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2.   ARTICLE ARTICLE TWO:  APPLICATION PROCEDURE

1. Application
   1. Application for the PGY 1 – TR Internship and Residency/Fellowship Programs must be submitted by the candidate to the Office of Graduate Medical Education of ROWAN-SOM using the Electronic Residency Application Service (ERAS).  The initiation of the application process shall be instituted by the applicant sending their application materials through ERAS.
2. Deadline for Application
   1. Applications must be submitted through ERAS by September 15^th of the academic year preceding the start of the next academic year.  (Date Subject to Change)
3. Application Content
   1. Every applicant for a PGY 1 internship and residency programs must furnish complete information concerning the following:
   2. Complete the ERAS Common Application Form
   3. Undergraduate and graduate medical training, including the name of each institution, degrees granted and anticipated, program completed, and dates attended.
   4. Minimum of three (3) Letters of Recommendation
   5. Official transcript reflecting all courses through Year 3 of Osteopathic Medical School
   6. Copy of Part I, Part II CE and PE of the COMLEX National Board scores and Part 1 and 2 of the USMLE National Boards (if applicable)
   7. Dean’s letter
   8. Other information requested in the application
4. Effect of Application
   1. By sending an application through ERAS, the applicant:
      1. Attests to the correctness and completeness of all information furnished.
      2. Signifies his/her willingness to appear for an interview in connection with the application.                           
      3. Agrees to abide by the terms of the PGY 1 – TR and Residency/Fellowship Contract, the PGY 1 – TR and Residency/Fellowship Training Program Rules and Regulations of the ACGME / American OsteopathicAssociation, the Rules and Regulations PGY 1 – TR and Residency/Fellowship Training Program, the medical center Bylaws, Rules and Regulations, Policies and Procedures of the medical staff as they pertain to PGY 1 – TR’s and RESIDENT/FELLOWS and agrees to abide by the terms thereof.
      4. Authorizes and consents to University representatives consulting with those institutions and persons who have information regarding competence and consents to the inspection of all records and documents that may be material to evaluation of said qualifications.   
      5. Releases from any liability all those who, in good faith and without malice, review, act on, or provide information regarding the applicant's competency, ethics, character, health status, and other qualifications for PGY 1 – TR and Resident/Fellow appointment.
5. Processing the Application
   1. Applicant's Burden
      1. The applicant is required to produce adequate and correct information for a proper evaluation of his/her training, ability (knowledge and skills), ethical, and attitudinal conduct about the qualification for selection and appointment to the PGY 1 – TR and Residency/Fellowship Training Programs, and of satisfying any reasonable request for information or clarification made by appropriate request.
      2. The applicant further understands that should an appointment be granted, the burden of providing a verifiable diploma from the osteopathic school of graduation prior to beginning the training program is the responsibility of the PGY 1 – TR / RESIDENT/FELLOW.
      3. The responsibility of attending all required orientation programs prior to the PGY 1 – TR / Residency/Fellowship shall be his/hers.
      4. The PGY 1 – TR / RESIDENT/FELLOW must submit to and satisfactorily pass a physical examination conducted by an agent of the medical center and submit to all State Regulations regarding health standards including PPD, MMR, tetanus, polio virus, varicella, hepatitis B and influenza vaccinations.
      5. The PGY 1 – TR / RESIDENT/FELLOW applicant agrees to and must show verifications that he/she has certification in ACLS and PALS prior to starting the PGY 1  program.  Failure to do so will lead to nullification of the contract.
      6. An PGY 1 – TR / RESIDENT/FELLOW employment is contingent upon the satisfactory completion of a background check. The background check will consist of verifying present and past employment, criminal history, social security verification and employment references. Additionally, educational and professional credentials and motor vehicle records will be checked as position requirements demand. All background checks will be conducted in accordance with the Fair Credit Reporting Act (FCRA) and require a signed release by the applicant after an offer of employment has been made. The signed release is a condition of University employment and shall not be waived for any reason. If a background check disqualifies an applicant for any reason, the applicant will be notified and given a reasonable opportunity to correct any inaccuracies contained in the background report.
   2. Verification of Information
      1. The applicant is responsible for having signed letters of reference, a completed application, Board scores, Dean’s letter, and transcripts sent through ERAS by the application deadline.  The completed application is submitted to the ROWAN-SOM Office of Graduate Medical Education.  The Office of GME collects these references and documents sent in support of the application. 
      2. The PGY 1 – TR / RESIDENT/FELLOW designates to which program(s) the completed application should be sent.
      3. When possible, the Office of GME will notify the applicant of any problems in receiving the information required. Upon notification, it is the applicant's obligation to obtain the required information. 
      4. When collection and verification is completed, the Office of GME forwards a copy of the application to the Chairperson of the program Selection Committee to determine individuals eligible for an interview.
      5. The application file is confidential and may not be reviewed by unauthorized personnel of the University or the applicant.  Information submitted in support of an application for PGY 1 – TR or Residency/Fellowship remains the property of the Office of GME and cannot be forwarded/released to other parties, nor the applicant.
   3. PGY 1  – TR / RESIDENT/FELLOW Selection Committee Action
      
      1. The PGY 1 – TR and Residency/fellowship Selection Committees are responsible for the following actions:
         1. Review the application file and credentials.
         2. Schedule and conduct an interview with appropriate applicants.
         3. Conduct a selection process from among the candidates, indicating selections for admission to the PGY 1 Training Program, and rank alternate candidates.  Make such recommendations to the Associate Dean for Graduate Medical Education.
   4. Associate Dean for Graduate Medical Education
      1. Review recommendations of the PGY 1 Selection Committee and make final selections.
      2. The Office of Graduate Medical Education shall participate in the AOA Match Registration Program.
      3. The Associate Dean for Graduate Medical Education will monitor the AOA and ACGME Match processes.
      4. ROWAN-SOM contracts will be issued within 10 days after the AOA and ACGME matching processes have concluded. PGY 1 – TR / RESIDENT/FELLOW must sign and return the contract within 30 days after receiving it. 
      5. The Associate Dean for Graduate Medical Education will keep administrators apprised of the final results of the AOA and ACGME Match(s).

ARTICLE THREE:  GENERAL QUALIFICATIONS

1. General Qualifications
   1. Every PGY 1  – TR / RESIDENT/FELLOW who seeks or enjoys membership in the  Training Program, at the time of appointment and continuously thereafter, must demonstrate, to the satisfaction of the faculty, administration, and the Governing Executive Body of ROWANSOM/Jeff/OLOL Sponsoring Institution, the Medical Staff of the medical center, its administrative officials and Board of Directors, the following qualifications:

1. Official Transcripts

1. 1. Official, verifiable transcripts showing date of completion of D.O./M.D. degree requirements from an AOA/LCME accredited medical school.

1. 1. 1. ACLS and PALS verification.

1. 1. 1. COMLEX or corresponding USMLE results showing date and passing score on Part I and Part II (COMLEX CE and PE) prior to matriculation from medical school.

1. Performance

1. 1. Continuing performance that documents medical competence and clinical skills to provide, under supervision, optimal achievable patient care.

1. Attitude

1. 1. willingness and capacity, based upon current attitude and evidence of performance:

1. 1. 1. to work, relate to, and cooperate with other PGY 1 – TR, RESIDENT/FELLOWs, students, medical staff members, members of other health disciplines, medical center management, and employees, visitors and the community, in a professional manner that is essential for maintaining a medical center environment appropriate to quality patient care; and

1. 1. 1. to adhere to generally recognized standards of professional ethics, including proper dress, demeanor, and conduct at all times.

1. Restrictions
   1. To be free of or have under adequate control any significant physical or behavioral impairment that might restrict or present a substantial probability of interfering with the qualifications required herein, such that patient care could directly or likely be adversely affected.

1. Obligations

1. 1. Each PGY 1 TR / RESIDENT/FELLOW shall:

1. 1. 1. Provide patients with care at the recognized professional level of quality and efficiency recognized as standard at the medical center.

1. 1. 1. Abide by these Rules and Regulations and by all other lawful standards, policies and rules as they now exist or as they may be amended.

1. 1. 1. Discharge such functions for which he/she is responsible.

1. 1. 1. Prepare and complete, in timely fashion, all required medical records for all assigned patients and all service logs and evaluations.

1. 1. 1. Log duty hours using the system identified by this training program.

1. 1. 1. Prepare and complete all forms required by this training program.

1. 1. 1. Abide by the AOA/ACGME Code of Ethics.

1. 1. 1. Satisfy the educational requirements of the program.

1. 1. 1.  
      2. Sit

1. 1. 1. for COMLEX or USMLE Part III during the PGY 1 training year.

1. 1. 1. Follow the directions of the attending physician, Program Directors, Track  Coordinators, Chairpersons, Directors of Medical Education, Chiefs of  Service Office of Graduate Medical Education and all  administrative persons responsible for the conduct of this program.
         
         
         

ARTICLE FOUR: RESPONSIBILITIES OF THE RESIDENT/FELLOWS AND PGY 1  TR HOUSE STAFF

1. Provide responsible patient care under the authority of members of the medical staff to patients assigned to their service. The number of patients assigned to the PGY 1 shall not exceed AOA/ACGME program requirements during a given week.

1. 1. Be immediately available to provide emergency care during the hours on duty and night/weekend call unless otherwise specified by the Chief of Service.      

1. 1. Provide care for only those patients within the State of New Jersey for whom the PGY 1 TR/ RESIDENT/FELLOW is directly responsible as directed by the attending physician. The PGY 1 – TR/ RESIDENT/FELLOW  may not provide care out-of-state without proper permission from ROWAN-SOM, licensure in that state, and training requirements of that state where service is being completed.             

1. 1. Examine all patients admittedto the service as soon after admission as possible, to determine immediate needs of the patient, and to assess the patient's condition.             

1. 1. Perform a complete history and physical examination, which includes an  osteopathic structural exam, and record such on the chart of all patients assigned to  the service.

1. 1. 1. Surgical patients prior to surgery.

1. 1. 1. Critical patients as soon as possible.

1. 1. 1. All others within 24 hours of admission.

1. 1. Write a problem oriented progress noteon the patient's chart on admission; daily thereafter, and more often as conditions demand.

1. 1. Complete an osteopathic musculoskeletal examination on admission.

1. 1. Write and review admission and daily orders on assigned patients only after review of such orders with the patient's staff physician.

1. 1. Complete all other medical chartresponsibilities on patients seen within 24 hours.

1. 1. Complete all charting responsibilities by 3 p.m. on the date of discharge.

1. 1. Conduct rounds on all assigned patients at the beginning of and conclusion of duty.

1. 1. Properly report to peers or supervisors at the time of leaving duty and returning to duty to ensure continuity of care or at any time that a patient's deteriorating condition may  warrant.             

1. 1. Date and time all materials recorded on the patient's chart.

1. 1. Beeper/Phone numbers are to be under the RESIDENT/FELLOW/PGY 1  TR's name.

1. 1. Complete all medical record responsibilities prior to proceeding to the next rotation.

1. 1. Complete all logs and evaluations prior to proceeding to the next rotation.

1. Conduct oneself in a professional manner at all times.

1. 1. Abide by the Bylaws, Rules and Regulations, Policies and Procedures of the PGY 1  – TR and RESIDENT/FELLOW Training Program, Sponsoring Institution, the Department, the medical center, the medical staff, the New Jersey Department of Health, State Board of Medical Examiners, and the Code of Ethics of the American Osteopathic Association as they currently exist and as they from time to time may be amended.

1. 1. Accept patient care responsibilities and additional call (not to exceed the ACGME regulations/CIR contract limit) as assigned by the Chief of Service, Associate Dean for Graduate Medical Education, Director of Graduate Medical Education, Manager of Postdoctoral Training, other staff in the Office of Graduate Medical Education, or Chief Scheduling RESIDENT/FELLOW.

1. 1. Dress Code: RESIDENT/FELLOWS/PGY 1  TR’s are expected to maintain high professional standards of dress and behavior. Appropriate male attire includes shirt with tie, trousers (not blue jeans), and a white lab coat with name tag and identification badge. Appropriate female attire includes dresses, skirts or slacks with tops, and a white lab coat with name tag and identification badge. No sandals or open toed shoes are allowed. Scrub suits are the property of the medical center and are to be worn only when required in the medical center. Scrub suits are not to be worn outside the medical center unless RESIDENT/FELLOW/PGY 1  TR's are specifically instructed to do so by the hospital.

1. Provide clinical teaching and direct supervision to all students assigned to the Service.

1. 1. Review, correct and approve all materials entered by the student on the appropriate history and physical form and progress record.

1. 1. Specifically review all student-performed history and physical exams, editing and  commenting on the recorded observations.

1. 1. Constructively teach from clinical resources available on the service.

1. Participate in all assigned quality assurance activities of the hospital or medical staff, and as

1. specifically assigned.

1. Attend assigned formal teaching programs and monthly PGY 1 – TR / RESIDENT/FELLOW meetings with administrators of the Program.

1. 1. Attend 100% of Core Lecture Series (PGY 1's only). 

1. 1. Attend 100% of the department formal education programs while assigned to the service.         

1. 1. Sign the official House staff Attendance Sheet at every educational program/meeting.

1. 1. Remediate (by assignment of the Chief) any Core Lecture Series (PGY 1 only) not attended before the conclusion of the Internship Training Program.             

1. 1. Obtain excused absence from Chief of Service for any Departmental Formal Education Programs.          

1. Provide written documentation and obtain written approval from the Office of Graduate Medical Education for the following:

1.  
   1. legitimate illnesses

1. 2. personal days

1. 2. compensatory days

1. 2. float days (including your birthday)

1. 2. requests to attend conferences, CME programs, etc., which will require your absence

1. 2. changes in your rotation schedule

1. 2. changes in the on-call schedule

1. 2. other leaves or absences other than scheduled vacation weeks. Approvals must be made in advance. In the case of illness or personal tragedy, notification as possible is required. 
   3. RESIDENT/FELLOW/PGY 1  TR's must notify the Office of Graduate Medical Education in writing and in advance for the need of verification of malpractice insurance; verification of enrollment for loan deferments or permit/licensing information; or other similar requests.            

1. The PGY 1 – TR / RESIDENT/FELLOW is responsible for completing the evaluation forms that are outlined in RESIDENT/FELLOW /PGY 1 TR's Manual Appendices within the required time. These forms are needed for conducting periodic appraisals as well as graduation from the training programs. Submit all reports on the quality of the faculty, quality of the training program, and registry of educational experiences (performance evaluations, program service evaluations and PGY 1  – TR/ RESIDENT/FELLOW clinical logs) on a timely basis.

1. 1. Service/Faculty Evaluation by RESIDENT/FELLOW/PGY 1 - TR: Constructive critique by the PGY 1 – TR/RESIDENT/FELLOW of the service and of the faculty. (TO BE COMPLETED AND RETURNED WITHIN FIFTEEN (15) DAYS OF THE LAST DAY OF THE ROTATION/BLOCK).

1. 1. PGY 1 - TR (only) Log: A listing of all clinical patients seen during the rotation. (TO BE COMPLETED AND RETURNED WITH A SAMPLE H&P FROM THE ROTATION BY THE LAST DAY OF THE ROTATION).

1. Give PGY 1 – TR / RESIDENT/FELLOW Performance Evaluation Form to the attending physician on the service for evaluation of clinical performance. (To be given to the attending physician by the second week on the service and completed by attending physician within fifteen (15) days following completion of the service.) RESIDENT/FELLOW/PGY 1 - TR's are expected to follow-up with the attending to be sure all performance evaluations are received by the Office of Graduate Medical Education or their appropriate program director in a timely manner.            

1. PGY 1 TR's/RESIDENT/FELLOW’s who are dissatisfied with the performance evaluation of their service rotation may appeal the evaluation. The PGY 1 – TR/RESIDENT/FELLOW should first notify the Office of Graduate Medical Education of his/her request to challenge the evaluation. The GME staff will then inform the service attending of the RESIDENT/FELLOW/PGY 1  - TR's wish to challenge the evaluation and will make an appointment to discuss the evaluation with the attending physician and the PGY 1  TR/RESIDENT/FELLOW. AN PGY 1 – TR / RESIDENT/FELLOW who disagrees with an evaluation shall be allowed to submit written comments which shall become part of the evaluation and placed in the PGY 1  TR's/RESIDENT/FELLOW’s permanent file.             

1. Requirements of AOA:

1. 1. PGY 1  - TR's/RESIDENT/FELLOW’s must remain members of the AOA.       

1. 1. Outside employment or moonlighting is prohibited by the AOA and by the Committee of Interns and Resident (CIR) contract for all Interns.                         

1. PGY 1 - TR's are released from service to attend the graduation ceremonies as dictated by their individual training programs. RESIDENT/FELLOWs are expected to attend as a requirement of the program only if excused by program director. Coordination of excused absence(s) must be reviewed and approved by the Office of Graduate Medical Education.

1.  
   Failure to complete any of the responsibilities noted above can be considered as a first offense for Corrective Action as outlined in Section 9 of these Rules and Regulations and may lead to

1. Suspension from the program for a second offense.

ARTICLE FIVE:  CHIEF PGY 1 – TR’s/RESIDENT/FELLOW’s

5.1        Appointment

Appointment of Chief PGY 1 – TR’s/RESIDENT/FELLOWS will be made by the Associate Dean for Graduate Medical Education, Program Director, Director of Graduate Medical Education and Manager of Postdoctoral Training.

           5.1-1        The number of Chief PGY 1 – TR’s/RESIDENT/FELLOWS will be determined by the Office of Graduate Medical Education.

            5.1-2        Appointments will be made within the first 15 days of the beginning of the training program.

            5.1-3        Chief PGY 1 – TR/RESIDENT/FELLOWS will report directly to the Program Director / professional staff in the Office of Graduate Medical Education.

            5.1-4        Chief PGY 1 – TR/RESIDENT/FELLOW are members of the management team for the PGY 1  year.

5.1-5           Chief PGY 1 – TR/RESIDENT/FELLOW will be paid for the services provided as outlined in the CIR contract with the University and Article 5.3-2 (c) of the Rules and Regulation.

5.2        Duties and Responsibilities of the Chief PGY 1 -TR / RESIDENT/FELLOW

            5.2-1        The Chief PGY 1 – TR/RESIDENT/FELLOW will:

                           (a)        Meet on a regular basis with the Associate Dean for Graduate Medical Education, Director of Graduate Medical Education, Manager of Postdoctoral Training, Program Development Specialist, staff of the Office of Graduate Medical Education, Chief Medical Officer, Track Coordinator, Director of Medical Education, Program Director and/or others as designated by the Associate Dean for Graduate Medical Education, Chief Medical Officer, or Track Coordinator.

                           (b)        Meet with the Office of Graduate Medical Education staff regarding management of the program, information concerning trainees in the residency/Fellowship/PGY-1 TR program, to provide feedback about the trainees in the PGY 1  program, to discuss problems arising in the residency/fellowship and PGY 1-TR programs and to suggest changes that would benefit the training programs.

                           (c)        Chiefs will take attendance at Core lectures and meetings using the House staff Attendance Sheet. All Attendance Sheets should be returned to the Office of Graduate Medical Education/residency program administration on a monthly basis.

                           (d)        Assisting in Educational Conferences including but not limited to scheduling conferences and leading educational discussion.

                           (e)        Transmit to the appropriate Department Chief and Chairperson any matters relating to department policy or procedure as it pertains to patient care or education within the department and transmit the issues and decisions of the department to all house staff.

                           (f)         Transmit to the Chief Medical Officer any matters relating to medical staff, corporate, or medical center policies or procedure as it pertains to patient care or education in the conduct of the training program, and transmit decisions, policy and procedures to the house staff.

                           (g)        Oversee compliance on the part of the house staff with the procedural safeguards and Rules and Regulations of their program.

      (h)        Preside at all meetings of the house staff to discuss problems, inform 

            house staff on various issues and to offer the  trainees the opportunity to express and or discuss concerns.

(i)           Be responsible for and appoint members of the house staff to participate

            as assigned in quality assurance activities of the medical center and  medical

            staff, or the PGY 1-TR/residency/fellowship programs.

                           (j)         Review and enforce compliance with standards of conduct and professional demeanor among members of the house staff. Including: acting as a role model and assist in maintaining professional atmosphere, conduct, and attitude of house staff and clinical clerks, be able to problem solve and provide conflict resolution as appropriate, maintain strict confidentiality at all times.

                           (k)        Represent the house staff at all organizational levels of interface with students, medical staff and administration/medical center departments.

(l)         Report problems at the medical center to the staff in the Office of Graduate Medical Education.

(m)       Assign on-call coverage from those house staff at the division if assigned PGY 1-TR staff is ill, absent, etc.  The Chief house staff officer is not responsible for covering all such activities him/herself; the Chief should distribute assignments equitably and in regard to appropriate patient care.

(n)         Assist house staff in obtaining service/phone coverage when other house staff            are on vacation, on ambulatory service, etc.

(o)         Provide technical assistance as needed for morning report and other

            educational functions that utilize the teleconferencing system.

(p)         Perform other related duties as assigned by the staff in the Office of Graduate

            Medical Education.

            5.2-2        The Chief Scheduling house staff officer will develop the house staff on-call schedule (weekends and nights) at least six (6) weeks in advance of the beginning of each new rotation.

5.3        Coverage

            5.3-1        There will be one Chief PGY 1 -TR or RESIDENT/FELLOW assigned for each rotation at each division.

         5.3-2        Chief PGY 1 -TR or RESIDENT/FELLOW may be selected after individual schedules have been completed or by AOA Specialty College standards/ACGME Program Requirements.  Therefore, if for any reason due to scheduling conflicts, personal leaves, or if there is disproportionate coverage, the following will occur:

                           (a)        An alternate Chief PGY 1 - TR / RESIDENT/FELLOW within the Division will be designated by the Program Director/ staff of the Office of Graduate Medical Education during the first month.

                           (b)        The relieved Chief PGY 1 -TR / RESIDENT/FELLOW will be absolved of the Chief PGY 1 – TR / RESIDENT/FELLOW duties during that month.

(c)           Chief PGY 1 – TR / RESIDENT/FELLOW (or their replacements) will be paid for service, pro-rated over the number of rotations.  The rate for a full service is determined by the CIR contract.

5.4        Resignation/Removal from Office

5.4-1           A Chief PGY 1 – TR / RESIDENT/FELLOW may resign at any time by giving written notice to the Associate Dean for Graduate Medical Education.  Such resignation shall take effect on the date of receipt or at any later time by mutual agreement.

            5.4-2        Removal from office may be initiated and implemented by the Program Director, Associate Dean for Graduate Medical Education or the Director of Graduate Medical Education for the following reasons:

                           (a)        Failure to perform duties of the position timely and appropriately;

                           (b)        Failure to continuously satisfy the qualifications for the position; or

(c)           Failure to establish and lead by example of competency or citizenship

ARTICLE SIX:  FORMAL EDUCATIONAL PROGRAMS/MEETINGS

6.1        Academic Year

            The PGY 1 – 1 2017-18 academic year shall commence on Monday, June 19, 2017, at 7:00 a.m. and conclude on Monday, June 18, 2018 at 7:00 a.m.  The new residency year will commence on July 1 , 2017

6.2        Orientation Programs

            6.2-1     An PGY 1 Orientation Program will be conducted prior to the first day of PGY 1  year.

                           (a)        The PGY 1 will be notified in writing at least 28 days in advance of the dates and times of the orientation program.

                           (b)        PGY 1 attendance is mandatory.

                           (c)        The PGY 1 shall be responsible for transportation, lodging and other expenses incurred for the orientation program.

                           (d)        All incoming house staff will be paid a onetime fee, as described in the CIR contract, for attending the orientation program payable in July after all necessary University entrance requirements are fulfilled.

            6.2-2        Divisional Orientation - Each medical center will conduct an PGY 1  Orientation at a time near the beginning of the first rotation on days preceding the starting date of the program.

            6.2-3        Service Orientation - Upon entering a new service for assignment, the PGY 1  shall be oriented to the service.  The PGY 1 should review the Objectives, Responsibilities and Evaluation sheet provided for each service.  The Chief of the Department (or his/her designee) is responsible for such orientations.

                           (a)        The PGY 1 shall be responsible to contact and make appointment for such orientation at least 24 hours before the start of the service.

                           (b)        The Chief may delegate orientation responsibilities (Section Head, Chief RESIDENT/FELLOW, another attending, another RESIDENT/FELLOW, etc.), but shall be responsible for such arrangements.

                           (c)        The Chief will review the PGY 1 Rotation Goals and Objectives with the PGY 1.

            6.2-4        RESIDENT/FELLOW Orientation – RESIDENT/FELLOW Orientation will be held on

                           July 1, of each academic year.  RESIDENT/FELLOWs will receive notification of

                           orientation schedule from their respective Program Director

6.3        Formal Lectures

            6.3-1        Core Lecture Series.  ALL PGY 1 trainees shall attend Core Lectures at the onset of the training program, as well as additional training as designated by the Chief Medical Officer, Program Director, Director of Medical Education or Divisional Medical Director.  Such lectures shall be deemed by the Department Chief to be of special importance regarding emergency care and other issues related to the care of patients of the medical center.  PGY 1 must sign the House staff Attendance Sheet, or if an excused absence is granted, must remediate the lecture material in a manner recommended by the Chief of the Department in a timely fashion.

6.3-2           Departmental Lectures/Educational Programs. 

Each department shall conduct a variety of educational and patient care programs that shall include, but not be limited to, attending rounds, conferences, lectures, etc.  The PGY 1  – TR / RESIDENT/FELLOW is required to attend all such programs and sign the House staff Attendance Sheet, unless an approved excused absence is granted by the Chief of the Department, and approved by the Chief Medical Officer, Program Director, or Director of Medical Education.

6.4        Meetings

            The PGY 1 – TR/ RESIDENT/FELLOW is responsible to attend all other meetings recommended by the University, Chief of Service, or medical center administration.  This includes the monthly PGY 1 meetings at the division where the rotation is being completed.  The PGY 1 must sign the House staff Attendance sheet as indication of participation at these meetings.

6.5        External Education Programs

            6.5-1        Official External Programs

                           (a)        Formal conferences and other teaching programs, which are provided at another division of the medical center, and which are approved as part of the official PGY 1  – TR / RESIDENT/FELLOW training program, shall be attended by the PGY 1  – TR/RESIDENT/FELLOWSHIP with the same attendance requirements as internal programs.

                           (b)        An approved portion of the training program that is conducted at another institution shall be attended by the PGY 1 / RESIDENT/FELLOW with the same attendance requirements as internal programs.

                           (c)        All PGY 1 rotations across all residencies and the one year Traditional Rotating program shall occur within the Sponsoring Institutions facilities.

            6.5-2        Non-Official Programs

                           Lectures, conferences, and other educational programs which are not an official part of the PGY 1  – TR / RESIDENT/FELLOW Training Programs may be attended provided that:

                           (a)        Attendance is approved by the sponsoring organization.

                           (b)        Attendance is approved by the Program Director, Service in agreement/coordination with the service Attending Physician, Office of Graduate Medical Education, Chief Medical Officer.

                           (c)        All expenses are incurred by the PGY 1  – TR / RESIDENT/FELLOW.

                           (d)        Acceptable peer-patient responsibilities are arranged and guaranteed by the PGY 1 – TR / RESIDENT/FELLOW to the satisfaction of the Department Chief, and Chief Medical Officer, and Office of Graduate Medical Education.

ARTICLE SEVEN:  RULES AND REGULATIONS GOVERNING SERVICE ASSIGNMENTS

7.1        Standard Services

            *The traditional rotating PGY 1 internship training program will comply with the standards established by the American Osteopathic Association (AOA) and shall include a minimum of the following:

1. 1. At least six months of training rotations in any or all basic core disciplines.  These include general internal medicine, general surgery, family practice, pediatrics, obstetrics/gynecology (ambulatory gynecology) and emergency medicine.
   2. No less than two months of exposure in general internal medicine, and must be under the supervision of an internist.
   3. One month exposure in emergency medicine at the base institution or an affiliate training site is required.
   4. At least one month in family practice in a hospital or ambulatory site or one-half day per week for a minimum of 46 weeks of ambulatory exposure in a family practice continuity of care type practice site.
   5. No more than three months of elective exposure adequate to meet the individual needs of the PGY 1 – TR and approved by the internship program director.
   6. All remaining time may be scheduled at the discretion of the base institution.
   7. No more than one month may be spent in non-clinical experience (research, scholarly pursuits, administration, etc.).
   8. Exposure must occur to the support disciplines of pathology, radiology, and didactic anesthesiology.  This may occur directly by rotation or indirectly by formal conferences and/or exposure while on medical and surgical services.  This exposure must be verified on PGY 1 - 1 logs. 

*The family medicine, internal medicine, emergency medicine, general surgery, ob/gyn, general urology, otolaryngology and psychiatry PGY 1 - TRs will also comply with the standards established by the AOA.

*Upon pre accreditation and Initial accreditation the above programs will abide by the ACGME Common Program requirements and their respective training program RC requirements.

7.2        Elective Services  (When applicable and if available)

            1.            The Track Coordinators, Office of Graduate Medical Education, and Chief Medical Officers will designate specific electives designed to provide appropriate educational experiences.

            2.            The PGY 1 – TR/RESIDENT/FELLOW may request one or more services he/she desires in the designated time period.

            3.            Electives are permitted only within the designated medical center.

            4.            The Office of Graduate Medical Education must approve the elective service, which must be an AOA-recognized service.

            5.            If an PGY 1 – TR/RESIDENT/FELLOW has not made a choice of an elective two months in advance, the Track Coordinator/Program Director or Office of Graduate Medical Education will designate a service and division to be covered.  This may be altered only by written permission of the Track Coordinator/Program Director or Office of Graduate Medical Education and approval by the service that will no longer be covered.

The Office of Graduate Medical Education reserves the right to change or alter service rotations for educational or other purposes.

7.3        Patient Care Obligations

            It is a clear premise of the RowanSOM/Jeff/OLOL Sponsoring Institution that both education and patient care obligations are of prime importance.

7.4        On Call

7.4-1           In-House Call: Nights, Weekends and Holidays

(a)        PGY 1 – TR/RESIDENT/FELLOW will not leave the hospital while on call.

                          (b)        Call will be assigned from the full PGY 1 – TR/RESIDENT/FELLOW group not to exceed the number of calls allowed by the AOA Basic Standards and CIR contract with the University.

(c)           The staff in the Office of Graduate Medical Education, Hospital Director of Medical Education, Program Coordinator/Program Director, and the Chief PGY 1  – TR/RESIDENT/FELLOW are empowered with the authority to assign PGY 1  – TR/RESIDENT/FELLOW to in-house or from home call to meet patient care standards (in accordance with the Agreement between ROWAN and the CIR).

                                       (1)        Coverage assignments may not exceed those established by the ACGME/AOA and outlined in the CIR contract.

                                       (2)        Regular assignments to in-house call shall not exceed in excess of an average of every third night in each and every 30-day period.

(3)           In cases of emergency, where it is deemed necessary for patient care standards to be met, the Chief PGY 1 – TR/RESIDENT/FELLOW, the Chief Medical Officer, Track Coordinator/Program Director, and staff in the Office of GME have the authority to request a house staff officer not in-house to be on-call and to respond if needed.

(4)           All University and hospital duties and regulations regarding call must be adhered to strictly.

7.4-2           If patient care demands so dictate, the staff in the Office of Graduate Medical Education, are authorized to give weekdays off in lieu of scheduling weekend duty so long as such scheduling does not significantly affect the educational aspects of the PGY 1  - TR's/RESIDENT/FELLOW’s experience.

            7.4-3        Emergency/Unusual Situation

                           The Chief Medical Officer, Track Coordinator/Program Director, and Director of Medical Education have the responsibility of ensuring the educational experiences of the PGY 1  – TR/RESIDENT/FELLOW and the patient care obligation of the medical center.  As such, he/she is authorized to temporarily alter any schedule to ensure a better educational experience or to provide emergency patient care.

7.5        General Medical Rules and Regulations

            7.5-1        Verbal Orders:  Protocol for voice orders is in accordance with individual hospital policy.

           7.5-2        Time/Date: Orders and other chart documentation will be invalid unless also dated

                           and timed

            7.5-3        Legibility:  Illegibly written orders are invalid.

        7.5-4        Signature: All materials written in a patient chart by an PGY 1  – TR/ RESIDENT/FELLOW shall be signed by the PGY 1  – TR/RESIDENT/FELLOW including the phone number and written on behalf of a licensed physician responsible for the case (Example: Dr. Attending / Dr. PGY 1  - 1, Beeper #1234).

7.5-5        Sequence of Record:  All materials written on a chart will be written in appropriate sequence after the last entry.

7.5-6           Stop Order:  The PGY 1 - TR/RESIDENT/FELLOW shall be responsible to notify the attending of any pending stop-order of drugs and seek advice on further continuation of the drug.

7.5-7           Informed Consent:  The PGY 1 – TR/RESIDENT/FELLOW will abide by the intent of the Informed Consent Policy and Procedure of the medical center.

7.5-8           “No Code" or "DNR":  The PGY 1 – TR/RESIDENT/FELLOW will abide by the intent of the Policy and Procedure of the "No Code Policy" of the medical center.

7.5-9        Consultations:  A PGY 1 shall not perform a consultation.  The PGY 1 's activities may include obtaining a history and physical examination and reports of necessary evaluations, but shall not include rendering medical opinion or recommendations.  All activities of the PGY 1’s in this request shall be directly supervised by the consultant.

7.5-10        First Associate for Major Surgery:  In elective major surgery, a PGY 1 – TR/ RESIDENT/FELLOW shall serve as a first Associate only when under the direction of a licensed physician and in full compliance with State regulations.

7.5-11        Invasive Procedures:  A PGY 1 – TR / RESIDENT/FELLOW shall perform invasive procedures only under the direct supervision of a licensed physician on the Medical Staff of the medical center who is granted such privilege by the Governing Board.

7.5-12        Osteopathic Musculoskeletal Examination: Required as an integral part of the physical examination performed by osteopathic physicians on their admitted patients unless contraindicated.

7.5-13        At Our Lady of Lourdes, all PGY 1 – TR / RESIDENT/FELLOW (registered practitioners) must clearly write their “PGY 1 ” status in addition to their officially recognized signature and title after every entry on every medical chart.  (e.g. “John Doe”, PGY 1  - 1 Phone #-----) PGY 1 – TR’s / RESIDENT/FELLOW’s are encouraged to use the signature stamp that will be provided by Our Lady of Lourdes after every entry on medical charts.