FAS Resident
Saint Paul, MN - USA
Job Summary
Job Description
Employer: Regions Hospital | Job Title: Resident/ Fellow Physician | |
Job Code: 4280 (G-1)4290 (G-2)4300 (G-3)4310(G-4)4320 (G-5)4322 (G-6)4323 (G-7) | ||
| Leader Title Level: Program Director | Location: | Department: HP Institute Office of Health Professional Education |
| Final Approval: ACGME Designated Institutional Official | Date Approved: June 2017 | Date Revised: April 2024 |
POSITION SUMMARY STATEMENT:
The primary responsibilities of resident/ fellow trainees are to provide competent compassionate patient care; work effectively as a member of the health care team; and meet the educational goals of his/her specific program.
Professional and Educational Commitments:
Comply with all departmental and institutional policies of note:
Comply with policies procedures and/or guidance when documenting work hours procedures etc.
Comply with policies procedures and/or guidelines related to medical records including completing and signing records in a timely manner.
Comply with policies and procedures regarding moonlighting (see GME-8 Moonlighting and your programs policy/procedures).
Promptly respond to pages and/or patient care-related messages.
Arrive punctually to all educational assignments.
Participate in the evaluation of the program their peers and teaching faculty.
Incorporate feedback and formative evaluation into daily practice.
Participate in educating and providing supervision to less senior residents and medical students when applicable.
Participate in scholarly activities such as quality improvement presentations and/or research activities.
Patient Safety:
*Report patient safety events and near misses in the AWARE system.
If involved in an incident participate in the RCA process if requested.
*Report any lack of adequate supervision to their program director or the DIO (refer to GME-5 Supervision of Trainees and their programs supervision policy).
Immediately report any unsafe conditions in patient care.
Well-being:
Ensure appropriate self-care including adequate rest to provide safe patient care.
*Report concerns that another trainee or faculty member may be displaying signs of burnout depression substance abuse suicidal ideation or potential for violence to their program director or the DIO.
Patient Care:
Provide appropriate care to patients in a kind and caring manner and in accordance with their programs supervision policy.
Identify themself as a resident/fellow to their patients.
Deliver care that demonstrates cultural humility.
Responsibilities at the training site:
Actively contribute to a healthy environment at the training site.
Partner with nursing and other care team members.
Comply with site and department transitions of care processes.
* Trainees may report confidentially to the DIO.
MINIMUM QUALIFICATIONS:
- Education Experience or Equivalent Combination:
- Studentswithdefinedgraduationdateand/orgraduatesofmedical schools in the United States and Canada accredited by the Liaison
Committee on Medical Education (LCME) and successful completion of any pre-requisite accredited training specified by ACGME Residency exams (or good faith effort to pass) for promotion through subsequent years of fellowship
- Studentswithdefinedgraduationdateand/orgraduatesofcollegesofosteopathic
medicineintheUnited States
accreditedbytheAmericanOsteopathicAssociation(AOA)andsuccessful completion of any pre-requisite accredited training specified by ACGME Residency Review Committees.
- Studentswithdefinedgraduationdateand/orgraduatesofmedical schools outside the United States andCanada who meet one of the following qualifications:
- HaveacurrentlyvalidcertificatefromtheEducationalCommissionfor Foreign Medical Graduates (ECFMG) prior to appointment or
- Haveafullandunrestrictedlicenseto practicemedicineinaUS licensing jurisdiction in which they are in training and
- Successfulcompletionofanypre-requisiteaccreditedtrainingspecified by ACGME Residency Review Committees.
- Licensure/ Registration/ Certification:
Resident/FellowphysiciansmustreceiveapassingscoreontheUnited States
MedicalLicensing Examinations
- Knowledge Skills and Abilities:
It is important for resident/fellow physicians to have good decision-making and customerserviceskillsastheymust addition to being amiable and working well under pressure resident/fellow physicians should be analytical and self-motivated.
Excellentoralandwrittencommunicationskillsarerequiredaswellasthe ability to work efficiently in should also have strong leadership skills since they may serve as mentors to medical students.
PREFERRED QUALIFICATIONS:
- Education Experience or Equivalent Combination:
- Licensure/ Registration/ Certification:
- Knowledge Skills and Abilities:
-
- Participate in the clinical evaluation and care of patients in a variety of patient care settings with sufficient frequency to achieve the competencies required by their discipline under the direct supervision of the attending may write orders and progress notes in patientchartsalthoughattendingphysiciansretainresponsibilityforthecareofpatients seen by residents/fellows and must review the care of their patients.
-
ESSENTIAL DUTIES:
- Perform procedures which are specified by each program director. Resident/Fellowmay onlyperformthose proceduresforwhichthe attending physician has the resident/fellow has performed the appropriate number of procedures in a competent fashion the program director will provide notification that the resident is eligible to be certified to perform the procedure without direct supervision.
- Assume progressive responsibility for patient care activities accordingto residents/fellows level of education ability and program director and the attending staff will determinetheresidentslevelofresponsibilityandautonomy.
- Communicateeffectivelywiththeirsupervisingattendingregardingthefindingsof their evaluation physical examination interpretation of diagnostic tests and intended interventions on a continuous basis.
- Participatefullyintheeducationalandscholarlyactivitiesoftheprogramandasrequired assume responsibility for teaching and supervising other residents and students.
- Participateinappropriateinstitutionalcommittees andcouncilswhose actionsaffecttheir education and/or patient care including but not limited to quality assurance and quality improvement activities.
- Developapersonalprogramoflearningto fostercontinuedprofessionalgrowthwith guidance from the teaching staff.
- AbidebyallRegionsHospital policiesandproceduresGME Policies training program policies and the regulations of any affiliated institution to which the resident/fellow may be assigned.
*Job description rankings/percentages are intended to reflect normal averages over an extended period of time and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs.
ORGANIZATIONAL EXPECTATIONS:
Values
All colleagues are expected to live our values:
Excellence:We strive for the best results and always look for ways to improve.
Compassion:We care and show empathy and respect for each person.
Partnership:We are strongest when we work together and with those we serve.
Integrity:We are open and honest and we keep our commitments.
Additional Expectations:
- Complies with safety instructions observe safe work practices provides input on safety issues and promotes a safe work environment.
- Maintains regular and timely attendance.
- Protects confidentiality.
- Demonstrates participation in and support of the organizations Corporate Integrity Program by participating in compliance-related education and training and complying with the organizations policies and procedures.
- Timely completion of all mandatory education and organizational requirements (i.e. licensure/certification Employee Health and Wellness requirements annual training etc.)
POPULATION SPECIFIC COMPETENCIES:
| Yes | No | |
| Does this employee have direct patient contact | X |
Departments will need to determine the appropriate competencies in their areas for their specific patient populations documented in the essential duties section.
Examples of items that can be included are:
- Identifies expected outcomes for a plan individualized to the patient or situation specific to the needs of the population served.
- Communicates effectively with patients families and team members.
- Integrates practices that supports patient safety acknowledges variations in populations served.
- Anticipates the needs of the population served as well as the unique characteristics of the communities served.
- Anticipates the needs of the population in providing culturally responsive care and develops an individualized plan for patients and families.
LEADERSHIP RESPONSIBILITY:
Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic department or functional area. If applicable indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow.
Critical Job Demands
Section 1:Place an X next to ONE of the terms that best describes the frequency for each of the Critical Demands.
| Critical Demands | N/A 0% | Rare 1-5% (Up to a 1/2 hour) | Occa 6-33% (1/2 hour to 3 hours) | Freq 34-66% (3 to 5½ hours) | Cont 67-100% (5½ to8 hours) |
| Standing - Remaining on ones feet in an upright position at a work station without moving about. | X | ||||
| Walking -Moving about on foot. | X | ||||
| Sitting - Remaining in a seated position. | X | ||||
| Squatting - Assuming or maintaining a crouching position with the knees bent. | X | ||||
| Reaching - Stretching out or extending to touch or grasp. | X | ||||
| Lifting - Raising or lowering an object from one level to another (includes upward pulling). | X | ||||
| Carrying - Transporting an object usually holding it in the hands or arms or on the shoulder. | X | ||||
| Pushing/Pulling Exerting force upon an object so that the object moves away/towards from the force. | X | ||||
| Handling/Fingering (includes typing computer work gripping grasping and pinching) | X |
Section 2:Place an X next to ONE of the terms that best describes the Strength Rating for this job classification whichis expressed by one of five terms: Sedentary Light Medium Heavy and Very Heavy.
| Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift carry push pull or otherwise move objects including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. | |
| X | Light Work - Exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace especially in an industrial setting can be and is physically demanding of a worker even though the amount of force exerted is negligible. |
| Medium Work - Exerting 20 to 50 pounds of force occasionally and/or 10 to 25 pounds of force frequently and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. | |
| Heavy Work - Exerting 50 to 100 pounds of force occasionally and/or 25 to 50 pounds of force frequently and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work. | |
| Very Heavy Work - Exerting in excess of 100 pounds of force occasionally and/or in excess of 50 pounds of force frequently and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work. |
Note: During any patient handling task if any caregiver is required to lift more than 35 lbs. of a patients weight assistive transfer devices should be used for the transfer.
| HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) | ||||||
| Please contact the employer Employee Health & Safety (EHS) with any questions or assistance related to the completion of the Hazard Assessment for Personal Protective Equipment (HAPPE) Form. | ||||||
| RELATED TO: Hazardous Substances and Harmful Physical Agents | ||||||
| Yes | No | Task Description | Potential Hazard | Hazard control | PPE Required | |
| X | Working with box cutters knives or other sharp cutting devices. | Penetration |
| Safety knife or safety box cutter Cut resistant gloves Other | ||
| X | Working with liquid chemicals acids or caustics (Examples: reprocessing cleaners disinfectants laboratory chemicals). See MSDS online database for chemical list | Chemicals Flammables Toxic Gases Corrosives |
| Goggles Chemical face shield Chemical resistant gloves Chemical resistant aprons Lab Coat Closed toe shoes Powered Air Purifying Respirator Other | ||
| X | Exposed to extreme heat (Examples: Autoclaves Blanket warmers Ovens Propane torches) or cold (Liquid Nitrogen Winter temperatures). | Heat Cold Stress Burns Frostbite |
| Heat resistant gloves Cryogenic (cold resistant) gloves Goggles Face shield Other | ||
| X | Driving or riding in motorized vehicle equipment as part of the job. | Vehicle crash Impact |
| Seat belt Other | ||
| X | Working in extremely wet or slippery conditions or working in 24/7 operations where floors are wet from mopping. | Slip Trip or Fall |
| Slip resistant shoes Rubber boots Other | ||
| X | Preparing or handling hazardous drugs (Examples: cytotoxic drugs chemotherapy agents). | Chemical Genetic damage Tumors |
| Gloves appropriate for chemical Disposable barrier gown Goggles N95/PAPR (spill cleanup) Ventilation Hood Other | ||
| X | Medical/surgical procedures involving heat generating tools or equipment (Examples: cautery/ lasers). | Light radiation burns to self or patient smoke inhalation |
| Specialized laser safety glasses Other | ||
| X | Working with or near ionizing Radiation Hazards (Examples: Radioactive sources X-Rays). | Over exposure Genetic damage |
| Lead Aprons Other | ||
| X | Working near MRI. | Trauma resulting from missile effect |
| |||
| X | Moving equipment/supplies. | Strain Sprain |
| |||
| X | Dealing with agitated persons or disturbances. | Workplace violence bodily injury body fluid exposure |
| Gloves (Clean) Barrier Gown or fluid resistant Lab Coat |
| HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) | ||||||
| RELATED TO: Infectious Agents | ||||||
| Yes | No | Description | Potential Hazard | Hazard control | PPE Required | |
| PERFORMING OR ASSISTING WITH THESE TASKS: | ||||||
| X | Potential for splash of blood/body fluid to face and clothing: examples but not all inclusive: suctioning wound irrigation eye & ear irrigation close contact (within 3 ft.) of patient with frequent productive cough sigmoidoscopy cystoscopy colonoscopy. | Exposure to Infectious Agents |
| Facial protection (mask plus goggles OR face shield) Gloves (Clean) Barrier Gown if anticipate splash | ||
| X | Activity that requires touching patients non-intact skin or mucous membranes. | Exposure to Infectious Agents |
| Gloves (Clean) | ||
| X | Activity that includes touching patients blood/body fluid or contaminated items or environment examples but not all inclusive: disposal of urine blood canisters. | Exposure to Infectious Agents |
| Gloves (Clean) Barrier Gown if anticipate splash Facial protection (mask plus goggles OR face shield) if anticipate splash | ||
| X | Performing duties with sharp devices that could result in exposure to blood or body fluids. | Exposure to Infectious Agent/sharp injury |
| Gloves (Clean vs. Sterile depends on the procedure) Facial protection (mask plus goggles OR face shield) if anticipate splash | ||
| X | Entering rooms where patients with airborne diseases are treated. | Exposure to Infectious Agent/inhalation |
| Follow Communicable Disease Guidelines and Tuberculosis Control Plan to determine if N95 respirator PAPR or surgical mask is needed | ||
| X | Work with specimens from patients with airborne diseases. | Exposure to Infectious Agent/inhalation |
| N95 respirator or PAPR | ||
| X | 1. Procedures that enter deep tissue or body fluid including but not limited to: Central IV insertion placing a catheter or injecting material into the spinal canal or subdural space (myelogram lumbar puncture spinal/epidural anesthesia) breast biopsy temporal artery biopsy bone marrow biopsy OB vaginal delivery incision & drainage. | Exposure to infectious agents |
| Gloves (Sterile) Barrier Gown Facial protection (mask plus eye protection or face shield plus mask required during these procedures) | ||
| X | 2. a. Procedures that enter subcutaneous tissue or are located in the skin structure including but not limited to:
| Exposure to infectious agents |
| Facial protection (mask and eye protection required during these procedures if anticipate splash) Gloves (Sterile) Barrier Gown if anticipate splash | ||
| X | 2. b. Additional Procedures
| Exposure to infectious agents |
| Gloves (Clean) Barrier Gown if anticipate splash Facial protection (mask and eye protection required during these procedures if anticipate splash) | ||
| X | 3. Handling Lab specimens in a laboratory | Exposure to infectious agents |
| Lab Coat ( fluid resistant) Gloves (Clean) Facial protection (mask plus eye protection or face shield plus mask required during these procedures) | ||
| Other tasks with identified safety health or infectious hazards requiring PPE | ||||||
| Yes | No | Task Description | Hazard | Hazard control | List PPE required | |
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