qualifications of resident physician

8/10/2019 Qualifications of Resident Physician

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Position Description

The p osition of resident physician entails p rovision of patient care m atching withthe i ndividual physician's l evel of ad vancement and competence. A residentphysician's resp onsibilities i nclude p atient care acti vities w ithin the sco pe o f theirclinical privileges co mmensurate w ith the l evel of training, attendance a t clinicalrounds and seminars, timely completion of medical records, and otherresponsibilities as ass igned or as r equired of all members of the m edical staff.Under t he su pervision of attending physicians, general responsibilities o f theresident physician may include:

Initial and ongoing assessment of patient's m edical, physical, andpsychosocial status.

Perform history and physical. Develop assessment and treatment plan. Perform rounds. Record progress notes. Order tests, examinations, medications, and therapies. Arrange for d ischarge an d after care. Write / dictate ad mission notes, progress notes, procedure n otes, anddischarge sum maries. Provide p atient education and counseling covering health status, test

results, disease p rocesses, and discharge planning. Perform procedures. Assist in surgery.

A: Purpose and Scope

The o bjective of medicine u nder t he w atchful eye o f attending faculty cliniciansand includes:

1 participation in safe, effective and compassionate p atient care;2 developing an understanding of ethical, socioeconomic an d medical-legalissues t hat affect graduate m edical education, and how to apply costcontainment measures in the p rovision of patient care;3 participation in the ed ucational activities o f the t raining program, and asappropriate, assumption of responsibility for teaching a nd supervising otherresidents an d students, and participation in institutional orientation and


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education programs an d other act ivities i nvolving the cl inical staff;4 participation in institutional committees an d councils t o which the h ousestaff physician is ap pointed or invited; and5 performance o f these d uties i n accordance w ith the est ablished practices,

proced ures an d policies o f the i nstitution, and those o f its p rograms, clinicaldepartments an d other institutions t o which the h ouse s taff physician isassigned; including, among others, certication & licensure requirements forphysicians i n training.

B. Graded Responsibilities

The r esident physician is bo th a l earner and a p rovider of medical care. Theresident physician is i nvolved in caring for p atients u nder t he su pervision ofmore ex perienced physicians. As t heir training progresses, resident physiciansare exp ected to gain competence an d require l ess s upervision, progressing fromon-site an d contemporaneous supervision to more indirect and periodicsupervision.

Resident physicians ar e g iven progressive res ponsibility for the care of thepatient. The d etermination of a resi dent physician's ab ility to provide care t opatients w ithout a su pervisor p resent or act in a t eaching capacity are ba sed onformative evaluations an d summative evaluations of the res ident physician'sclinical experience, judgment, knowledge, and technical skill. These ev aluations

follow institutional guidelines a nd align resident physician learning in relation tothe g eneral competencies of m edical knowledge, patient care, practice-basedlearning, interpersonal and effective communication, professionalism, andsystems-based p ractice.

Ultimately, it is t he d ecision of the st aff practitioner w ith direct responsibility ofthe res ident as t o which activities t he res ident will be al lowed to perform withinthe co ntext of the a ssigned levels o f responsibility. The o verriding considerationmust be t he saf e a nd effective care o f the p atient that is t he resp onsibility of the

staff pract itioner.Completion by the p rogram director of an annual summative r eview is animportant part of this evaluation process. The Residency P rogram Director hasthe r esponsibility to d etermine an d to d ocument in writing, that the r esidentphysician possesses t he sk ills n ecessary to practice at the l evel commensuratewith their t raining.


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C. Organizational Relationships and Supervision

All resident physicians r eports t o the ch ief of clinics an d medical the m edicaldirector of PMSH.

The resi dent physician shall participate i n patient care u nder t he d irection ofphysicians w hose cl inical privileges are ap propriate t o the a ctivities i n which theresident physician is en gaged. Neither t he resident physician's cl inical privilegesnor their clinical resp onsibilities sh all exceed in scope t hose o f the su pervisingphysician. The su pervising physician shall make cl inical assignments t o eachassigned resident physician consistent with the resi dent physician's exp erienceand demonstrated clinical competence, and strive to ensure t hat each residentphysician performs as signed duties i n an appropriate m anner. Residentphysicians sh all be resp onsible i n their cl inical activities t o the C hief of t he

designated Section and through the C hief to the C linical Department Chair.

General Supervision

General supervision is p rovided by appropriately privileged teaching staff. Thissupervision is p roximal, continual, and based on normative an d summativeevaluations f ollowing institutional guidelines. All resident care i s su pervised andthe at tending physician is u ltimately responsible for care o f the p atient. Theproximity and timing of supervision, as w ell as t he sp ecic t asks d elegated to theresident physician depend on a n umber of factors, including:

6 the l evel of training (i.e., year i n residency) of the resi dent7 the sk ill and experience o f the resi dent with the p articular care si tuation8 the f amiliarity of the su pervising physician with the resi dent's ab ilities9 the a cuity of the si tuation and the d egree o f risk to the p atient

Outpatient Clinics

Resident physicians i n all outpatient clinics ar e su pervised by attending facultymembers on-site. Resident physician clinics are h eld in designated areas ( or thesame p ractice area as t he faculty practice) and are s upported in the areas ofnursing, laboratory and other s ervices i n the sam e m anner as t he f aculty practicesettings.


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Inpatient Set tings at Night and on Weekends

All patients ad mitted by resident physicians ar e revi ewed by faculty. In the caseof critically ill patients, a treatment plan is u sually initiated by an attending staffmember and/or consultants in the Emergency Room prior t o transfer to thecritical care u nits.

Emergency Room

Resident physicians ar e supervised by full time em ergency room faculty 24 h oursper day. The faculty members are re sponsible for d emonstrating and instructingresident physicians in p roper emergency p atient managements.

Quality Assurance

All residency programs p articipate i n the m edical center-wide q uality assurancesystem. These e valuations ar e con sidered to be con dential and privileged. The

ultimate g oal of a p erformance ev aluation is t o determine i f a resi dent physician'sskill, knowledge an d experience i s s ufficient to provide q uality care t o patients i nthe f uture.

Job Requirements

A. Education and Training

Applicants m ust meet one o f the f ollowing qualications t o be el igible f or

residency at PMSH:

Graduate o f medical schools i n the P hilippines.Some prog rams require successful passage of board exams.

B. Technical Requirements

The r esident physician must be i n possession of a Training or unrestricted license,


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a valid AHA/PHA number and current BLS certicate plus other advancedcompetencies as deemed necessary for their level of training, (ACLS, ATLS, PALS,etc.) to become i nvolved in direct patient care.

qualifications of resident physician

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