VCOM College Catalog and Student Handbook

• Poor interpersonal skills or deficient clinical skills for a medical student • Below average academic and/or clinical performance • Unprofessional behavior in medical reporting or documentation • Tardiness and/or Unexcused absenteeism • Medical or psychological illness • Suspected substance abuse (alcohol and other drugs) by behavior or positive drug screen • Suspected illegal behavior • Suspected physical, sexual, or emotional abuse • Disruptive behavior as a member of the medical team • Use of alcohol, illegal drugs, or prescription drugs that alter cognition while on duty • Other areas of professional concern

Performing Patient Care Activities Student involvement in patient care is permitted when authorized by the College and the assigned clinical faculty member. Supervision by a physician or authorized medical professional (i.e. PA, APN) who is under the supervision of the faculty physician is required. In certain cases, such as medication counseling, a pharmacist is an appropriate supervisor. The student's supervising faculty/preceptor is the faculty member that is responsible for the patient’s care. VCOM’s Clinical Chairs assure all core clinical faculty have the appropriate credentialing for student supervision. Students may not perform any medical treatment or procedures without appropriate supervision and that is not appropriate for his or her level of training. The faculty member/preceptor should be present for any treatment, procedure, or invasive exam. Students are not to take the place of qualified staff. Students may not write patient care orders independently and all such orders must be reviewed and approved by the faculty member/preceptor. Students may not accept payment or remuneration for services. Medical Student Patient Care Supervision and Expectations for Performance in Patient Care VCOM is committed to providing quality patient care learning experiences for its students in an environment that fosters delivery of exceptional quality care while emphasizing both student and patient safety. The primary responsibility for patient care is vested with the appropriately credentialed and privileged clinical faculty attending or medical staff member and may not be delegated to a student. In addition, students are not to take the place of qualified staff. Medical students require supervision in every aspect of patient care. Therefore, medical students participating in patient care must be supervised at all times. The supervisor must either be physically present with the student or present in the same location as the learner and is able to provide direct instructions and feedback to the learner. It is understood that the supervising physician in the patient care environment at VCOM affiliated core rotation sites will be an attending faculty physician appointed and credentialed by VCOM, practicing within the scope of his/her discipline, who holds current medical licensure, and has had AOA or ABMS board certification/board eligibility in the specialty being taught at some time in their career. The supervising faculty physician at non-core rotation sites must also be an attending faculty physician, who is reviewed and approved by VCOM. During instances in which a medical student is participating in a clinical setting where resident/fellow physicians or other healthcare professionals are actively involved in medical student education, it is the responsibility of the supervising faculty physician to assure all personnel are appropriately prepared for their roles for teaching and supervision of medical students within the scope of their practices. Medical student supervision may be categorized as: • Direct supervision: The supervising faculty physician is physically present with the student in the performance of clinical care.

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