical trainees and medical staff; respect patients' rights to privacy and confidentiality; and enhance the educational experience of the trainees.

I. The Florida Department of Education, Commission for Independent Education, has formulated specific regulations in order to ensure that:

3. The responsibilities of the hospital, the medical school and residency training program are properly delineated.

II. In compliance with the Florida Department of Education, Commission for Independent Education, international medical schools must be licensed by the Commission for Independent Education for clerkship opportunities within the Florida Hospital system.

As of August 2010, the following international medical schools are licensed by
the Florida Department of Education, Commission for Independent Education:

III. In compliance with the Florida Department of Education, Commission for Independent Education, international medical schools licensed by the Commission must have an executed FH GME’s Hospital and Medical School Affiliation Agreement.

V. US medical students applying for clerkships at Florida Hospital must be enrolled in AOA, CPME or LCME accredited medical schools.

1. Medical students must complete the FH GME application online and obtain prior approval from their medical school before being considered for acceptance.

2. Applicants who have been approved for a clerkship at Florida Hospital must report for general orientation with the GME Coordinator prior to the start of their training.

4. Medical students must be identified by an FH ID badge provided by the GME Coordinator during orientation and the school’s photo ID badge. Both badges must be worn at all times while on FH sites. The FH ID badge is required for identification purposes only, and not for any security access to hospital units/areas, and must be returned at the end of the clerkship period. There is an assessment of $10.00 for unreturned or damaged FH ID badge.

5. For emergent circumstances approved by the preceptor, FH GME permits no more than 1 day off per two-weeks during each clerkship training period.

6. Limited housing is available for applicants on a first-come-first-served basis. Preference will be given to applicants for clerkships approved at FH GME training programs. The housing fee is $ 200.00 per four-week period payable upon approval of the application (check or money order payable to Florida Hospital Medical Education).

7. FH GME housing is reserved for approved applicants only. Significant others and pets are not allowed.

1. Any contribution made by a medical student involving the performance of a service or billable procedure must be performed in the physical presence of a physician or jointly with a resident and the teaching physician. Medicare does not reimburse for any service furnished by a medical student.

2. Any contribution and participation of a medical student to the performance of a billable service (other than the review of systems and/or past, family and social history which are not separately billable, but are taken as part of an Evaluation / Management service) must be performed in the physical presence of a teaching physician or physical presence of a resident in a service meeting the requirements set forth in Medicare's teaching physician billing.

3. Medical students may document services in the medical records. However, the documentation of an Evaluation / Management service by a medical student that may be referred to by the teaching physician is limited to documentation related to the review of systems and/or past family/social history. The teaching physician may not refer to a medical student's documentation of physical exam findings or medical decision making in his or her personal notes. If the medical student documents Evaluation / Management services, the teaching physician must verify and re-document the history of present illness as well as perform and re-document the physical exam and medical decision making activities of the service.

4. Medical students must not write orders under any circumstance since such is beyond the scope of the functions for medical students in FH sites.

X. Any violation to any of the above policies will result in immediate termination of the clerkship experience.