Hand G7 Fellow

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 program's 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 program's 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 program's 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:

Students with defined graduation date and/or graduates of medical 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 Review Committees. Some programs require successful passage of board exams (or good faith effort to pass) for promotion through subsequent years of fellowship

Students with defined graduation date and/or graduates of colleges of osteopathic

medicine in the United States

accredited by the American Osteopathic Association (AOA) and successful completion of any pre-requisite accredited training specified by ACGME Residency Review Committees.

Students with defined graduation date and/or graduates of medical schools outside the United States and Canada who meet one of the following qualifications:

Have a currently valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG) prior to appointment, or

Have a full and unrestricted license to practice medicine in a US licensing jurisdiction in which they are in training, and

Successful completion of any pre-requisite accredited training specified by ACGME Residency Review Committees.

Licensure/ Registration/ Certification:

Resident/Fellow physicians must receive a passing score on the United States

Medical Licensing Examinations

Knowledge, Skills, and Abilities:

It is important for resident/fellow physicians to have good decision-making and customer service skills, as they must deal with patients on a daily basis. In addition to being amiable and working well under pressure, resident/fellow physicians should be analytical and self-motivated.

Excellent oral and written communication skills are required, as well as the ability to work efficiently in teams. Residents/fellows 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 staff. Residents/Fellows may write orders and progress notes in patient charts, although attending physicians retain responsibility for the care of patients seen by residents/fellows and must review the care of their patients.

ESSENTIAL DUTIES:

Perform procedures, which are specified by each program director. Resident/Fellow may only perform those procedures for which the attending physician has privileges. Once 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 according to resident's/fellow's level of education, ability and experience. The program director and the attending staff will determine the resident's level of responsibility and autonomy.

Communicate effectively with their supervising attending regarding the findings of their evaluation, physical examination, interpretation of diagnostic tests, and intended interventions on a continuous basis.

Participate fully in the educational and scholarly activities of the program and, as required, assume responsibility for teaching and supervising other residents and students.

Participate in appropriate institutional committees and councils whose actions affect their education and/or patient care including, but not limited to quality assurance and quality improvement activities.

Develop a personal program of learning to foster continued professional growth with guidance from the teaching staff.

Abide by all Regions Hospital policies and procedures, GME 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 organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's 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 5 hours)

Cont

67-100% (5 to 8 hours) Standing - Remaining on one's 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 patient's 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

Cut away from body.

Use proper tool for the job.

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

Use only employer approved products.

Use appropriate soaking containers with labels.

Understand hazards of chemicals you use (read MSDS).

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

Approach hot surfaces carefully.

Use only approved liquid nitrogen dewars. Dispense only if trained.

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

Absolutely no text messaging while driving.

Refrain from cell phone use while driving.

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

For wet areas, mop excess water regularly.

Place warning signs.

Select footwear carefully

Slip resistant shoes

Rubber boots

Other X

Preparing or handling hazardous drugs (Examples: cytotoxic drugs, chemotherapy agents).

Chemical

Genetic damage

Tumors

Receive training

PPE

Use of biological cabinet

Spill procedures

Waste disposal SOP

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

Receive laser training.

Awareness and knowledge to minimize surgical or procedural fires.

Code Red training

PPE

Restricted access