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PRECEPTORSHIP POLICY
In
support of its educational mission, FH GME provides medical
students and rotating residents with a clerkship experience
that offers a variety of clinical exposures in its Residency
Training Programs or with any of 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 and/or residency training
programs. The purpose of this policy is to outline the
responsibilities placed on participating preceptors 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.
PRECEPTOR QUALIFICATIONS
1.
Must be registered by the FH GME Office (annual renewal
required) prior to any preceptorship.
2.
Must submit to the GME Coordinator's office a copy of
an affiliation agreement with the FH GME approved medical
school or residency training program of the trainee.
3.
Must ensure that Florida Hospital has a current affiliation
agreement on file with the participating medical schools
or residency training programs.
4.
Must be board certified in the specialty of the requested
clerkship and a member of the FH Medical Staff in good
standing.
5.
Must submit to the GME Coordinator evidence of faculty
development in a workshop or conference at least 4 credit
hours annually on teaching, learning styles and/or evaluating
skills.
II.
PRECEPTOR SUPERVISORY RESPONSIBILITIES
1.
Physician attending must provide a clerkship syllabus
to each trainee and submit a copy to the GME Coordinator.
The syllabus must be updated on an annual basis and dated
appropriately. The syllabus must include but is not limited
to the following:
a.
General description of the rotation.
b. Learning objectives.
c. Clerkship schedule.
d. Trainee responsibilities:
i. Registration with the GME (Graduate Medical Education)
office.
ii. Orientation with the GME office prior to the start
of the rotation.
iii. Dress code in compliance with FH policies.
iv. FH ID badge to be worn at all times.
v. Citizenship in compliance with FH policies.
2.
Physician attending must assure that the trainee has completed
the I-Extend training to gain access to medical records.
3.
Physician attending must discuss the range of activities
and participation of the trainee at the beginning of the
rotation which includes:
a.
Obtaining medical history.
b. Performing an assessment.
c. Developing a plan.
d. Documenting in the medical record.
4.
Physician attending must discuss the evaluation method
of the trainee's performance and submit a copy of each
completed evaluation to the GME Coordinator.
5.
There must be documentation that the attending was present
or that the documentation was discussed and verified with
the attending. Physician attendings must adhere to the
following:
a.
Trainee documentation must be completed immediately following
the patient encounter.
b. Physician attending must refer in an active voice to
the trainee documentation that is specific to the scenario
and emphasize that the clinical decision making is under
the purview of the attending.
c. Physician attending must complete his/her own complete
documentation and must co-sign the trainee's note on a
daily basis.
d. Every trainee must work under the direct supervision
of the physician attending at all times.
e. All aspects of patient care for which the physician
attending wishes to bill are the responsibility of the
physician attending. Trainee services are not recognized
for reimbursement purposes.
f. Physician attendings are expected to be familiar with
and to adhere to the rules published in the CMS (Center
for Medicare and Medicaid Services) publication "Guidelines
for Teaching Physicians, Interns and Residents."
III.
There may be extraordinary circumstances where there is
a request for a preceptorship privilege that does not
meet the extent of this policy. Such requests may be approved
at the discretion of the Director of Academic Affairs.
IV.
Physician attendings will abide by all applicable Florida
Hospital policies.
V.
Any violation to any of the above policies will result
in immediate termination of the preceptorship privilege.
There will be a one-year waiting period from the termination
date before violators may reapply for the preceptorship
privilege.
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