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Tip of the week: Establish a policy for resident rotations

Credentialing Resource Center Connection, May 24, 2007

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Your organization should have a policy that addresses the requirements of residents who are invited by a medical staff member or who are part of a standing agreement with a teaching hospital that regularly allows guest residents to move through your facility.

The policy should cover how they are allowed to function. Further, both categories of residents (those invited by a medical staff member and those in a regular "rotation" agreement) should be supervised by licensed practitioners who possess the appropriate privileges at your facility.

With regard to agreements between academic medical centers and community hospitals regarding guest residents rotating through the community facility, ensure that your policy covers the following information:

• Define the level of supervision required
• Name the residents in the program
• State the residents' level of training
• Specify patient care responsibilities based on the residents' level of training
• Provide health status and insurance information of residents in the program

Your facility must determine a number of other factors based on your unique requirements, including whether the residents can write orders and, if so, under what circumstances. To avoid any confusion, it is also mandatory to establish communication modes between the residents' host facility and the medical staff at the community facility about how the residents will be handled. This information includes not only how the residents will interact with patients, but also how they will interact with the staff in terms of education and supervision.

Editor's note: Are you a CRC subscriber? Read the rest of this article in the upcoming July issue of Briefings on Credentialing. Not yet a subscriber? Click here for more information.

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