Policy of the Graduate Medical Education Committee

Section: Educational Administration

Subject: Educational Activities for Non-UAMS COM Residents

Number: 1.130

Date Developed: 1/03

Last Review/Revision: 9/04, 2/05, 10/07, 9/08

Replaces: policy of same name 1/03

Sources: ACGME Requirements: Institutional II; Common III; UAMS Administrative Guide Policy 12.0.00

Purpose
To define the circumstances, eligibility requirements and approval procedures for residents from training programs not sponsored by University of Arkansas for Medical Sciences College of Medicine. (UAMS-COM), who seek to engage in clinical educational activities at UAMS. This policy covers residents who are currently enrolled in Accreditation council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) accredited residency/fellowship programs, applicants, observers, and physicians who are not currently enrolled in ACGME-accredited training programs as defined below. This policy applies to clinical care areas and does not address research rotations.

Exclusions
This policy does not apply to medical students, visiting faculty, employees or those persons involved in the interview process for faculty or employee positions at UAMS. This policy does not apply to persons who may occasionally attend didactic offerings (e.g., conferences, grand rounds, lectures, journal clubs). See UAMS Administrative Guide, Policy 12.0.00 UAMS Policy on Academic Visitor Status for UAMS Campus, for additional information and requirements for these visitors.

Definitions
Resident: a physician enrolled in an ACGME-accredited program sponsored by the UAMS-COM at the PGY-1 level or above. This includes all other terms such as intern, fellow, housestaff member, or house officer.

Non-UAMS Resident: a physician enrolled in an ACGME or AOA accredited program sponsored by an institution other than the UAMS-COM.

Applicant: a person who is currently in a medical school, a residency training program, or a medical practice who has applied for acceptance to an ACGME-accredited residency program sponsored by the UAMS-COM and has been invited by a residency/fellowship program director for an interview.

Observer: a physician who wishes to view care of patients (e.g., clinical rounds, outpatient clinics, or surgery).

Physician not currently enrolled in an ACGME or AOA accredited training program: a physician who is currently:
a.       enrolled in a residency training program or its equivalent that is not accredited by the ACGME or AOA; or
b.      enrolled in an educational program such as undergraduate or graduate school; or
c.       holds an academic teaching appointment in an established college or university; or
d.      practicing within the United States; or
e.       practicing in another country.

Short Term/Elective Clinical Rotation: an educational experience (usually several weeks to months in duration) in a patient care areas offered by an ACGME-accredited program sponsored by UAMS-COM to non-UAMS-COM residents, which has clearly defined goals and objectives, is taught and supervised by faculty members within the program, and for which the resident receives evaluation and credit for the experience.

Policy:
The UAMS-COM does not allow observers within the ACGME-accredited residency/fellowship programs. Non-UAMS-COM residents may be involved in the clinical educational programs under the following circumstances:

1. Short Term Clinical Rotations:

Requests (“a” through “i” below) must be made in writing by the departmental chair or his/her designee (e.g., Program Director) to the UAMS COM Associate Dean for GME prior to the resident beginning the elective.

ACGME-accredited programs, sponsored by UAMS-COM, may provide short-term or elective clinical rotations only to residents who are currently enrolled in ACGME or AOA accredited programs at other institutions and who would otherwise be eligible for appointment as a resident in a UAMS residency program. When the resident’s home institution requires documentation that cannot be signed by the DIO (requires legal counsel, risk management or vice chancellor involvement), such documentation will preclude the rotation.

From the visiting resident:
    a. his/her credentials:
               1) for graduates of US or Canadian medical schools – final medical school transcript or a state medical license;
                2) for graduates of non-US or non-Canadian medical schools – currently valid ECFMG certification or full and
                    unrestricted license to practice in the US;
    b. curriculum vitae

From the resident's home institution:
c. The financial source of stipend and benefits (includes health insurance) while the resident is visiting at UAMS-COM;
d. Proof of and source of payment for malpractice coverage while at UAMS-COM;

From the UAMS Program Director:
    e. The parent institution and current ACGME or AOA accredited program of the resident;
    f. The person who assumes responsibility for the resident/fellow while at UAMS-COM
    g. The anticipated dates of the short-term rotation;
    h. A description of the short term/elective rotation i.e. what will be the resident's responsibilities?
    i. A completed UAMS Campus Visiting Staff Member Appointment Form (UAMS Administrative Guide Policy12.0.00, http://www.uams.edu/AdminGuide/Win12000.html ) signed by the department chair. The GME Office will obtain signatures of Dean and Vice Chancellor.

If approved, the resident must register with the UAMS-COM Housestaff Office, complete the UAMS HIPAA Level II A Self Study Module (http://www.uams.edu/faculty click on HIPAA training for UAMS Students, click on Level II A Self Study Module), obtain appropriate ID Badge (“Visiting Resident Physician”), and complete registration/training for the information systems.

During the short-term rotation, the resident is:
            a. Actively involved in the educational activities of the training program as a learner,
            b. Supervised by qualified program faculty members,
            c. Evaluated by the teaching faculty at the completion of the rotation,
            d. Does not have a faculty appointment,
            e. Cannot bill for clinical service.

2. Applicants (defined above) may be present but only observe clinical activities as part of the interview process. During this time they are under the direct supervision of residency program personnel and are exempt from steps a-i above.

3. Physicians who are not currently in an ACGME or AOA accredited program (defined above): A physician, not currently enrolled in a residency/fellowship program accredited by the ACGME or AOA, who desires additional clinical training or clinical experience, is not eligible to receive this training or experience within a UAMS-COM-sponsored ACGME-accredited training program and is not eligible for short term or elective rotations offered by these training programs. The physician does not qualify for the exemption of the requirement to have an Arkansas State License (Arkansas Medical Practice Act, Sub-Chapter 2 – General Provisions, 17-95-203) and is not eligible for support through DGME payments from Medicare.

A physician, not currently enrolled in a residency/fellowship program accredited by the ACGME or AOA, who wishes to seek clinical training experiences offered within a particular UAMS-COM Clinical Department, not related to the UAMS-COM-sponsored residency program, should contact the Departmental Chairperson of the department sponsoring the additional clinical training. The GMEC and the UAMS-COM Housestaff Office do not provide oversight, administration or certification of these physicians.

Definitions Resident: a physician enrolled in an ACGME-accredited program sponsored by the UAMS-COM at the PGY-1 level or above. This includes all other terms such as intern, fellow, housestaff member, or house officer.

Definitions
Resident: a physician enrolled in an ACGME-accredited program sponsored by the UAMS-COM at the PGY-1 level or above. This includes all other terms such as intern, fellow, housestaff member, or house officer.