S4: Student Policies and Procedures
4.1 Professional Expectations for Phase III Medical Students
- If a student is absent or late for any reason, s/he is required to contact the attending physician and/or resident for that rotation, the Site clerkship director and the Clerkship Office that day via phone (706-713-2193) and email (Jebowman@uga.edu). This policy applies to all students regardless of whether the rotation is on or off‐campus.
- Students are required to be present for all clinical activities. The Site clerkship director must excuse all absences. If an emergency results in a student being absent three days during a four-week rotation or 5 days during a six-week rotation, withdrawal or an incomplete grade will result, unless both the Site clerkship director and the Campus Associate Dean for Student and Multicultural Affairs feel that circumstances allow the student to complete the clerkship. Personal illness and family emergencies are examples of legitimate reasons for being absent. Weddings, visits to family and friends, pre-purchased airline tickets, interviews, etc. are not acceptable reasons to be absent from the rotation. All absences for unacceptable reasons will reflect in the student’s narrative comments.
Dress Code for Clinical Activities
Students are expected to dress professionally in appropriate attire and maintain a neat and clean appearance. Professional attire is a shirt and tie for males (unless instructed otherwise) and slacks/skirt with a blouse or dresses for females (unless instructed otherwise). As members of the medical community, all students engaged in patient care activities should wear a clean, short white coat (unless instructed otherwise by the attending physician) and have the required student identification visible. Students are to adhere to the professional standards of their assigned clinical sites. Appearances that have the potential to offend or distract patients must be avoided. Examples of these appearances include but are not limited to:
- Easily visible tattoos or body piercing (e.g., lip, eyebrow, tongue)
- Unusual hair coloring or style
- Casual clothing (e.g., jeans and shirts without collars for men.)
- Revealing or ill-‐fitting clothing
- Scrubs and tennis shoes are to be worn only when on overnight call or when students are in the operating room or labor and delivery.
- For safety reasons, no open‐toed shoes or sandals
- Unwashed or unkempt appearance
- Limited use of cologne, perfume, or after shave
Vacations begin and end on the following dates.
- Thanksgiving Holiday: November 27 – November 30, 2014
- Winter Holiday: December 20, 2014 - January 4, 2015
- Spring Holidays: April 4 -12, 2015
The following holidays are treated the same as a Saturday or Sunday (you will follow your attending/ site schedule).
- Labor Day
- Martin Luther King Day
- Memorial Day
- Independence Day
Policy for Medical Students’ Observance of Religious Holidays
Students should meet with the Site clerkship director prior to the beginning of the rotation to make him/her aware of their religious obligations. The Site clerkship director will notify the attending physician that the student has permission to be away from their clinical responsibilities for the time the religious observance(s) take(s) place. In addition, students should meet with their attending physician and resident to make arrangements for the care of their patients. If possible, students should arrange for a colleague on the rotation to cover their patients. The time away from the rotation will not impact students’ evaluations.
Students should meet with the Campus Associate Dean for Curriculum/Campus Assistant Dean for Clinical Curriculum prior to beginning Phase 3 if: (1) they need to be away from their clinical responsibilities on any required rotation for more than three days (or three 26-hour periods) or if (2) they are required to be away for more than seven days (or seven 26-hour periods) during an academic year. In such instances, the Campus Associate Dean for Curriculum/Campus Assistant Dean for Clinical Curriculum will work with the student to modify the curriculum to ensure the student meets the educational requirements for graduation. Modifications might require a delayed graduation date and should be approved by the student’s promotion committee.
Policy on Student Duty Hours
Students should not be required to be on duty more hours than residents. Students may not be in the hospital on duty for more than 30 consecutive hours or more than 80 hours/week.
Exceptions (defined by the presence of an immediate and identifiable unique opportunity for enhancement of either clinical knowledge or a skill) to the consecutive hours rule may be made with consent or request by the student and approval by the supervising resident or attending. Duty hour exceptions (reason and time spent) are to be documented and furnished within two working days by the supervising resident or attending to the clerkship director for purposes of duty hour review, student advisement, and clerkship development.
Original policy approved by Phase 3 Curriculum Committee June 12, 2007 and by COC July 12, 200. Revised policy approved by Phase 3 Curriculum Committee August 14, 2007.
- Students do not take call on the Wednesday night prior to the Thanksgiving Holiday and may leave that afternoon after all their patient care responsibilities have been completed.
- Students do not take call on the Friday PM prior to the Spring Holiday and may leave after all their patient care responsibilities have been completed.
- Students do not take call on the Thursday prior to the NBME Subject Examination and may leave that afternoon after all their patient care responsibilities have been completed.
All Students are required to be present for all clinical activities. Any absence must be excused by the Site Clerkship Director.
- During clinical rotations in the third & fourth years, the requirements for absence/ lateness are as follows:
- Student must contact the attending physician for that rotation.
- Student must notify the site clerkship director’s office 706-713-2193. Approval for excused absence comes from the Site Clerkship Director.
- If an emergency results in a student being absent 3 days during a four week rotation or 5 days during a six week rotation, withdrawal or incomplete grade will result. Contact must be made to both the Campus Associate Dean for Student Affairs and Site Clerkship Director in these circumstances.
- Legitimate reasons for absence include personal illness and family emergencies.
- Weddings, visits to family and friends, pre-purchased airline tickets, interview, etc. are not acceptable reasons to be absent from the rotation.
- All absences for unacceptable reasons will be reflected in the student’s MSPE (Dean’s letter) comments.
4.2 MCG School of Medicine: Appropriate Treatment of Medical Students and Residents Policy
1.0 Purpose: To establish guiding principles for the appropriate treatment of medical students and residents at the Georgia Regents University
The Georgia Regents University is a learning community comprised of students, interns, residents, fellows, faculty, other health care professionals, and staff whose goal is to enable each learner to achieve an education to his/her fullest potential, while providing quality patient care. A cornerstone of the educational community is the expectation that learners will be treated appropriately and with dignity. The guiding principle of professional behavior of Georgia Regents University is the absolute requirement of respect for other persons. In our diverse learning community, respect is to be demonstrated toward all individuals, regardless of race, ethnicity, national origin, gender, sexual orientation, or religion. Such a learning environment includes honest and constructive corrective feedback. Such feedback should be provided in a helpful, specific and accurate manner, focused on behaviors, and, when negative, given privately and respectfully.
Those providing feedback should do so mindful of the goal of helping the learner to improve. Those receiving feedback should do so graciously, with the assumption that it is given generously and in good faith. When inappropriate treatment is perceived to have occurred, learners must be able to communicate their concerns free from the fear of retribution. Academic growth often occurs best when the learner is challenged. Heated discourse and conflict are part of the academic environment of openness, and can be conducted in a civil and respectful way.
1.1 Responsibilities of the Faculty
- Demonstrate the professional virtues of fidelity, compassion, integrity, courage, temperance and altruism
- Maintain high professional standards in all interactions with patients, colleagues, and staff
- Ensure that all components of the medical students and residents educational program are of high quality
- Nurture the medical students and residents intellectual and personal development and achievement of academic excellence
- Respect medical students and residents as individuals, without regard to gender, race, national origin, religion, or sexual orientation
- Support the medical students and residents well being
- Be intolerant of abuse or exploitation of the medical students and residents
- Encourage medical students and residents who experience mistreatment or who witness unprofessional behavior to report the facts immediately to appropriate faculty or staff; treat all such reports as confidential as possible and do not tolerate reprisals or retaliations of any kind
1.2 Responsibilities of the Medical Students and Residents Procedure
- Demonstrate the professional virtues of fidelity, compassion, integrity, courage, temperance and altruism
- Embrace the highest standards of the medical profession & maintain high professional conduct in all interactions with patients, colleagues, & staff
- Strive to acquire the knowledge, skills, attitudes, and behaviors required to fulfill all educational objectives established by the faculty
- Respect faculty members, students, residents, patients and medical staff as individuals, without regard to gender, race, national origin, religion, or sexual orientation
- Demonstrate accountability and responsibility in the educational program and in the care of patients
Mistreatment is behavior that adversely affects the learning environment and negatively impacts the learner/faculty relationship. Inappropriate and unacceptable behaviors promote an atmosphere in which abuse is accepted and perpetuated in the learning environment. In general, actions taken in good faith by faculty to correct unacceptable performance is not considered mistreatment. Pointing out during rounds, conferences, operating rooms, or other settings that a learner is not adequately prepared for his/her assignments or required learning material is not mistreatment unless it is done in an inappropriate manner.
The following are some specific illustrations of behaviors that would promote appropriate treatment of medical students and resident, and behaviors that would be considered inappropriate:
Examples of appropriate behavior include:
- Conducting all interactions in a manner free of bias or prejudice of any kind
- Providing a clear description of expectations by all participants at the beginning of all educational endeavors, rotations and assignments
- Encouraging an atmosphere of openness in which students and residents will feel welcome to offer questions, ask for help, make suggestions and disagree
- Providing timely and specific feedback in a constructive manner, appropriate to the level of experience/training, and in an appropriate setting, with the intent of guiding students and residents towards a higher level of knowledge and skill
- Focusing such feedback on observed behaviors and desired outcomes, with suggestions for improvement
- Encouraging an awareness of faculty responsibilities towards all individual learners in a group setting
- Providing an educational experience of the highest quality, along with the time, preparation and research necessary to achieve that goal
- Basing rewards and grades on merit, not favoritism
- Focusing constructive criticism on performance rather than personal characteristics of the student or resident
- All staff at MCG affiliated hospitals are expected to adhere to the expectation to treat students and residents with dignity and respect.
- The acknowledgement by learners of course or rotation expectations and the responsibility for fulfilling those requirements to the best of one’s ability Asking for feedback from professors, interns, residents nurses, and attending physicians as appropriate
- The acceptance of feedback provided by faculty in an objective manner and the incorporation of such feedback into future efforts so as to achieve the desired educational outcome
- An understanding that feedback is given with the intention of helping to further the student’s and resident’s progress in meeting course and/or rotation expectations
- Promptly and properly addressing, through appropriate administrative avenues, of any incidents and circumstances that fall outside the tenets set forth here
- An honest and earnest effort to provide constructive criticism written, verbal or otherwise-- to peers and supervisors, when such feedback is likely to enhance their colleague’s skill as a physician
Examples of inappropriate treatment include:
- Questioning or otherwise publicly addressing students or residents in a way that would generally be considered humiliating, dismissive, ridiculing, berating, embarrassing or disrespectful by others
- Asking students or residents to perform personal chores (e.g., buying lunch, running errands)
- Telling inappropriate stories or jokes (e.g., ethnic, sexist, racist)
- Behaving in an aggressive manner (e.g., yelling, throwing objects, cursing, and threatening physical harm) that creates a hostile learning environment. Assigning tasks or denying educational opportunities with the intent of punishment
- Making disparaging comments about students, residents, faculty, patients or staff
- Touching students or residents in a sexual manner
- Taking credit for a student’s or resident’s work
- Intentional neglect
Under no circumstances will the Georgia Regents University consider it acceptable practice for faculty to demonstrate bias, prejudice, exclusion, or other unprofessional behavior such as humiliation towards our medical students or residents. Such unacceptable behavior includes the creation of a concern of retaliation by faculty for the filing of a complaint for unprofessional behavior.
Likewise, students and residents must appreciate that the provision of constructive feedback in a professional and objective manner by faculty is a desirable means of providing them with guidance in the learning process such feedback is encouraged and in the best interests of our educational system for both medical students and residents.
Exclusions from this Policy
Specifically, this policy is not intended to include complaints of sexual harassment or complaints of discrimination on the basis of disability, race, color, sex, creed, veteran’s status, age, martial or parental status or national origin. MCG has specific campus policies to address these complaints.
2.0 Procedure for Reporting and Dealing with Allegations of Mistreatment that Involves Residents
Residents must pursue violations of this policy in accordance with the following procedure:
When it is felt that an incident of mistreatment has occurred, the parties directly involved should try to resolve the matter themselves. Many such situations are amenable to resolution in this manner. However, it is acknowledged that this informal approach may fall short at times, because of reluctance of the medical student with a complaint to directly interact with the accused, intransigence of the accused or differing perceptions of the incident by the parties involved. In such cases, the following steps shall be taken:
When the matter cannot be resolved in Step 1, the resident should follow the training program's procedure for addressing concerns in a confidential and protected manner. Usually the procedure involves seeking assistance from the faculty advisor or Program Director. The medical student’s faculty advisor or Program Director may be able to resolve the matter by counseling the resident with a complaint on appropriate steps to take, by directly intervening with the accused, or by referring the matter to the next stage. When the situation is elevated to Step 2, anonymity of the resident and the accused can no longer be maintained. Nevertheless, confidentiality is critical, and no information may be given to those that are not directly involved in the process.
If the matter cannot be resolved at Step 2, the faculty advisor, Program Director or the accuser (or a combination thereof) should directly consult the Chair of the Department. In the case where the accused is a faculty member, the Chair of the involved department should be notified so he/she can be involved in any discussions with the accused if appropriate. In a case where the accused is the Chair of a department, the Dean and Senior Associate Dean for Graduate Medical Education and VA Affairs should be notified.
It is anticipated that most situations will be resolved in Steps 1, 2, or 3. For those unusual cases that are not resolved, the resident should discuss the problem with the Senior Associate Dean for Graduate Medical Education and VA Affairs. If the accused is outside the College of Medicine the Senior Associate Dean for Graduate Medical Education and VA Affairs will communicate the problem to the accused’s supervisor, and they will work together to determine the appropriate procedure for resolution.
2.1 Procedure Reporting and Dealing with Allegations of Mistreatment that Involves Medical Students
When it is felt that an incident of mistreatment has occurred, the parties directly involved should try to resolve the matter themselves. Many such situations are amenable to resolution in this manner. However, it is acknowledged that this informal approach may fall short at times, because of reluctance of the student with a complaint to directly interact with the accused, intransigence of the accused or differing perceptions of the incident by the parties involved. In such cases, the following steps shall be taken:
When the matter cannot be resolved in Step 1, the student is urged to seek the counsel of their faculty advisor. The student’s faculty advisor may be able to resolve the matter by counseling the student on appropriate steps to take, by directly intervening with the accused, or by referring the matter to the next stage. When the situation is elevated to Step 2, anonymity of the resident and the accused can no longer be maintained. Nevertheless, confidentiality is critical, and no information may be given to those that are not directly involved in the process.
If the matter cannot be resolved at Step 2, the faculty advisor and student should directly consult the Chair of the Department. In the case where the accused is a faculty member, the Chair of the involved department should be notified so he/she can be involved in any discussions with the accused if appropriate. In a case where the accused is the Chair of a department, the Dean and Associate Dean for Student Affairs should be notified.
It is anticipated that most situations will be resolved in Steps 1, 2, or 3. For those unusual cases that are not resolved, the student should discuss the problem with the Associate Dean for Student Affairs. If the accused is outside the College of Medicine the Associate Dean for Student Affairs will communicate the problem to the accused’s supervisor, and they will work together to determine the appropriate procedure for resolution.
2.2 Protection from Retaliation
Every effort will be made to protect alleged victims of mistreatment from retaliation if they seek redress. Retaliation will not be tolerated. To help prevent retaliation, those who are accused of mistreatment will be informed that retaliation is regarded as a form of mistreatment. Accusations that retaliation has occurred will be handled in the same manner as accusations concerning other forms of mistreatment.
2.3 Malicious Accusations
A complainant or witness found to have been dishonest or malicious in making the allegation of mistreatment may be subject to disciplinary action.
Education is the cornerstone in the prevention of medical student and resident mistreatment. A thorough and on-going effort should be made to inform all involved individuals about the appropriate treatment of medical students and residents, and of this policy dealing with alleged mistreatment. To that end, the following notification mechanisms will be utilized:
A written copy of the policy regarding appropriate treatment of medical students will be included in packet of information provided to students at Freshman Orientation. A discussion of mistreatment in general will take place each year during freshman and junior orientations, which will be presented to the matriculating students by the Associate Dean for Student Affairs. During the orientation, students meet with their faculty advisors and their advisors will also be provided a copy of the policy. Students also have a formal orientation to their clinical years and the policy will be reiterated during junior orientation by the Associate Dean for Curriculum.
This policy will be included in the Medical College of Georgia GME Resident Handbook located on the GME website (www.georgiahealth.edu/resident) and a hard copy will be provided to each incoming and returning resident with their agreement of appointment. A discussion of mistreatment in general, as well as of the policy in particular, will take place each year at Housestaff Orientation/Registration. Each Program Director will be encouraged to include this policy in their individual residency-training program’s handbook.
An informative written message will be sent each year from the Dean’s office to all department chairs and program directors asking them to convey this information to all teaching faculty and to ensure that all teaching faculty are aware of the College’s philosophy on the appropriate treatment of resident and of this policy.
An informative written message will be sent each year from the Dean’s Office to the individual in charge of nursing at each of the major participating institutions utilized by our residents. They will be asked to make this information, and this policy in particular, known to the nurses in their institution by whatever means they feel the most appropriate.
Approved by Medical College of Georgia Graduate Medical Education Committee, Curriculum Oversight Committee, Executive Committee, and MCG Legal Office (July 2007)
Effective 7/07/13 Revised 10/07/14