Stephen R. Hayden, MD, FAAEM, FACEP Professor of Clinical Emergency Medicine

Associate Dean for Graduate Medical Education and DIO

UCSD Medical Center, San Diego, CA

UC San Diego Housestaff Orientation

Objectives of Orientation

• Introduction to UCSD Medical Center• Learn about training/licensing requirements, UCSD policies and

procedures, special services• Completion of required paperwork• Provision of ID numbers, insurance, accounts…so you will be

ready to start

Office of Graduate Medical Education• Responsible for oversight of all aspects of training• Specific tasks

– Orientation of interns and residents– Administer Benefits for trainees– Assist program directors with accreditation issues, monitoring– Coordinate educational modules (AMA/IPM Core training series)– Create/monitor institutional training policies– Maintain informational website– Prepare for institutional accreditation (CLER) visits

OGME Team• Cindy Slaughter; Director of GME• Helen Lewis; New Innovations• Tom Arneson; Accreditation Specialist, non-accredited programs• Dion Brown & Robyn Meehan; Housestaff Administrative Program

Managers – New and continuing appointments, rotators, liability certification

• Elaine Garrido; Health Insurance, Licensure and Registration• Rachel Hobbs; Administrative Assistant

OGME Websitehttp://meded.ucsd.edu/gme

Orientation Handouts/Materials

Housestaff are Encouraged to Participate!

• GME Committee • Resident Physician Council• Medical Staff Committees

Housestaff Participation Required:

• Core Training Modules• Completion of evaluations of peers, students, supervisors,

program and training experience• Recording duty hours in New Innovations• Reporting of moonlighting activities to program director• Adhering to UCSD standards of professional behavior including

patient confidentiality, respect, and appropriate treatment of students and staff

• Standardized Central Venous Access training– For residents who are required to place central lines

Standardized Central Line Training

• Online Modules– UCSD Learning Center: http://mycourses.ucsd.edu– Type “central line” into search box and click search– Once complete you can print completion certificate

• Simulation Phase– Sign up at Eventbrite: http://ucsd-central-line.eventbrite.com/– Training and testing in same session

• Experiential phase– 5 proctored lines each approach (Subclavian, IJ, Femoral)

• Program Director must confirm competence in New Innovations

ACGME Resident Survey

• Must complete and participate in• Formal citations issued if programs < 70%• “Somewhat” or “sometimes”• “Do you have the opportunity…”

– Evaluate your Faculty/Program/Access your Evaluations

• Service vs. Education questions– ACGME defines service as: duties typically performed by non MDs

• Answer honestly but understand the way the ACGME uses results

Required On-Line Learning Modules

• Series of 21 modules you MUST complete by August 1, 2011• http://mycourses.ucsd.edu• Conflict of interest, HIPAA, Risk Management, Ethics, etc.• All instructions are on gold sheet in packet

UCSD Official Email Address

• All house officers will receive an official UCSD Email Address (name@ucsd.edu)

• All official communication will be sent to your UCSD email• You must check this email frequently!• You are responsible for information sent to your UCSD email• Required to follow us on Twitter; @UCSDGME

Support StructureResident

Program Faculty/TPD

Department Chair

Associate Dean/OGME

Office of Ombuds/RWAP

Anonymous Feedback Website

Policy GME 026: Standards of Professional Behavior

• UCSD is dedicated to creating a safe learning environment for both residents and students

• As a resident you will teach many peers and students• Policy provides many examples of inappropriate behavior• Describes routes for informal and formal resolution• Become familiar with it (on orientation link GME website)• Coming soon; Resident Wellness Advisory Panel

GME Committee (GMEC)

• Works in parallel with OGME and Associate Dean for GME• Develop institutional policies regarding

– Supervision at all training sites– Coordinate internal reviews of programs– Approval of programs, new directors, etc.– Prevention of harassment– Non-restriction of practice location upon completion of training– Provisions for occurrence of training program closure or reduction

Supervision Policy

• You need to know that we have a supervision policy• Essentials:

– You should be able to identify who the supervising faculty is– They need to be appropriately involved in clinical decisions while allowing

you progressive responsibility

• Most important; they need to be available to you and you should ALWAYS feel you can contact them

ACGME Levels of Supervision

• Level I: Direct; supervising MD is in clinical unit with you• Level II: Indirect

– II a: Indirect with direct supervision immediately available; in the building– II b: Indirect with direct supervision available; from home by phone/text

• Level III: Oversight; supervising MD reviews care next day

ACGME Next Accreditation System (NAS)

• You are at a frontier…• Over next 2 years implementation phase• Shift from structural processes to educational outcomes• Increased monitoring at institutional level• Clinical Competence Committees and Milestones• We will need your help in sorting it all out

Milestones

Get Out To Vote!

• General Election Nov. 6, 2012– President, House, Senate, Many State offices and propostions

• You must register if you are new to San Diego or have moved since the last election

• Online registration (http://www.sdcounty.ca.gov/voters/Eng/Ereg.shtml)– Fillout, print, sign and mail– **Initial line 15 for permanent vote-by-mail status**

• Deadline to register is 10/22/12

Who am I? How Can I Help You?

• Professor of Clinical Emergency Medicine– Program Director, Emergency Medicine– Hyperbaric Medicine Center

• Editor-in-Chief, Journal of Emergency Medicine• Editor, 5 Minute Emergency Medicine Consult

• Former US Navy Flight Surgeon• Second degree black belt Tae Kwon Do• Love sailing, riding motorcycles, wine tasting• Married, father of 3• My door is always open, happy to talk any time!

OGME Website

• If you have any questions at any time, please visit our website:

http://meded.ucsd.edu/gme