Jersey Shore Medical Center/Meridian Hospitals Corporation

Jersey Shore University Medical Center Office of Academic Affairs

Resident Manual 2013-2014

Jersey Shore University Medical Center Resident Manual 2013-2014

Published by: Jersey Shore University Medical Center (JSUMC) Member of the Mer idian Health Family 1945 Route 33 Neptune, NJ 07754-0397

This handbook is informational only and does not constitute a contract between Meridian Health and any resident. It may be changed by Meridian Health without prior notice to residents. Any rules, regulations, policies, procedures, or other representations made herein may be interpreted and applied by Meridian Health to promote fairness and academic excellence, based on the circumstances of each individual situation. This handbook represents a program of the current offerings, rules, and requirements of JSUMC, member of the Meridian Health Family. Meridian Health reserves the right to change any provisions, offerings, or requirements at any time within the Resident's tenure at JSUMC.

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Meridian HealthMission Meridian Health is committed to improving the health and well-being of the residents of New Jersey by providing the highest quality, patient-centered health care services delivered in hospital, community and in-home settings, and to advancing medicine through clinical education and research.

We foster a culture of excellence within a collaborative environment. We actively seek innovative solutions, technologies and partnerships to support sustainable financial growth and to ensure communities we serve have access to a comprehensive continuum of integrated services that meet their present and future health care needs.

Vision

To be the best health system in New Jersey

Values

Honesty, Integrity, Respect, Compassion, Balance, Diversity

In a short while you will find yourselves learning more than have you ever have before. You will assume many roles: as compassionate healthcare providers, teachers, and learners. Residency is a challenging and rewarding period in one's trajectory toward independent medical practice. Your program director is the primary person responsible for your training. You should first approach him/her with any questions or concerns. We in the Office of Academic Affairs are also committed to your success. We welcome your questions and visits to our office. While this booklet is meant to be a general overall introduction to JSUMC, please note that all policies and procedures applicable to residents are found on the Meridian Intranet Dashboard under "Resident Information".

David Kountz, MD, MBA, FACP Vice President and DIO Academic Affairs dkountz@

Karen Kiley GME Coordinator 732.776.4226 kkiley@

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Table of Contents

Page

Mission Statement..................................................................... 2

Statement of Commitment..................... ..................................... 4

GME Policies ......................................................................... 7

Resident Agreement................................................................... 7

Education Modules..................................................................... 7

Focus Group Meetings................................................................ 8

Resident Professional Development Lecture Series............................... 8

Graduate Medical Education Committee (GMEC)................................ 8

Committee Assignments and Representation...................................... 8

Performance Improvement and Outcomes Management......................... 9

Resident Forums........................................................................ 10

Booker Health Sciences Library........................................................ 10

Ombudsperson......................................................................... 11

Counseling Services................................................................... 11

Professionalism .............................................................................. 12

Completion of Medical Records..................................................... 13

Teacher-Learner Contract....................................................................... 13

Religious and Cultural Differences.................................................. 14

Confidentiality/HIPPA................................................................ 14

E-mail, Internet, Mobile Devices, WWW Access and Usage................... 15

Information Systems.................................................................. 16

Monetary Gifts......................................................................... 16

Liability Insurance..................................................................... 16

Personnel Files......................................................................... 17

Research and Protection of Human Subjects....................................... 17

Emergency Management and Fire Safety.......................................... 18

Security.................................................................................. 19

Meridian Carelink..................................................................... 19

Hazardous Materials.................................................................. 19

Sleeping Quarters...................................................................... 20

Sleep Deprivation, Alertness Management and Fatigue Mitigation

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No Smoking Policy.................................................................... 21

Parking.................................................................................. 21

Laundry................................................................................. 21

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MERIDIAN HEALTH GRADUATE MEDICAL EDUCATION

STATEMENT OF COMMITMENT

The Board of Trustees and senior management of Meridian Hospitals Corporation (a division of Meridian Health) and Jersey Shore University Medical Center training program directors are fully committed to medical and professional education as part of our core mission:

"Meridian Health is committed to improving the health and well-being of the residents of New Jersey by providing the highest quality, patient-centered health care services delivered in hospital, community and in-home settings, and to advancing medicine through clinical education and research.

We foster a culture of excellence within a collaborative environment. We actively seek innovative solutions, technologies and partnerships to support sustainable financial growth and to ensure communities we serve have access to a comprehensive continuum of integrated services that meet their present and future health care needs."

This commitment includes provision of the necessary educational, financial, and human resources to support its graduate medical education programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Jersey Shore University Medical Center, a 660 bed tertiary teaching hospital, sponsors ACGME accredited residency programs in Internal Medicine, Pediatrics, and Obstetrics/Gynecology. Additionally, it sponsors an ACGME accredited fellowship in Sports Medicine.

The Vice President for Medical and Academic Affairs serves as the ACGME's Designated Institutional Official (DIO) with the authority and responsibility for oversight and administration of Meridian Hospitals Corporation ACGME-accredited programs. The Vice President for Medical and Academic Affairs and the Corporate Director of Medical Education (DME) for Meridian Health, are responsible for assuring compliance with the ACGME's Institutional Requirements. The DME serves as Chair of the Graduate Medical Education Committee (GMEC). The GMEC is charged with providing the oversight necessary to foster graduate medical education programs in which physicians in training develop personal, clinical and professional competence under the guidance and supervision of the faculty and staff. These competencies are defined by the specific knowledge, skills, attitudes, and education experiences needed to demonstrate the following:

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A. Patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health;

B. Medical knowledge of biomedical, clinical, epidemiological and social behavioral sciences and the application of this knowledge to patient care;

C. Practice-based learning and improvement that involve investigation and evaluation of the residents' own patient care, appraisal and assimilation of scientific evidence, and continuous improvement in their patient care activities based on constant selfevaluation and life-long learning. Residents are expected to develop skills and habits to be able to meet the following goals:

a. Identify strengths, deficiencies, and limits in one's knowledge and expertise; b. Set learning and improvement goals; c. Identify and perform appropriate learning activities; d. Systematically analyze practice using quality improvement methods, and

implement changes with the goal of practice improvement; e. Incorporate formative evaluation feedback into daily practice; f. Locate, appraise, and assimilate evidence from scientific studies related to

their patients' health problems; g. Use information technology to optimize learning; and, h. Participate in the education of patients, families, students, residents and other

health professionals.

D. Interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals. Residents are expected to: a. Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds; b. Communicate effectively with physicians, other health professionals, and health related agencies; c. Work effectively as a member or leader of a health care team or other professional group; d. Act in a consultative role to other physicians and health professionals; and, e. Maintain comprehensive, timely, and legible medical records, if applicable.

E. Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Residents are expected to demonstrate: a. Compassion, integrity, and respect for others; b. Responsiveness to patient needs that supersedes self-interest; c. Respect for patient privacy and autonomy; d. Accountability to patients, society and the profession; and, e. Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation.

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F. Systems-based practice, as demonstrated an awareness of and responsiveness to the larger context and system of health care, as well as the ability to effectively call on other system resources to provide optimal care. Residents are expected to: a. Work effectively in various health care delivery settings and systems relevant to their clinical specialty; b. Coordinate patient care within the health care system relevant to their clinical specialty; c. Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care as appropriate; d. Advocate for quality patient care and optimal patient care systems; e. Work in interprofessional teams to enhance patient safety and improve patient care quality; and, f. Participate in identifying system errors and implementing potential systems solutions

This Statement of Commitment has been approved by the Meridian Hospitals Corporation Board of Trustees, the JSUMC Medical Staff Executive Committee, and the Graduate Medical Education Committee which includes representatives of the entire teaching faculty.

Approved by GMEC:

November 4, 2013

Approved by MEC:

November 12, 2013

Approved by Education and Children's Hospital Committee:

Approved by MHC Board of Trustees:

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1. The Resident Infor mation site on the Physician Extr anet This site has a wealth of infor mation for you, including: a) Policies for GME

All GME policies are listed in The Jersey Shore University Medical Center (JSUMC) GME Policy Manual which is found on the Meridian Physician Extranet. To access it, go to the Meridian Health Intranet. Then: Click on Web sites Click on Physician Extranet Click on CME, Academics, Research and Quality Click on Resident's Information Click on GME Policy Manual The GME Policy Manual also contains detailed information related to many of the items listed below.

b) Resident Agr eement

All information regarding Terms of Appointment, Resident Responsibilities, Institutional Responsibilities, Duty Hours, Financial Support and Benefits, Reappointment, Corrective Action, Probation, Suspension and Termination, and Reporting Obligations can be found in your "Resident Agreement."

c) Education Modules

There are several curricular modules on Physician Extranet related to Stress and Fatigue, Automobile Safety, Physician Impairment, Domestic Violence, the relationship between the Pharmaceutical/Device Industry and Prescribing Patterns, and Professionalism. Residents are expected to review these modules, take the relevant quizzes, and provide this information to their program director. There is also information on how to register for the Institute for Healthcare Improvement (IHI) Open School. This site provides residents access to modules related to Patient Safety and Quality Improvement.

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