Policies & Procedures
House Staff Manual
Clinical & Educational Work Hours
New Innovations
Resources & More
100

This policy sets forth the procedures for trainee probation and dismissal based on academic or other deficiencies

What is Probation and Remediation Policy

100

PGY 1 residents receive this amount of CME funds

What is $1000

100

The scheduled workweek (patient care and educational activities) shall be limited to this number of hours per week averaged over a 4 (four)-week period

What is 80 hours

100

Trainees are able to provide anonymous, unsolicited feedback directly to the DIO or Program Director using this feature on New Innovations

What is Praise or Concern Card

100

You can find things such as policies, schedules, manuals, CME forms, time off forms, on this electronic platform

What is New Innovations

200

This policy’s goal is to train house staff and faculty to recognize when a trainee is fatigued and when this would significantly interfere with the trainee’s performance, well-being, and potentially impact patient care

What is Fatigue Policy

200

A CH approved secure text messaging service that is provided to all physicians and trainees, is HIPAA compliant and must be used to transmit patient information in the course of patient care activities

What is Epic Secure Chat
200

All house staff shall have at least one ____ hour period of scheduled non-working time per week that must be free of any obligations

What is 24 

200

Form to be used by trainees who have an unfortunate incidence of blood or body fluid exposure

What is an Incident Report
200

This committee serves as an open forum for trainees from each individual program to come together to address areas of concern or interest, best practices and be updated on changes and regulations that may be relevant to their training experience

What is Trainee committee/house staff counsil Committee

300

Trainees who believe they have been unfairly dismissed suspended, or who have been informed of nonrenewal or non-promotion (e.g. not promoted as scheduled) may appeal to the GMEC

Due Process

300
If you need to report a patient safety or near-miss situation this is where you would report with Catholic Health

What is MIDAS

300

Following a 24-hour on-call shift, the house staff member will have a period of not less than ___ hours off duty

What is 14 hours

300

A digital identity company that provides remote access to electronic prescribing of controlled substances

What is Imprivata

300

Trainees can use this service when needing referral for assessment and psychotherapy services offered on an entirely confidential basis to house staff

What is Corporate Counseling Associates (CCA)

400

The purpose of the is to assure that the trainee receive procedural due process in matters of discipline and promotion as well as understand that there are many people who are participating in the academic programs who are available to provide support and guidance

What is Policy on Grievances
400

This committee includes a resident and faculty members and it's purpose is to annually evaluate the educational effectiveness of the training program in accordance with the program evaluation and improvement requirements specific to their Residency Review Committee, common program requirements and those of the sponsoring institution.

What is the PEC - Program Evaluation Committee
400

The total number of scheduled work hours including patient care and educational activities for trainees participating in Emergency Medicine Rotations shall be limited to this number of hours per week

What is 72 hours per week

400

All research projects need to be presented to this committee before going to the IRB or any other conferences etc

What is the Academic Development Committee
400

This is a flexible and comprehensive digital program that Catholic Health offers with proven tools and dedicated support for stress, depression, sleep and more—all tailored to your unique needs

What is myStrength

500

This type of supervision is where the Supervising Physician is physically present with the trainee during the key portions of the patient interaction. 


What is Direct Supervision

500

List the 6 ACGME Core Competencies

What is:

  • Patient Care.
  • Medical Knowledge.
  • Practice Based Learning and Improvement.
  • Systems Based Practice.
  • Professionalism.
  • Interpersonal Skills Communication
500

I worked 12 hours how many hours off should I have the next day?

What is 12 hours

500

These are competency-based developmental outcomes (e.g., knowledge, skills, attitudes, and performance) that can be demonstrated progressively by residents/fellows from the beginning of your education through graduation to the unsupervised practice

What are Milestones

500

This person at each site is a neutral and confidential resource available to assist with concerns or questions related to the clinical training experience

What is Ombudsman