VCOM Faculty Handbook

e. Examine all patients seen by the student doctor; review and independently verify all student findings, assessments, and treatment/management plans; and document this review, including countersigning progress notes. f. Approve and sign off on notes within the Electronic Medical Record entered by students for educational purposes, if cleared by the rotation site and supervising physician. At no time do student notes serve as the attending physician’s notes. Billing must be directly related to the attending physician’s notes. Some sites have separate pages in charts set aside for "Student Progress Notes.” These should also be reviewed and co signed by the attending physician. g. It is the supervising faculty physician’s role to ensure that any non-physicians and/or residents who are engaged in clinical teaching of medical students are acting within their scope of practice and skill level. h. Supervising faculty physicians must be physically present during any procedure and students should only perform procedures under the direct supervision of the faculty physician. 1) Resident physicians who have been approved to do procedures by the hospital and attending physician faculty may supervise students as a delegated responsibility from the supervising physician. i. It is the supervising faculty physician’s role to ensure that non-faculty educators are aware of the discipline learning objectives and expectations for student participation. j. It is the supervising faculty physician’s role to determine the appropriate level of supervision based on the level of training of the student and clinical skill of the student, in accordance with VCOM policy. k. Assure appropriate staff are present during any invasive or sensitive procedure/exam as required. l. Provide students with regular feedback, both positive and constructive, which includes at least one formal mid-rotation evaluation to the student. m. The supervising physician, with input of other faculty involved in the student’s training, will complete a consensus evaluation for OMS 3 & OMS 4 students ideally on the last day of the rotation and discussed with the student prior to the student leaving the rotation. In cases where this is not possible, the evaluation must be submitted to VCOM within 4 weeks of the end of the rotation. n. Notify the Director of Student Medical Education and Site Coordinator if serious academic or professional gaps in student performance exist. o. Model professional behavior in interactions with patients, learners, staff and all other individuals in the health care team. Expectations of Medical Students a. Assume responsibility for and perform their assigned duties in conformance with the rules and regulations of the clinical clerkship training site and VCOM. b. Maintain professional behavior standards with the supervising faculty physician, other members of the medical team, including resident physicians, other health professionals, staff members, patients, and any other individuals encountered in the clinical setting. c. Recognize when one’s ability to function effectively is compromised and ask for relief or help. d. Recognize the limits of student involvement in the medical care of a patient and seek supervision or advice before acting when necessary. e. Admit errors and not knowingly mislead others to promote oneself at the expense of the patient. f. Admit errors and not knowingly mislead others to promote oneself at the expense of the patient. g. Inform patients and/or family members of their status as a medical student and the name of the supervising faculty physician under whom they are working. h. Students must wear their VCOM white coat and ID badge in all VCOM designated clinical settings and to designated and approved VCOM events.

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