Policy and Procedures

Institutional Requirements

Policy & Procedure List
(Click on a topic below for additional information)

•	ACLS certification/recertification
•	Central Line Insertion	•	New Innovations
•	Closure/Reduction Policy	•	Obtain Sponsorship to Increase Program Complement
•	Conference and Travel	•	Obtain Sponsorship for a New Residency
•	Counseling and Support for Impairment/Substance Abuse	•	Pharmaceutical Vendor Relationships
•	Communication Resolutions	•	Prescription Writing
•	Disability Accommodation	•	Program Curriculum Review
•	Disaster Response Policy	•	Resident Participation in Institutional Programs, Committees and Medical Staff Activities, Education Activities, Including Quality Assurance, Research and Scholarly Activity
•	Disruptive Resident Behavior
•	Duty Hours
•	Educational and Work Environment
•	Evaluation and Promotion of Residents	•	Resident Responsibilities
•	Evaluation of Program, Faculty and Rotations	•	Resident Responsibility for Patients in Non-Teaching Services
•	Experimentation and Innovation	•	Selection and Appointment of Residents and Fellows
•	Financial Support - Funding of Residents	•	Sexual Harassment
•	GME Committee Responsibilities	•	Substandard Resident Performance
•	Institutional Agreements	•	Supervision of Residents
•	Institutional Commitment	•	Termination, Grievance and Due Process
•	Internal Review of GME Program	•	Time Off Benefits
•	JCAHO Accreditation	•	Exceptions to Duty Hours
•	Medical Records
•	Moonlighting

Last updated by Webmaster on April 20, 2010

Graduate Medical Education