RESIDENCY AGREEMENT
THIS AGREEMENT is made this _____ day of _________________, 20__ by Oakwood
Healthcare, Inc. a Michigan nonprofit corporation (“Oakwood”) and ____________________
_____________________ ,M.D.,(“Resident”). The term of this Agreement shall be from July1,
__________ through June 30, __________ .
Section 1
Appointment. Oakwood offers to Resident and Resident accepts appointment as
House Officer Year ________in the Oakwood _______________________ Residency Program
under the terms and conditions of this Agreement. Resident must meet Oakwood’s requirements
for credentialing and employment as specified in the Resident Handbook. The Resident
Handbook is available at www.oakwood.org under the link for Programs and Services- Medical
Education - Resident Policies.
Section 2
Oakwood’s Obligations.
2.1
Teaching Staff. Oakwood will supply a teaching staff and a physical environment
conducive to improving the Resident’s medical knowledge and skills. Oakwood shall orient the
Resident to the facilities, philosophies, rules, regulations, and policies of Oakwood and the
Institutional and Program Requirements of the ACGME and RRC.
2.2
Supervision. Oakwood will provide supervision to Resident when Resident is
carrying out patient care responsibilities, in accordance with supervision guidelines developed
from time to time by the Resident’s Program Director.
2.3
Support. Oakwood shall facilitate the Resident’s access to counseling and
psychological support services, when, in the discretion of the Resident’s Program Director, the
Resident requires such counseling and psychological support. See Oakwood’s Resident policy
regarding counseling and support in the Resident Handbook. Also see: Oakwood’s Resident
policy regarding physician impairment and Oakwood’s Human Resources Policy and Procedure
Manual regarding the Oakwood Fitness for Duty policy.
2.4
Benefits. Oakwood shall provide the Resident with the following compensation
and benefits:
2.4.1 Compensation of $_______________ per year, payable throughout the
term of this Agreement in equal installments on a bi-weekly basis.
2.4.2 The fringe benefits, including health and disability benefits, are described
in the House Officer Benefit Information Packet contained in the Resident Handbook. For
convenience, a summary of the fringe benefits is attached to this Agreement.
2.4.3 Laboratory coats, free of cost, for Resident's use while fulfilling his/her
obligations under this Agreement.
2.4.4
Sleeping quarters for Resident's use when Resident is required to remain
on Oakwood premises to fulfill his/her obligations under this Agreement.
2.4.5 Fifteen (15) paid vacation days per year. The Resident must submit
requests for vacation time in writing to the Program Director and the Medical Education Office
at least one month in advance of the requested vacation time. All requests for vacation time
must be approved by the Program Director and the Medical Education Office. On certain
clinical rotations, a "no vacation" policy may apply.
2.4.6 Ten (10) paid sick days per year. In order to receive compensation for
sick days, the Resident must notify the Program Director of his/her illness before or at the
earliest possible time on the sick day. If the Resident uses more than two (2) sick days in any 30
day period, the Resident must obtain a return to work release from a physician. The release must
be submitted to Oakwood Human Resources. Unused sick days shall not carry over into a
subsequent contract year and Resident shall not receive compensation for sick days, which are
not used within a contract year.
2.4.7 Three (3) personal days per year with pay, provided the Resident obtains
the approval of the Program Director and the Medical Education Office prior to the personal day
and provided the reason for and use of personal day(s) is in accordance with Oakwood policy
2.4.8 Professional, Personal, Maternity, Paternity, or Adoption leave of absence
in accordance with Oakwood's Leaves of Absence Policy, as described in the Resident
Handbook. If Resident does not qualify for a leave of absence under Oakwood’s Leaves of
Absence Policy, a leave of absence may be granted by the Program Director and the Director of
Medical Education at their discretion. The Directors will generally follow the Specialty Board
Certification Requirements when making this determination. The foregoing notwithstanding, an
unpaid leave of absence cannot be granted unless approved by the Oakwood Human Resources
Department.
2.4.9 Professional Liability insurance to cover Resident's acts or omissions
performed within the scope of Resident's obligations under this Agreement and within the scope
of Resident's limited license to practice medicine, with built-in tail coverage for a period of not
less than five (5) years. No professional liability insurance will be provided to the Resident for
any acts or omissions performed outside the residency program, including activities specifically
approved by the Program Director such as, but not limited to moonlighting activities. The
details of the malpractice coverage shall be provided to Resident in an annual letter from
Oakwood’s Corporate Risk Management.
2.4.10 Reimbursement for continuing medical education conference expenses,
books, professional dues, and license fees in accordance with the Educational Allowances
Policy, which is attached to and incorporated into this Agreement as Exhibit 1. To receive
reimbursement under this section, the Resident must submit to the Director of Medical Education
receipts for all expenses to be reimbursed.
2.4.11 A meal allowance, for meals while on duty, will be provided bi-weekly in
accordance with Exhibit 1. The amount will be added to Resident’s paycheck.
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2.4.12 A one-time, interest-free loan of up to $2,000.00. Any funds borrowed
under this Section shall be repaid in regular equal installments automatically deducted from the
Resident's paycheck over a six (6) month period.
2.4.13 Oakwood reserves the right to modify the plan of benefits set forth at any
time. The Resident will be notified of any change in the plan of benefits.
2.5
Duty hour assignments shall be in compliance with state, federal and ACGME
requirements as described in the Resident Handbook.
2.6
Oakwood shall notify Resident as soon as possible if the Resident training
program is to be reduced in size or closed. See the Resident Handbook.
2.7
Upon satisfactory completion of the Program and its requirements, the Resident’s
responsibilities, and termination of House Staff status, Oakwood shall furnish to the Resident a
Certificate of Completion for the Program.
Section 3
Resident's Obligations.
3.1
Personal Plan. With guidance from the Oakwood teaching staff, the Resident
shall develop a personal program of self-study and professional growth. The Resident shall
demonstrate competency in patient care, medical knowledge, interpersonal and communication
skills, practice based learning and improvement, professionalism, and systems based practice by
program completion.
3.2
Patient Care Responsibilities. Under the supervision of Oakwood teaching staff,
the Resident shall participate in the safe, effective and compassionate care of Oakwood's patients
at a level commensurate with the Resident's level of advancement in the Residency Program.
3.3
Institutional Policies. At all times while fulfilling his/her obligations under this
Agreement, the Resident shall adhere to all applicable Oakwood rules, regulations, policies,
procedures and guidelines, including, but not limited to, the Resident Handbook, the Oakwood
Human Resources Policy and Procedure Manual, and the Oakwood Medical Staff Bylaws, Rules
and Regulations and Oakwood’s Compliance and Business Practices policies. The Resident also
must adhere to the applicable policies, rules, regulations, procedures and guidelines of any nonOakwood institution or facility where Resident is assigned under this Agreement. Additionally,
the Resident shall adhere to all applicable state, federal and local laws, as well as standards
required to maintain accreditation by the JACHO, the ACGME, the RRC; and any other relevant
accrediting, certifying, or licensing organization, including the State of Michigan Medical Board.
3.4
Compliance Reporting. The Resident shall report immediately a) to Oakwood’s
Compliance Office and/or Legal Affairs Department any inquiry by any private or governmental
attorney or investigator or b) to Oakwood’s Public Relations Department any inquiry by any
member of the press. The Resident understands that Oakwood encourages the Residents full
cooperation with any governmental investigation or inquiry. The Resident agrees not to
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communicate with any inquiring private attorney or members of the press except to refer such
private attorneys to the Compliance Office and/or Legal Affairs Department and to refer the
press to the Public Relations Department. Also see Oakwood’s Code of Conduct and Code of
Ethics policies.
3.5
Drug Testing Policy. Resident acknowledges and agrees that his/her acceptance
into the Residency Program is conditioned on Resident submitting to a drug test prior to
beginning the Residency Program. Testing will be done in accordance with the Pre-Placement
Testing procedure described in the Fitness for Duty provision of the Oakwood Human Resources
Policy and Procedure Manual. Refusal to submit to drug testing will result in the immediate
termination of this Agreement. A substantiated positive drug test may result in immediate
termination of this Agreement.
The foregoing notwithstanding, Resident will be required to submit to alcohol/drug testing
whenever reasonable cause exists to believe that the Resident’s ability to fulfill his/her
obligations under this Agreement may be impaired by alcohol and/or drugs. A positive test
result will be handled in accordance with the guidelines set forth in Oakwood’s Human
Resources Policy and Procedure Manual.
3.6
Educational and Scholarly Activities. The Resident shall participate fully in the
educational and scholarly activities of his/her program and, as requested by the Resident's
Program Director and department, assume responsibility for teaching and supervising other
residents and medical students.
3.7
Medical Staff Activities. The Resident shall participate in Oakwood programs
and activities that involve the Oakwood Medical Staff, including but not limited to quality
assurance and patient safety programs.
3.8
Licensure. Resident shall obtain a full license or a limited postgraduate license to
practice medicine in the State of Michigan prior to providing patient care under this Agreement.
Resident shall provide the Medical Education Office with a copy of his/her license, and shall
notify the Program Director immediately in the event that the Resident's license expires without
renewal or is restricted, suspended, revoked or limited in any manner. Resident shall not provide
patient care under this Agreement until Resident has presented a copy of his/her license to the
Medical Education Office.
3.9
Medical Records. The Resident shall completely document the care rendered to
patients in the medical record for each patient for which the Resident provides care in
accordance with all Oakwood policies, rules, and regulations, including the Oakwood Medical
Staff Bylaws and Rules and Regulations.
3.10 Presence in House. The Resident shall at all times be present in the areas and
during the hours to which he/she is assigned to patient care responsibilities, except when
prevented from doing so by personal illness, injury or some other reason for which the Resident
has obtained the prior approval of his/her Program Director. The Resident must notify his/her
Program Director of all absences and shall, if at all possible, find a replacement resident to
assume his/her responsibilities for the duration of the absence.
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3.11 Full-Time Commitment and Moonlighting Policy. The Resident shall devote
his/her efforts full-time to fulfilling of the Resident's obligations under this Agreement. The
Resident shall obtain the prior written consent of the Program Director before engaging in any
professional activities outside of the Residency Program. Oakwood’s policy on moonlighting by
Residents is available from the Program Director. Oakwood’s policy on moonlighting is
available from the Resident’s Program Director and in the Resident Handbook.
3.12
Notices. Immediately upon receipt of a notice of a possible or confirmed quality of care
issue involving the Resident from the Michigan Peer Review Organization or other agency, or a
notice of claim or possible claim alleging medical malpractice or professional misconduct, or its
equivalent, the Resident shall immediately provide the Program Director with a copy of the
notice and shall cooperate with Oakwood in preparing a response to the notice.
3.13 Committees. The Resident shall participate in Oakwood's institutional
committees and councils, especially those related to patient care review activities, medical/legal
issues, socioeconomic issues, ethics, cost containment and educational programs when requested
to participate by the Program Director or by the Medical Education Office.
3.14 Program Evaluation. The Resident shall participate in evaluation of the quality of
education provided in the Oakwood Residency Program when requested to participate by the
Program Director or the Medical Education Office.
3.15 Oakwood Property. The Resident shall return at the same time as the expiration
or termination of this Agreement all Oakwood property, including, but not limited to books,
equipment, paper, PDAs; complete all necessary records; and settle all professional and financial
obligations.
Section 4
Evaluation and Advancement.
4.1
Evaluation . Resident shall be evaluated in writing and the Resident’s
performance reviewed with him/her in accordance with the Policy on Resident Evaluation and
Promotion, described in the Resident Handbook.
4.2
Advancement. Resident shall advance to the next level in the Oakwood
Residency Program only when, in the opinion of the Program Director, the Resident has satisfied
the evaluation criteria described in the Resident Handbook. The Program Director shall provide
the Resident with written notice of advancement or failure to advance no later than March 1 of
the contract year, unless, at that time, Resident is in a formal corrective action plan (see Section
4.3 of this Agreement).
4.3
Corrective Action. If the Program Director believes corrective action is necessary
to address any difficulties or deficient areas in the Resident's performance noted during the
evaluation process or during the course of the Resident's performance of his/her obligations
under this Agreement, the Program Director may take corrective action to address the difficulty
or deficiency in accordance with the Due Process Policy and Procedure described in the Resident
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Handbook.
Section 5
Summary Suspension.
5.1
Right to Suspend. Other provisions of the Agreement notwithstanding, the
Oakwood Board of Directors, the Resident's Program Director, or the Director of Medical
Education may summarily suspend the Resident from the Oakwood Residency Program, in
accordance with the Due Process Policy and Procedure described in the Resident Handbook.
The person or body initiating a summary suspension shall provide the Resident with immediate
written notice of the summary suspension, and, if initiated by the Board of Directors, shall also
provide the Program Director and the Director of Medical Education with notice of the
suspension.
Section 6
Termination.
6.1
Termination by Oakwood. Oakwood may terminate this Agreement if Oakwood
determines in its sole discretion that the Resident has failed or is unable to perform his/her duties
under this Agreement in accordance with applicable standards of medical practice, has failed to
comply with Oakwood policies, procedures, rules or regulations, or has breached this
Agreement. Oakwood shall not be required to take any corrective action under Section 4.3 prior
to terminating the Agreement in accordance with this Section. Through the Director of Medical
Education, Oakwood shall provide the Resident with written notice of the termination, which
notice shall specify the date of termination and the reasons for the termination. Termination of
this Agreement shall constitute dismissal from the Oakwood Residency Program.
Section 7
Reconsideration.
7.1
Right to Reconsideration. The Resident may request reconsideration of a
summary suspension under Section 5, termination of this Agreement under Section 6, or any
corrective action taken by Oakwood under Section 4.3. Requests for reconsideration must be
made in writing to the Director of Medical Education and in accordance with the Due Process
Policy and Procedure described in the Resident Handbook.
Discrimination and Harassment. It is the policy of Oakwood that all residents
Section 8
have the right to work in an environment free from discrimination, which encompasses freedom
from harassment. It is the policy of Oakwood not to tolerate discrimination or harassment on the
basis of race, color, religion, sex, national origin, age, disability, marital status, veteran status,
height, or weight. No member of Oakwood’s community--employee, physician, volunteer,
guest, applicant, or vendor—may discriminate against or harass any person. Furthermore, no
member of Oakwood’s community is expected to tolerate any form of discrimination or
harassment. The Oakwood policies prohibiting discrimination and harassment are available in
the Oakwood Human Resources Policy and Procedure Manual.
Any complaints of discrimination or harassment brought by or against any Resident shall be
handled in accordance with Oakwood’s corporate policy, which is available to the Resident in
the Oakwood Human Resources Policy and Procedure Manual.
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Section 9
Dispute Resolution.
9.1
Resident Grievance Procedure. Oakwood has established a procedure that will
provide an assessment and resolution of Resident concerns. The Resident Grievance Procedure
is available to all Residents who have concerns or issues related to the interpretation, application,
or breach of a policy, practice, or procedure in their educational program. The Resident
Grievance Procedure is the sole and complete mechanism for resolution of Resident concerns.
The procedure is described in the Resident Handbook. The foregoing notwithstanding, the
Resident Grievance Procedure may not be utilized to address issues related to summary
suspension under Section 5, termination of this Agreement under Section 6, or any corrective
action taken by Oakwood under Section 4.3; The Due Process Policy and Procedure (described
in the Resident Handbook) must be utilized in this instance.
Section 10 Entire Agreement - Modification, Governing Law. This Agreement constitutes
the entire agreement between Oakwood and the Resident with respect to the subject matter of the
Agreement, and supersedes any and all other agreements, either oral or in writing, between the
parties with respect to this subject matter. No modification of or addition to this Agreement
shall be valid unless it is in writing and signed by the Director of Medical Education and the
Resident. Michigan Law governs this Agreement. If any provision of this Agreement cannot be
enforced, the remainder of the Agreement shall remain in full force and effect and shall be
interpreted in a manner which best fulfills the intent of the Agreement.
I AGREE THAT:
1.
I WILL ONLY access information I need to do my job.
2.
I WILL NOT show, tell, copy, give, sell, review, change or trash any confidential
information unless it is part of my job. If it is part of my job to do any of these tasks, I will
follow the correct department, hospital, and/or institutional procedure (such as shredding
confidential papers before throwing them away).
3.
I WILL NOT misuse or be careless with confidential information.
4.
I WILL KEEP my computer password secret and I will not share it with anyone.
5.
I WILL NOT use anyone else’s password to access any Oakwood system.
6.
I AM RESPONSIBLE for any access using my password.
7.
I WILL NOT share any confidential information even if I am no longer an Oakwood
employee.
8.
I KNOW that my access to confidential information may be audited.
9.
I WILL tell my supervisor if I think someone knows or is using my password.
10.
I KNOW that confidential information I learn on the job does not belong to me.
11.
I KNOW that Oakwood may take away my access at any time.
12.
I WILL protect the privacy of our patients and employees.
13.
I WILL NOT make unauthorized copies of Oakwood software.
14.
I AM RESPONSIBLE for my use or misuse of confidential information.
15.
I AM RESPONSIBLE for my failure to protect my password or other access to
confidential information.
Failure to comply with this agreement may result in the termination of employment at
Oakwood and/or civil or criminal legal penalties. By signing this Residency Agreement, I
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agree that I have read, understand and will comply with this confidentiality agreement in
addition to all the other terms. I understand that my training program may require that I
participate in providing clinical care at any hospital, facilities and/or programs. This
statement is to authorize Oakwood to provide any information including, but not limited
to, information from my personnel file as maintained by the Medical Education
Department at Oakwood, insurance and claims history information, and any other
information relating to my service as a Resident at Oakwood to these facilities.
OAKWOOD HEALTHCARE, INC.
RESIDENT
Signed:
Resident
Date
PROGRAM DIRECTOR
Signed: _____________________________________
Program Director
Date
Signed:
Mark D. Hannis, M.D.
Director of Medical Education
EXHIBIT 1
SUMMARY OF EDUCATIONAL ALLOWANCES
8
YEAR OF
ON CALL
TRAINING
WEEKLY
MEALS
CONFERENCE
ALLOWANCE
PROFESSIONAL
DUES
MEDICAL
LICENSE
BOOK
ALLOWANCE
$400
and
3 days
$105
$165
$200
$1000
and
5 days
$105
$165
$300
$1200
and
5 days
$105
$165
$400
$1200
and
5 days
$105
$165
$500
paid biweekly
1
$37.20
(28.95 + 8.25
for taxes)
2
$32.00
(24.96 + 7.04
for taxes)
3
$32.00
(24.96 + 7.04
for taxes)
4
$32.00
(24.96 + 7.04
for taxes)
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Policies on Allocation of Book Funds
1.
Prior approval by Program Director and the Director of Medical Education is required.
2.
Book allotment may be spent on books, journals, audio tapes, video tapes and/or CME oriented medical software.
3.
Book allotment may not be spent for conferences.
4.
Book allotment may not be carried over from year to year.
5.
Residents should not purchase books without prior approval and expect to be reimbursed.
Policies on Conference Allowance
1.
Prior approval by Program Director and the Director of Medical Education is required at least 45 days prior to the start of
conference. A xerox copy of program is required.
2.
An average of 4 hours of CME per day of conference is required for approval.
3.
Conferences must take place in the continental United States or Canada.
4.
Conference allowance may be carried over from year to year.
5.
Conference allowance in whole or part may be spent as a book allowance.
6.
Conference days may not be carried over from year to year.
7.
Conference funds may be utilized for specialty Board certification fees with prior approval.
8.
Conference days may still be used for approved conferences even if the resident has expended all of their conference allowance for
books or Board certification fees.
Policies on Professional Dues
1.
Dues must be spent on the primary organization of the resident's training program (i.e., ACP, AAFP, ACOBGYN, etc.)
2.
Prior approval is required by the Program Director and the Director of Medical Education.
3.
Dues allotment may not be carried over from year to year.
4.
Dues allotment may not be spent for any other purpose.
Policies on Medical License Fee Allowance
1.
Prior approval of Program Director and the Director of Medical Education is required.
2.
Medical license allowance may not be carried over from year to year.
3.
Medical license allowance may not be spent for any other purpose.
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Medical Education
Committee Policy
Draft: _________________
Approved: June 15, 2006
Revised: ________________
Medical Education Policy for Counseling & Support Services
Personal issues that sometimes emerge during residency include stress due to work problems,
conflict between personal demands, family life, and professional workload, and
psychological/psychiatric problems. In these and other situations, Medical Education recognizes
the benefit of mental treatment and counseling in supporting residents’ personal and professional
growth. Medical Education has identified a number of internal resources and will assist
residents desiring confidential treatment outside of the Oakwood Healthcare System (see
attached).
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In-Network Resources for Residents
Oakwood Employee Assistance Program (EAP)
Oakwood’s EAP provides brief, confidential assessment and treatment services for employees/residents
experiencing work or family related stress or substance use concerns at no charge. For individuals
requiring longer-term treatment, EAP staff will help facilitate referral to a qualified community provider.
Medical Education may initiate a Supervisor Formal Referral for evaluation and treatment of possible
emotional, substance-related, and learning problems. EAP staff may also serve as a liaison between
Medical Education and community providers. Oakwood EAP is located in Suite 235, Village Plaza.
Linda Cunin, ACSW, CEAP, is the Program Director (313-791-4855; 800-327-1127). Additional
information is available on Oaknet.
APEX Behavioral Health
APEX is OSHCare’s contracted mental health and substance use provider. APEX has approximately 20
psychiatrists and 70 psychologists, social workers, couples and family therapists on staff at seven
locations. Residents must contact Value Options for approval of mental health/substance use services
(877-813-5362). Jill Blackson, ACSW, is the Project Manager for APEX. She is available to help
residents select a therapist or psychiatrist for confidential treatment (734-405-0175, ext 111). To
schedule an appointment at the Westland office, call 734-729-3133. The Dearborn office number is 313271-8170. Web-address is: www.APEXBehavioralHealth.com. HAP subscribers should call 800-4224641 or check the website: www.hap.org.
Medical Education Ombudsperson
Residents with a sensitive concern or grievance may contact the Medical Education Ombudsperson for
confidential guidance and support. Residents may also elect to communicate their concerns anonymously.
Ms. Marilyn Kostrzewski (313-593-7692) and Dr. Lyle Victor (313-593-8620; P: 1270) serve in the role.
Medical Education Counseling & Support Team (C&ST)
The Medical Education C&ST serves as an advisor to the Director of Medical Education, residency program
directors and faculty, and to residents on issues of work and family stress, mental health and substance use concerns,
spiritual and ethical issues, and residency performance problems. Residents may elect to contact members of the
C&ST for confidential guidance, short-term counseling, and referral. The C&ST will not enter into open-ended
treatment relationships with residents. Contact persons are as follows:
Larry Fischetti, PhD
Father Richard Leliaert, PhD
Audrey Newell, MD
Linda Cunin, ACSW, CEAP
Ms. Marilyn Kostrzewski
(734-727-1067; P: 1241)
(734-937-1500 x112)
(P: 2617)
(313-791-4855; 800-327-1127)
(313-593-7692)
Spiritual Support Services
Reverend Tony Marshall is the Manager of Spiritual Support Services for Oakwood. A number of full-time
chaplains and many active volunteers representing a variety of religious traditions provide spiritual support and
counseling in Oakwood’s various venues. Reverend Marshall can direct your to a chaplain or lay minister to address
your concerns in a manner consistent with your spiritual beliefs and/or religious affiliation (313-593-7202).
Oakwood Staff Development
Oakwood Healthcare System offers a variety of online and scheduled group courses to help employees
and residents develop their effectiveness as members of healthcare teams and organizations. These
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courses can help residents meet expectations in a number of the ACGME General Competencies
including Systems-Based Practice. To review offerings, go to the Oaknet website and click on Training.
For online courses, click on the link to HealthStream; for scheduled group courses, click on Oakwood
Leadership Development.
OUT-OF-NETWORK RESOURCES FOR RESIDENTS
For some residents, the added assurance of confidentiality may outweigh the costs of seeking out-ofnetwork assessment, mental health treatment, or substance abuse services. Should Medical Education
require an evaluation by an out-of-network provider, Dr. Hannis has arranged for Medical Education to
help offset the costs of services. In these situations, Medical Education may request consent for some
communication with out-of-network providers; these plans should be made explicit and an agreement
reached before entering into treatment. Residents who choose to seek out-of-network assistance on their
own accord will be liable for the cost of treatment unless prior agreement for Medical Education support
is obtained through their program director or the Director of Medical Education.
Private Mental Health Assessment and Consultation
Roger Lauer, PhD, is a psychologist. His clinic provides neuropsychological assessments, cognitive and
learning assessments, and coaching for residents experiencing attentional, learning, and other
performance problems. Contact information is as follows:
1955 Pauline Boulevard, Suite 100A
Ann Arbor, Michigan 48103
734-994-9466
www.rogerlauer.com
Joel Young, MD, is a psychiatrist with a special interest in the assessment and treatment of adult
attentional and learning problems. His clinic provides psychopharmacologic treatment and cognitive
training. Debra Luria, PhD, RN, a psychologist working with Dr. Young, provides intellectual and
neuropsychological assessment services and related counseling. Contact information is as follows:
441 S. Livernois, Suite 205
Rochester Hills, Michigan 48307
248-608-8800
www.rcbm.net
Darren Fuerst, PhD, is a neuropsychologist in the DMC’s Adult Neuropsychology Program. Dr. Fuerst
has offices in the University Health Center and the DMC Health Care Center in Novi. Dr. Fuerst provides
assessment of cognitive learning, and psychiatric conditions. As needed, he will facilitate referrals for
treatment to other mental health providers.
Adult Neuropsychology Program
University Health Center 4-J
4201 St. Antoine
Detroit, Michigan 48201
313-745-8958/313-745-1784
Learning Styles, Test-Taking, and Coaching
As was noted previously, the staff of Oakwood’s EAP facilitates referrals to community providers for
assessment of learning difficulties. Tim Dey, MD, is an alternative, independent source of learning
13
assessment and consultation services for residents experiencing academic difficulties. He also provides
tutoring to help residents prepare for standardized exams and coaching on issues of professionalism and
life goals. Dr. Dey will arrange to meet with residents at his office or other convenient location. (Office:
313-383-0582)
Conversation and Pronunciation
Residents for whom English is a second language may benefit from extra coaching in correct
pronunciation. “Conversation and Pronunciation” is taught by Mary Assel, PhD, Co-Director, English
Language Institute, Henry Ford Community College. Beyond pronunciation, Dr. Assel’s course provides
instruction in common English speech idioms. Dr. Assel can be reached at 313-317-1559. Her email
address is: [email protected].
Ms. Judy Raven of the Accent Reduction Institute is a speech and language therapist. Ms. Raven has
extensive experience tutoring physicians to improve their English pronunciation and grammar in support
of doctor-patient communication. Ms. Raven can meet residents in their work settings. Her organization
has also developed procedures for distance learning. Ms. Raven can be contacted at 734-665-2915. The
web-address is: www.lessaccent.com.
The Dearborn Speech and Sensory Center provides accent reduction services. Lori Shaffer, MA, CCCSLP, is a speech and language pathologist and director of the center. Clients are seen individually and in
small groups. For information, call 313-359-4659 or visit the center’s website:
www.dearbornspeechandsensory.com.
Substance Use Assessment and Treatment1
Michigan’s Health Professional Recovery Program (HPRP; 800-453-3784; www.hprp.org) provides
confidential assessment and treatment services. For professionals found to be impaired by substance use,
confidentiality is maintained while the individual faithfully pursues treatment to discharge. By law,
impaired professionals who fail to comply with treatment will be reported to the Michigan Department of
Consumer and Industry Services (HPRP: 800-453-3784). Western Michigan Addiction Consultants
(WEMAC) also provides confidential assessment and treatment services tailored to the medical
profession. The same provisions apply regarding confidentiality and reporting of individuals who are
impaired and fail to comply with treatment. Thomas Haynes, MD, is Medical Director of WEMAC
(WEMAC: 616-365-8800).
1 Note that under the Michigan Public Health Code, licensed health professionals are required to file a report with the
Department of Community Health—Bureau of Health Professions if there is reason to believe another licensed health
professional has a mental health- or substance use-related impairment that limits his or her ability to practice in a manner
consistent with the minimal standards of acceptable and prevailing practice. A referral or self-referral to HPRP satisfies the
reporting requirement. If, as a result of an assessment, a health professional is found to suffer impairment, a treatment plan will
be proposed. The results of the assessment and all treatment records will be expunged five years after the successful completion
of treatment. A report is forwarded to the Department of Community Health—Bureau of Health Professions only if the referred
health professional refuses to comply with an assessment or treatment plan or is deemed to be a threat to public health, safety, or
welfare.
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Maternity, Paternity and Adoption Leave
General Guidelines:
1.
Due to the specific characteristics of residency training and the impact of a resident's absence
on patient care and the training of fellow residents, notification of the Program Director of
pregnancy should occur as soon as possible. This should ordinarily be at least 5 months
prior to a resident's or spouse's estimated "due date."
2.
Specific requirements of each specialty training program governs the amount of time
permitted away from continuous residency training per year. Therefore, specific makeup time may be required before the resident advances to the next training level and the
projected date of completion of the residency extended. This can also affect eligibility
for Board exams.
3.
With adequate advance notice, efforts to rearrange rotations will be directed towards: a)
early scheduling of demanding rotations, b) elective rotations near "due date." Adjustments
in on-call responsibilities will be negotiated with the Program Director. The goals will be to
maintain patient care, provide a reasonable workload for a pregnant resident, and avoid
unacceptable increases in other residents workloads. Specific arrangements may include
"make-up call" before or after the leave period.
4.
Moonlighting will not be approved by the Program Director during maternity/
paternity/adoption leave.
Maternity Leave:
1.
Time away from residency training for maternity leave can consist of both paid and unpaid
leave. The ordinary period of leave for pregnancy and delivery is up to 6 weeks.
2.
The resident is eligible to apply for time off under the Family Leave Act (FMLA) which
allows the resident up to 12 weeks of time off, under the FMLA. If the resident would like
to apply for FMLA , it is important to meet with your program director to determine the
effect of the FMLA on the projected date of completion of the training program and human
resources to determine how much will be covered under the sick and vacation time.
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Maternity, Paternity, Adoption Leave
Page 2 of 2
3.
Childbirth is treated the same as disability due to other medical conditions. The
determination of disability is made by the resident's personal physician. If the resident
would like to apply for a medical leave of absence, they will be required to use accrued sick
and vacation time prior to the 14 days not covered by short term disability.
4.
The resident must obtain a physician's certification stating that she may return to work
without restrictions prior to returning to work.
Paternity Leave:
1.
A resident may elect to take up to 5 working days of paid leave within the first four weeks of
(the birth) life of his baby or the first four weeks of adoption. If a resident would like paid
leave, this time will be composed of available vacation or sick days. If all available days are
expended, this leave may be taken as unpaid leave.
In order to take such leave, the resident must:
A.
B.
C.
Give advance notice to the Program Director as in "Guidelines" above.
Obtain approval of supervising faculty and Program Director.
Arrange coverage for any on-call responsibilities and scheduled out patient
responsibilities, (acceptable to the Program Director.)
Adoption/Father as Primary Care Taker:
1.
A female resident adopting a child, or a male resident, who will be primary or sole caretaker
or a new child may take a maximum of four weeks leave to begin within one week of birth
or adoption.
2.
The paid portion of this leave will be composed of available vacation or sick days with any
remainder being unpaid.
3.
The scheduling, notification and leave guidelines are the same as for maternity leave above.
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DUTY HOURS AND WORK ENVIRONMENT
Medical Education will ensure that our GME programs provide appropriate supervision for all
residents, as well as a duty hour schedule and work environment that is consistent with proper
patient care, the educational needs of residents and the applicable program requirements.
Duty Hours:
Medical Education will ensure that each residency program establishes formal policies
governing resident duty hours that foster resident education and facilitate the care of patients.
The educational goals of the program and learning objectives of residents will not be
compromised by excessive reliance on residents to fulfill institutional service obligations.
However, duty hours will reflect the fact that responsibilities for continuing patient care are not
automatically discharged at specific times. Program will ensure that residents are provided
appropriate backup support when patient care responsibilities are especially difficult or
prolonged.
Resident duty hours and on-call time periods must not be excessive. The structuring of duty
hours and on-call schedules must focus on the needs of the patient, continuity of care, and the
educational needs of the resident. Duty hours must be consistent with the Institutional and
Program Requirements that apply to each program.
Work Environment:
Medical Education will provide services and develop systems to minimize the work of residents
that is extraneous to their educational programs, ensuring that the following conditions are met:
1.
Residents on duty in the hospital will be provided adequate and appropriate food services
and sleeping quarters.
2.
Patient support services, such as intravenous services, phlebotomy services, and
laboratory services, as well as messenger and transporter services, will be provided in a
manner appropriate to and consistent with educational objectives and patient care.
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Duty Hours and Work Environment
Page 2 of 2
3.
An effective laboratory, medical records and radiological information retrieval system
will be in place to provide for appropriate to and consistent with educational objectives
and patient care.
4.
Appropriate security and personal safety measures will be provided to residents in all
locations including but not limited to parking facilities, on-call quarters, hospital and
institutional grounds and related clinical facilities, (i.e., medical office building).
Compliance Office
If you have any questions or concerns regarding your duty hours, work environment, ethical
conduct, or compliance with the law, please contact the Business Practice and Compliance
Office hotline at 877-OAK-LINE. The use of these resources, in the interest of quality patient
services and achieving clinical excellence, is encouraged. Attached you will find a complete
description of the compliance hotline.
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Residency Closure and Reduction
Oakwood Healthcare, from time to time, may reevaluate the types and sizes of its residency
programs. An advisory group including stakeholders from residency programs, medical staff and
administration, will review pertinent information and make recommendations regarding such
closures or size reductions to the Medical Education Committee and Oakwood administration.
Final decisions are the responsibility of Oakwood’s Governing Board and its Executive Council.
If Oakwood determines that it is necessary to reduce the size of a residency program or to close a
residency program, Oakwood shall inform the DIO, GMEC, program director and residents
within 30 days of the final decision. In the event of such a reduction or closure, Oakwood will
make every effort to allow residents already in the program to complete their education. If any
residents are displaced by the closure of a program or reduction in the number of residents,
Oakwood shall make every effort to assist the residents in identifying a program in which they
can continue their education.
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Physician Impairment
Refer to human resources policy on Fitness for Duty (see below).
Resident acknowledges and agrees that his/her acceptance into the residency program is
conditioned on resident submitting to a drug test prior to beginning their residency program.
Refusal to submit to drug testing will result in the immediate termination of their agreement.
If the test is positive, the resident shall be given the opportunity to discuss the test results and to
submit information demonstrating authorized use of the drug(s) in question. A substantiated
positive drug test will result in immediate termination of their agreement.
The foregoing notwithstanding, resident will be required to submit to alcohol/drug testing
whenever reasonable cause exists to believe that the resident’s ability to fulfill his/her
obligations under their agreement may be impaired by alcohol and/or drugs. A positive test
result will be handled in accordance with the guidelines set forth in Oakwood’s Human
Resources Policy and Procedure Manual.
And also refer to the contract, Section 3 Resident’s Obligation, number 3.4.
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Moonlighting
1.
Only physicians with permanent licenses are allowed to provide patient care without
supervision.
2.
All significant extracurricular activity (moonlighting, secondary employment, additional
education or training), by residents in Oakwood educational programs requires written
approval by the program director. Residents must submit a written request describing the
activity and track the number of hours per month that they are working outside the
educational program. Resident’s should be in good standing in their program.
3.
In programs where moonlighting is allowed, residents can moonlight no more than 80
hours per calendar month of extracurricular activities. Residents may not exceed
ACGME duty hour standards when training and moonlighting work hours are combined.
Program directors must actively track and report these resident activities to Medical
Education Committee. Each program will determine rotations during which residents
may moonlight.
4.
It is not a requirement for residents to moonlight.
5.
Residents are not allowed to moonlight when simultaneously performing any training
duties.
6.
Residents cannot be on call and/or moonlighting more frequently than every third day.
7.
It is the resident’s responsibility to abide by this policy when performing duties outside
the training program. The following sanctions may be imposed if the resident violates
the above rules: probation, suspension and/or termination from the program.
8.
Residents are only covered by malpractice insurance when performing their resident
training duties. Malpractice coverage for moonlighting must be secured through their
moonlighting employer or site.
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Resident Evaluation and Promotion Policy
1. Residents must be evaluated in writing and their performance reviewed with them
verbally upon completion of each rotation. During their rotation residents should receive
feedback regarding their progress and performance.
Programs should assess resident competencies in all 6 domains with at least one approach
in addition to global/end-of-rotation clinical ratings. Recommended methods are direct
observation and concurrent evaluation (and other focused assessment methods), 360degree evaluation involving non-MD members of the care team, patients and their
families, checklist evaluation of quality improvement projects, and cognitive tests.
Standards that describe different levels of performance and interventions to assist
evaluators in the use of standards are expected.
2. Residents must receive a written summary of the residency program’s evaluation of their
clinical competence at least twice a year. This written summary must include a summary
of performance compared to PGY level expectations for each of the six general
competency areas (patient care, medical knowledge, practice-based learning and
improvement, interpersonal and communication skills, professionalism, and systemsbased practice).
The residency program on or before November 15th and June 15th will generate written
summative evaluations of each resident for each training year. Written performance
improvement plans, expected remediation, or formal corrective action plans will be
documented. Residents will be notified in writing if they are not eligible for a new
contract in the next academic year on or before March 1 unless the resident is in or starts
a remediation program after that date. Also, the resident will be notified if their contract
is subject to successful completion of a corrective action plan or other remediation.
3. Residents must maintain ACLS certification to be promoted to the next postgraduate
year. Individual programs may require additional training.
4.
Residents must maintain a log of invasive procedures supervised by attending staff. The
residency program must review logbooks at the time of the semiannual evaluation.
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Evaluation, Promotion, and Retention Page 2 of 2
5. A permanent record of all semiannual evaluation summaries and procedures logged will
be maintained for each resident. The residency program must maintain a summary of
counseling provided for residents, as well as any corrective action plans or remediation
recommended and their outcomes. Such records must be available in the resident’s file
and accessible to the resident and other authorized personnel (see Resident File Access,
Retention, and Verification Policy).
6. The program director must prepare a written overall evaluation of the resident’s clinical
competence at the conclusion of the resident’s training in that Oakwood residency
program (either termination or successful completion) which will be maintained in the
resident file.
This summative evaluation must include:
• A summary of performance in each of the six general competency areas compared
to expectations for that PGY level,
• A listing of all procedures logged and a summary of competence with each
procedure,
• A summary of the residents performance regarding other program expectations
such as scholarly activity and quality improvement/patient safety projects, and
• Eligibility for board certification or transfer to another program.
7. In the event of an adverse annual evaluation, the resident must be offered an opportunity
to address the stated deficiencies or misconduct with a clinical competence committee
constituted by the residency program. Academic due process must be followed as
described in sections four (4) through seven (7) of the resident contract.
8. Upon successful completion of training every resident will receive a certificate verifying
success completion signed by the CEO, Chairman, Board of Trustees, Chief of Staff,
Director of Medical Education, Chief of Service, and Program Director of the residency.
A copy of this certificate will be marked “copy” and placed in the resident’s permanent
file.
9. In addition, residents must have taken USMLE Part III by June 30 of their first
training year at Oakwood. Residents are required to turn in written confirmation of the
results of Part III to their program director. If the resident does not take USMLE Part III
by June 30 of their first year, they will be suspended. Residents on suspension must take
USMLE Part III by November 1 of their PGY II year or they will be terminated.
Residents who fail USMLE Part III on their first taking will enter a Corrective Action
Plan and must pass Part III by March 1 of their PGY II year or they will be notified of no
contract renewal for the PGY III. Exceptions to this policy can only be granted by the
GMEC.
Oakwood Hospital’s Medical Education realizes the above exceeds some specialty board requirements. USMLE
Part III is required for permanent licensure in most states and Oakwood believes this policy is in the resident’s best
long-term interest. If the resident has difficulty passing USMLE Part III, remediation plans should be discussed with
the program director.
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Corrective Action
Due Process Policy and Procedure
If the Program Director believes corrective action is necessary to address any difficulties or
deficient areas in the Resident's performance noted during the evaluation process or during the
course of the Resident's performance of his/her obligations, the Program Director may take any
one or more of the following corrective actions designed to address the difficulty or deficiency:
Informal counseling and opportunities for residents to correct deficiencies should be
documented by the program director prior to considering a major corrective action,
unless a major work infraction or a violation of GMEC policy is the concern.
Place the Resident on probation, during which time the Resident will be expected to
increase his/her effort to improve performance.
Require the Resident to seek counseling and/or psychological support services.
Require the Resident to seek the assistance of an impaired physician committee, or other
similar committee or organization within or outside Oakwood, designed to address the
needs of impaired professionals.
Require the Resident to spend additional time at the Resident's present level in the
Oakwood Residency Program.
Require the Resident to take a leave of absence with or without pay.
Restrict the Resident's activities outside the Oakwood Residency Program for which the
Resident receives compensation.
The Program Director shall notify the Resident in writing of any corrective action taken and
shall specify in the notice the period of time during which the corrective action shall remain in
effect and how and when such action will be reviewed and/or lifted.
Programs should have the Evaluation Committee review and approve resident corrective action
plans. The Evaluation Committee should also review resident disagreements. The
reconsideration procedure is only for written corrective action plans, suspensions,
probations or terminations.
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Summary Suspension
Right to Suspend - Other provisions, the Oakwood Board of Directors, the Resident's Program
Director, or the Director of Medical Education may summarily suspend the Resident from the
Oakwood Residency Program, if in the opinion of the person or entity initiating the summary
suspension, such suspension is or may be necessary in order to avoid an adverse effect on patient
care. The person or body initiating a summary suspension shall provide the Resident with
immediate written notice of the summary suspension, and, if initiated by the Board of Directors,
shall also provide the Program Director and the Director of Medical Education with notice of the
suspension.
Effect of Suspension - Immediately upon receipt of a notice of summary suspension, the
Resident shall be relieved of all patient care obligations. The Resident Agreement shall
terminate immediately if the Resident fails to request reconsideration of the summary suspension
or the summary suspension is upheld after reconsideration.
Termination
Termination by Oakwood - Oakwood may terminate the Resident’s Agreement if Oakwood
determines in its sole discretion that the Resident has failed or is unable to perform his/her duties
under this Agreement in accordance with applicable standards of medical practice, has failed to
comply with Oakwood policies, procedures, rules or regulations, or has breached this
Agreement. Oakwood shall not be required to take any corrective action prior to terminating the
Agreement. Through the Director of Medical Education, Oakwood shall provide the Resident
with written notice of the termination, which notice shall specify the date of termination and the
reasons for the termination. Termination of this Agreement shall constitute dismissal from the
Oakwood Residency Program.
Reconsideration
Right to Reconsideration - The Resident may request reconsideration of a summary suspension,
termination of their Agreement, or any corrective action taken by Oakwood. Requests for
reconsideration must be made in writing to the Director of Medical Education within 10 calendar
days of the date of notification to the resident of the action. The request for reconsideration must
specify the action which is to be reconsidered. A proper request for reconsideration shall stay
any action being reconsidered, except summary suspension. If the Resident fails to request
reconsideration of an action, the action shall become immediately final.
Reconsideration Committee - Upon receipt of a proper and timely request for reconsideration,
the Director of Medical Education shall appoint a committee to undertake the reconsideration.
The Director of Medical Education will act as chairman of the Reconsideration Committee
unless the Resident requests that the Director of Medical Education disqualify himself from
appointing and serving as chairman of the Reconsideration Committee. The request for
disqualification must be made in writing at the time the request for reconsideration is made. If
the Director of Medical Education disqualifies himself, the Chief of Staff will appoint the
Reconsideration Committee and act as its chairman. In addition to the chairman, the
Reconsideration Committee will consist of two individuals selected from the Medical Education
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Committee, two individuals selected from the Medical Staff, two residents, and one individual
selected from Oakwood Administration. A majority of the physicians serving on the
Reconsideration Committee shall be from departments other than the department in which the
Resident is in training. The individual serving as chairman of the Reconsideration Committee
shall be responsible for appointing members to the committee in accordance with this Section.
Notice of Meeting - The chairman of the Reconsideration Committee shall set a date for the
committee to meet that is within fourteen (14) calendar days of the date upon which the Resident
submitted the written request for reconsideration. At least seven (7) calendar days prior to the
scheduled Reconsideration Committee meeting, the chairman shall provide the Resident and all
members of the Reconsideration Committee with written notice of the date, time, and place of
the meeting, delivered personally or by certified mail, return receipt requested.
Conduct of the Meeting - The Resident may appear at the Reconsideration Committee meeting,
and may ask one medical staff or faculty member to appear at the meeting with him/her to
provide counsel and/or to speak on the Resident's behalf. Legal counsel shall not be permitted to
attend the meeting with or on behalf of any party or the Reconsideration Committee. The
chairman shall conduct the meeting, and shall request the Resident to present any information
the Resident feels is relevant to the committee's reconsideration of the matter. The
Reconsideration Committee meeting shall in no manner constitute a hearing. After the Resident
has presented his/her information, the chairman shall excuse the Resident and the Resident's
medical staff representative, and the committee shall deliberate the matter in private.
Committee Decision - The Reconsideration Committee shall make a decision either to uphold or
to overturn the action being reconsidered. The decision of the Reconsideration Committee need
not be unanimous; the majority decision of the committee rules. Within seven (7) days of the
committee's meeting, the Reconsideration Committee chairman shall provide the Resident and
the Director of Medical Education with the written decision of the committee, which shall
include the Committee's rationale for its decision. Delivery of notice of the decision to the
Resident shall be by personal delivery or by certified mail, return receipt requested. The
decision of the Reconsideration Committee shall be final. The Resident shall be entitled to only
one reconsideration of any summary suspension action, termination action, or any corrective
action.
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Grievance Procedure
The purpose of this policy is to define the usual process at Oakwood for residents to
communicate substantive issues and concerns to the programs and institution’s administration. It
also defines the mechanisms for an official, impartial hearing of concerns that are not resolved
through usual, initial communications with administration. The intent is to provide the due
process and an appeal mechanism in instances where this is needed.
1.
Residents who have concerns or issues related to the interpretation, application, or breach
of any policy, practice, or procedure in their educational program, or Medical Education
in general should:
a)
b)
c)
first discuss them with their program director,
if reasonable discussion with the program director does not lead to
resolution of the concern the resident(s) should bring the issue to the attention of
the Medical Education office,
if reasonable discussion with the Director of Medical Education does not resolve
the issue, a formal grievance may be sent in written form to the Medical
Education Committee.
2.
Resident(s) wishing to resolve a specific grievance will forward their complaint in
writing (addressed to the Medical Education Committee), to the Director of Medical
Education. The resident(s) concerned, or their colleagues representing them - such as the
chief resident(s), will then be scheduled to present a summary of the complaint to the
Medical Education Committee at its next meeting. Legal representatives will not
participate in or be present during Medical Education Committee or subcommittee
deliberations.
3.
If residents desire confidentiality in forwarding the grievance to the Director of Medical
Education or in its presentation to the Medical Education Committee/ subcommittees,
they should contact the Medical Education Committee Confidant whose name and
number are posted in the Medical Education area and in the resident’s lounge.
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5.
Upon hearing the summary of the complaint, the Medical Education Committee will
nominate a subcommittee to review that specific complaint. The subcommittee must be
made up of Medical Education Committee members and include:
two residents
two faculty (one from the program from which the complaint
emanated and one not)
a medical staff physician that is not a Medical Education faculty
a chairperson who cannot also simultaneously fill one of the above
positions
a non-voting administrative resource person
The chairperson will be nominated and elected by the Medical Education Committee.
6.
The Grievance Subcommittee will meet within two weeks to consider resolution for the
complaint. Residents, program directors, and the Director of Medical Education will
submit documentation they feel is important to the subcommittee secretary prior to the
first meeting. The subcommittee chairperson may request additional documentation, as
they or the subcommittee feels necessary.
7.
The subcommittee will, at the designated time and place, hear the resident(s) concerned
present the details of their complaint and their proposed solutions in full. Other
concerned parties may also present their views on the issues to the subcommittees at that
time. Having heard the resident(s) and other parties concerned, they will then be excused
from the meeting.
8.
The subcommittee will then immediately deliberate behind closed doors, without
interference or participation by anyone other than subcommittee members.
9.
The subcommittee will have the fiduciary responsibility to make a final recommendation
regarding resolution of the complaint. This will be expected at the time of the first
meeting. In rare circumstances, at the chairperson’s discretion, the subcommittee may
elect to obtain additional information and meet again in one week to finalize their
recommendation(s) for resolution of the complaint.
10.
The final recommendation(s) of the Grievance Subcommittee will be distributed by the
chairperson to the Medical Education Committee, the resident(s) concerned, and the
Director of Medical Education within 3 work days.
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11.
The subcommittee’s final recommendation(s) for resolution of the complaint are not
necessarily final and binding:
Those recommendations requiring financial remuneration are subject to review
and approval by Oakwood Healthcare System. This review will be executed by
OHS administration within two weeks of the subcommittee’s recommendations.
Resident(s) concerned with the complaint may choose to appeal the
subcommittee’s recommendation(s). The appeals process is outlined
below.
In all other cases, the subcommittee’s recommendations are final and
binding, and the Medical Education Committee will effect the
recommendations of the subcommittee or direct the Director of Medical
Education to do so.
12.
If the resident(s) appeal the subcommittee’s recommendations, they will submit in
writing their appeal to the Medical Education Committee, including specific reasons why
the feel an appeal is necessary despite the Grievance Subcommittee’s deliberations. The
Medical Education Committee will consider this request for appeal and vote to:
a)
b)
retain the subcommittee’s recommendations, or
nominate a Grievance Appeals Committee.
If the Medical Education Committee votes to retain the subcommittee’s
recommendations, they are final and binding.
13.
In case of appeal, if the Medical Education Committee elects to nominate an Appeals
Subcommittee, the constituents will be from the same groups as outlined for the
Grievance Subcommittee, but new persons will be nominated first from the Medical
Education Committee. If an appropriate member is not available from the Medical
Education Committee, nonmembers will be nominated. In addition to the constituents
outlined for the Grievance Subcommittee, an administrator from OHS will be nominated
to the Appeals Subcommittee, as will a program director or leader from an outside
institution.
14.
The Appeals subcommittee will follow the same process as outlined above for the
Grievance Subcommittee. The Grievance Appeals Subcommittee recommendations for
resolution of the complaint are final and binding on all parties.
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