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Comprehensive Department Policies for Residents and Faculty Compliance

This document outlines essential department policies concerning duty hours, moonlighting, supervision, selection processes, technical standards, and academic actions. While department-specific policies are still required, they are now stored electronically without needing to attach them to contracts. It's critical for residents and faculty to access and review all current policies via the GME Office or departmental resources annually. Compliance with NAS requirements and institutional standards is mandatory, ensuring every member knows where to find these policies or receives them as needed.

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Comprehensive Department Policies for Residents and Faculty Compliance

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  1. DEPARTMENT POLICIES • No longer need to attach any policies to contracts • Department-specific policies still required • Duty hours • Moonlighting • Supervision • Selection • Technical Standards • Academic Action • Standards of Performance • Leave • Evaluation • Professional Attire (dress code) • Current policies in your department—on your web site, department drive, hard copy department policy manual

  2. GME Office must have current policies electronically • Will keep electronic file of all current department policies • Must have ALL policies for ALL programs • ONLY send new ones when updated/changed • You should review every year • Must be consistent with institutional policies and program requirements • NAS (New Accreditation System) • RESIDENTS AND FACULTY MUST HAVE THESE POLICIES • ENSURE THEY ARE GIVEN POLICIES OR • ENSURE THEY KNOW WHERE/HOW TO ACCESS THEM • NAS REQUIREMENT—Distribute Duty Hours and Moonlighting

  3. Moonlighting Forms . . . some reminders . . . MUST USE CORRECT YEAR FORM--WILL BE RETURNED

  4. COMPLETE DESCRIPTION—DESCRIPTIVE OF WORK BEING DONE ONLY CHECK ONE—DIFFERENT FORM FOR EACH LOCATION SAME REMINDER FOR NON-UNIVERSITY LOCATIONS

  5. MOONLIGHTING LOCATION REPRESENTATIVE—PERSON AT LOCATION WHO HAS APPROVED THE MOONLIGHTING AND WILL APPROVE THE ADDITIONAL COMPENSATION FOR IT--NOT PROGRAM DIRECTOR

  6. MOONLIGHTING OUTSIDE THE UNIVERSITY SYSTEM—MUST HAVE FEE-PAID DEA LICENSE—CANNOT USE FEE EXEMPT DEA J-1 VISA HOLDERS CANNOT MOONLIGHT

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