VCOM College Catalog and Student Handbook

clinical practice, and the skills to scrutinize the quality of this evidence. Educators take a share in educating the rest of the team. An educator’s responsibility is to assess the individual’s skills within the RIME framework and provide feedback to allow the learner to make progress within this framework. • Learner: The transition from Manager to Educator is usually completed during Internship and Residency. Expectations of Supervising Faculty Physicians/Clinical Faculty a. Provide opportunities for students to demonstrate responsibility and ownership of patient care duties. These opportunities include but are not limited to taking patient histories, performing complete and/or focused physical examinations, and reporting and entering findings in the patient’s medical record with the explicit approval of the patient’s supervising attending physician. b. Treat all students with respect as health care professionals. c. Include students as participants in patient care decisions whenever possible. d. Assure that students’ health care related education takes priority over routine menial tasks. 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. 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. 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. Ensure that non-faculty educators are aware of the discipline learning objectives and expectations for student participation. j. 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. Ensure that VCOM students are not allowed to participate in any aspect of the healthcare of other VCOM students, including observation, regardless of whether the student patient gives consent or not. l. Assure appropriate staff are present during any invasive or sensitive procedure/exam as required. m. Provide students with regular feedback, both positive and constructive, which includes at least one formal mid-rotation evaluation to the student. n. 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. o. Notify the Director of Student Medical Education and Site Coordinator if serious academic or professional gaps in student performance exist. p. Model professional behavior in interactions with patients, learners, staff and all other individuals in the health care team.

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