Supervision of Residents
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Intent:
The Accreditation Council for Graduate Medical Education Institutional Requirement (II. D.) requires that institutions ensure that Graduate Medical Education Programs provide appropriate supervision for all residents, as well as a duty hour schedule and a work environment, that is consistent with proper patient care, the educational needs of residents, and the applicable program requirements.
Policy Statement:
Residents must be appropriately supervised at all times and in all settings in which graduate medical education occurs. This includes both inpatient and outpatient settings, as well as any rotation away from the medical center proper. The attending physician remains responsible for the care of the patient at all times.
Description:
- Each program will develop mechanisms for supervision of residents that are appropriate to the specialty, Residency Review Committee (RRC) requirements, and consistent with appropriate educational development.
- On-call schedules should be available for teaching staff that provide appropriate supervision, 24-hours a day 7-days a week.
- The program is responsible for developing descriptions of the level of responsibility accorded to each resident by individual or year level and should have these available for each internal review. Written descriptions of the role, responsibilities, and patient care activities of participants in professional graduate education programs must be developed and provided to the residents and medical staff. These descriptions include identification of the mechanisms by which the participant's supervisor(s) and graduate education program director make decisions about each participant's progressive involvement and independence in specific patient care activities.
- Resident supervision must also be consistent with current billing practice rules.
Last Review: Institutional Committee for Graduate Medical Education June 12, 2003
