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House Staff Orientation

House Staff Orientation. Welcome to Duke University Hospital !!. Duke University Hospital. 70 ACGME Programs 40+ ICGME Fellowships 850+ GME Trainees 6 Major Affiliates 150+ Outreach Sites 350+ Outreach Activities. Office of Graduate Medical Education Website: www.gme.duke.edu.

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House Staff Orientation

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  1. House Staff Orientation Welcome to Duke University Hospital !!

  2. Duke University Hospital • 70 ACGME Programs • 40+ ICGME Fellowships • 850+ GME Trainees • 6 Major Affiliates • 150+ Outreach Sites • 350+ Outreach Activities

  3. Office of Graduate Medical EducationWebsite: www.gme.duke.edu • Director, Assoc. Dean, DIO • Associate Director • Administrative Director • Administrator “the boss” • Professional Educator • 8 Staff

  4. Director (DIO) What’s my job? • Authority and Responsibility for GME • Compliance for Accreditation • Surrogate Parent, Older Sibling, Colleague • Attempt to ensure the best education and professional/personal development for those who will care for me, my family, my children, my grandchildren, and our society

  5. GME Trainee: What's your job? • Learn and practice state of the art, safe, and compassionate patient care • Learn to live and excel within regulatory limits • Develop safe living habits and life long continuing education • Professionalism – “I know it when I see it and intuitively recognize its absence”

  6. Professionalism • Dedication to the well-being of the patient • Adherence to system/societal regulations • Appearance • Respect for others • Language • Interpersonal Communication • Active Team Participant • Continuing Education - competency • Maintenance of mental and physical health

  7. State of the Art Medicine and Patient Safety • Study Hard – Evidence Based Medicine: use all the resources we can provide for you • Learn from experienced colleagues • Nursing • Pharmacy • Consultations • Administrators • Faculty • Peers • IT

  8. State of the Art and Patient Safety Medicine • Contribute • To All: Every member of the team is crucial • Teach • To All: You are no longer a medical student or a junior resident; now an important source of information and guidance • Look both to your elders and your juniors • as well as sideways • Always participate in the patient safety initiative

  9. Live Well with Regulations • One of the most regulated professions • Public Image – You are now a special, privileged, accountable group of professionals • Take care of yourselves, so you can care for others • The eyes of society are focused on you. Remind yourself at all times of your position and your obligations. • We will try to remind you of system obligations, so you will not lose your privileges.

  10. Regulatory Agencies • JCAHO*, ACGME*, ABMS, State Medical Board*, Federal Laws*, Local and State Laws*, University Policies*, Hospital Policies*, OSHA*, NCPHS*, Employee Health*, DFS*, CMS*, CDC*, DEA*, etc. • * no “ wiggle room “

  11. Professional Expectations • We will provide for you a compilation of all the oversight we could find with the potential consequences. It may not be complete, but ignorance is not an excuse that will prevail. • Your ability to continue your professional life is at stake

  12. Duty Hour Policy – Why? • Fatigue creates potential chance of error– not every one is the same – it is in the best interest of educational goal • Fatigue may cause an impairment which could possibly lead to injury to yourself and others • If we are not successful in living up to these rules, government will take over and we will not have anychoice in determining the benefits or disadvantages in this way of practice with regard to physician education and health or patient safety

  13. Duty Hours Policy • No “wiggle room”, No exceptions, consequences potentially severe • Consequences: • Possible consequences to patient safety • Potential threat to your well-being • Accreditation – no credit for time in residency and all residencies may be at risk

  14. Duty Hour Policy 80Hours/week/4 weeks 1/3 in-house nights/4 weeks 1/7 totally free/4 weeks 24 (+ 6)hours in-house 10 hours between in-house duty

  15. Duty Hour History Duke duty hour policy 11-00 ACGME duty hour policy 7-1-03

  16. Duty Hour History Duke duty hour policy 11-00 ACGME duty hour policy 7-1-03

  17. Duty Hour History

  18. Duke Duty Hour History Duke Duty Hour Policy Nov ‘00 ACGME duty Hour Policy July 1, ‘03

  19. Duty Hour Policy • Everyone’s responsibility • Institution • Program • Graduate Medical Trainees • Nursing • Allied Health Care Providers • Faculty

  20. YOUR OBLIGATIONS ! • Do not exceed the duty hour limits unless patient safety demands the extra time occasionally • If you are forced to do this by schedule or intensity of service on more than an occasional basis, let us know so we can adjust the situation appropriately • Duty hour monitoring will be going on selectively – you must cooperate, or lose your clinical privileges • Intermittent surveys will be carried out. They are mandatory and anonymous

  21. Help for Duty Hour Problems • Hotline for problems, anonymous, to me and my staff only, not your superiors • Hotline Telephone Number: 681-2999 • Voicemail • Be specific for problem and location, but it is not necessary to leave identification -- if better to wait until rotation is over, OK, but don’t wait too long

  22. Conclusion • Have an excellent educational experience • Take good care of yourselves • Enjoy your advancement in medicine and the joy of caring for others! • We are here for you !

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