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Welcome to UCSF!. Robert B. Baron, MD, MS Professor of Medicine Associate Dean for GME and CME. UCSF Graduate Medical Education. 26 residencies 59 fellowships 80 non-accredited fellowships 1,421 residents and fellows UCSF School of Medicine is Sponsoring Institution.
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Welcome to UCSF! Robert B. Baron, MD, MS Professor of Medicine Associate Dean for GME and CME
UCSF Graduate Medical Education • 26 residencies • 59 fellowships • 80 non-accredited fellowships • 1,421 residents and fellows • UCSF School of Medicine is Sponsoring Institution
Housestaff Information Booklet • Leave (vacation) • Moonlighting • Duty Hours • Academic Due Process • Supervision • Evaluation • Salary/Benefits • Services • Disaster
GME Grand Rounds • Third Tuesday each month • Podcasts on GME website • Topics: • Well-being and Fatigue • Patient Safety and Quality • Patient Care • Ethics • Health Policy • Communication Strategies • Etc.
Resident and Fellow Affairs Committee • Mary McGrath MD, MPH • Faculty, residents, fellows and staff from all sites • Work to improve life at UCSF for residents and fellows
Faculty and Staff Assistance Program (FSAP) • Confidential employee assistance program • Licensed counselors • Offer brief counseling sessions and referrals • http://ucsfhr.ucsf.edu/index.php/assist/ • (415) 476-8279
Health Benefits • Already selected medical-- have until July 30th to change • Insurance bundled • If you opt out of health insurance, you opt out of all • Includes: • Vision • Dental • Long-Term Disability • Life Insurance • If you select HealthNet (HMO) and want a UCSF physician, designate a PCP in Hill Physicians – San Francisco network
Retirement Accounts • 403B/457 • Optional • Fidelity --- representative at Resource Fair • Safe Harbor (Fidelity) • Required • You manage (with Fidelity) • 7.5% deducted from each paycheck • In lieu of social security • You take both with you
Blumberg Loan • $1,200 interest free loan • Payments automatically deducted from paycheck (minimum of $100 per month) • Apply through Office of GME --- table at Resource Fair
USMLE and License Reimbursement • Residents and fellows in ACGME and ABMS programs are eligible • Partial reimbursement for USMLE Step III, new licenses, and license renewals • Must be a UCSF trainee at time payment is made for USMLE or license • Contact program coordinator for more information and to submit receipts
Need-Based Relocation Reimbursement • Residents and fellows in ACGME and ABMS programs are eligible • Participation not required • Payment not guaranteed: need-based • Needs assessment similar to what is used for patients • Maximum reimbursement is $1,800 • Contact program coordinator for more information, to join program, and submit receipts
MyAccess • Single-sign on • Access to (and more): • VPN • Collaborative Learning Environment (CLE) • Library online resources • Learning Management System (LMS or SumTotal) • UCSF Podcasts • Wiki@UCSF • Coming soon…E*Value • To activate account you need your UCSF email address and go to https://myaccess.ucsf.edu
UCSF Pathways to Discovery Clinical and Translational Research Global Health Health & Society Health Professions Education Molecular Medicine http://meded.ucsf.edu/pathways
Supervision • Direct supervision, indirect supervision, and oversight • Faculty and trainees may supervise trainees • Progressive responsibility • Interns are required to have direct or indirect supervision at all times; day after “oversight” is not permitted
High Low Low High Supervision Vs Autonomy Student ---------------------------- Intern -------------- Resident ------------ Fellow---------------------Attending
Duty Hours • 80 hours per week, including all moonlighting • One day off in seven (including home call) • Maximum duty period length: PGY1=16; 24 + 4 for others • Minimum time off between scheduled duty periods • Night float no more than six consecutive nights • In-house call no more than every third night • At-home call must not preclude rest; counts toward 80 hour per week maximum, but not in the shift break • Reporting accurately is part of UCSF professionalism • .
Fatigue Mitigation • Jeopardy/back up call schedules, strategic napping, etc. • Adequate sleep facilities and safe transportation options for those who are too fatigued to drive home • Taxi vouchers at UCSF and SFGH
Optimizing Communication • AIDET • A: Acknowledge • I: Introduce • D:Duration • E: Explanation • T: Thank you • SMiLe • S: Sit Down • M: Manage Up • L: Listen
Keeping an “E” in GME • Read your program requirements • Expect to receive goals and objectives for each rotation • Expect to receive feedback for each rotation • Help make your program better in every way possible