Policies & Procedures

2020-2021

House Staff Policies & Procedures

As an institution, Stanford Health Care is dedicated to the training of this nation's future leaders in the scholarly practice of clinical medicine and biomedical research.

The educational objectives of its residencies are:

  1. To provide excellent clinical education
  2. To provide opportunities to explore research and teaching
  3. To teach the necessary skills to sustain a lifetime of learning
  4. To encourage lifelong ethical and moral behavior in the practice of medicine and in the conduct of research
  5. To assure development of effective skills in communicating with patients, colleagues, and the public, and to ensure the humane and caring practice of medicine

If you have any questions regarding the GME Policies and Procedures, please contact us.

Table of Contents

Description

Page

Statement of Commitment to Graduate Medical Education  1
Residency Programs 5
Resident Eligibility-Recruitment 5
Visa Policy for Graduates of International Medical Schools 6
National Resident Matching Program (Main Match) 6
Recommendation of Appointment 6
Level of Appointment 7
Registration of New Housestaff to Stanford 7
Mandatory Procedures 10
1. Medical Records 10
2. Occupational Health Requirements 10
3. Training or Demonstrated Proficiency in Cardiopulmonary Resuscitation 11
Continuing Medical Education Requirement 11
Supervision 12
Resident Reporting & Responsibilities 12
Resident Reporting Procedures 12
Resident Responsibilities 12
Compliance Integrity Program 13
Duty to Report and Cooperate with Investigations 14
Duty to Protect Patient Privacy 15
Patient Privacy Practices Housestaff are Required to Follow Include 16
Other Stanford Health Care/Stanford Children’s Health Resources 17
Work Hours & Professional Activities 18
Outside Program 18
Professional Activities During Off Time 19
Moonlighting 20
Performance Evaluation 20
1. Evaluation Procedures 20
2. Consequences of Satisfactory or Unsatisfactory Evaluation 21
Resolution of Disputes 21
Reappointment Procedure 24
Harassment Prohibited 24
House Staff Wellbeing Panel 24
Graduate Medical Education Review Committee 25
Completion of Training 25
Consequences of Not Returning ID Badge 26
Program Closure/Reduction 26
Benefits 26
Initial Enrollment 26
Effective Date 27
Open Enrollment Period 27
Health Care 27
Medical/Vision 27
Dental 27
Flexible Spending Accounts (FSA) 27
Life and Accident Insurance 28
Long-Term Disability Coverage (LTD) 28
Wellness Program 28
Health Incentive Account (HIA) 28
Back-Up Care Advantage Program 28
Employee Discounts 28
Voluntary Benefits Program 29
Retirement Savings Plan 29
Continuation of Group Coverage (COBRA) 29
Compensations-Taxable and Non-Taxable 29
Taxable Income 29
1% Annual Bonus 29
Education Bonus 30
Food allowance 30
Housing Allowance 30
Moving Allowance 30
Salary 30
Non-Taxable Income 30
Reimbursements 30
Reimbursement-Initial California Postgraduate Training License (PTL) 31
Reimbursement-Medical Board License (MBC) Fees 31
Reimbursements-USMLE Part III 31
Reimbursements-California Medical License Renewal Fees 31
Reimbursements-DEA Certificates 32
Computer Training 32
Data Security 32
Data & Device Attestation & Encryption 32
Disability 33
1. California State Disability Insurance (CSDI) 33
2. Workers’ Compensation Insurance 34
3. Long Term Disability Insurance 34
Infection Prevention 35
Needlesticks/Blood Borne Pathogens 36
Blood and Bodily Fluid Exposures 36
Blood Borne Pathogen(BBP) Exposures at Off-Site Rotation Instructions 37
Natural Disaster Policy 38
Fees for Professional Services 38
Licensure 38
California Medical License 38
Malpractice Insurance 39
Medical Malpractice Insurance - Tail Coverage 39
Acceptance of Documents 40
Ombudsperson’s Office 41
Paging 41
Payroll 41
Change of Address 41
Direct Deposit 42
Salary Deposit 42
Income Tax Withholding 42
Social Security 42
Photo ID’s / Security Access Cards 43
University Courtesy/Gym Card 43
Stanford Libraries Access Card 43
Physician Order Entry/Verbal Order 43
Prescription Authority 44
Qualified Bilingual Staff Program 44
Research 44
Restrictive Covenant 44
Rotations 44
Away Elections/Rotations 44
Visiting Residents 45
Late fee 47
Processing 47
Observership 48
Specialty Board Contact Information 48
Smoking-Free Workplace 50
Time Off 50
Family and Medical Leave Act 50
New Parent Leave 50
Bereavement Leave 50
Holidays 51
Educational Meetings and Activities 51
Personal Time Off 51
Jury Duty 51
Sick Leave 51
Transportation and Parking 51
Alternative Transportation 51
Parking 52
Uber transportation for trainees when they are too tired to drive home 53
Other Services 53
On-Call Quarters 53
GME Gym 55
GME Lounge at 300 P, Room HC433 55
After Hours Food 55
300P Lactation Lounge HC404 55
500 P Lactation 55
Resident/Fellow Workroom at 300 P, Room HC403 56
Stanford Golf Course 56
Welch Road Apartments 56
SHC Graduate Medical Education Department 56
GME list of staff and their respective roles-Education 56
GME list of staff and their respective roles-Operations 57
Appendix A-Stanford Health Care-Harassment Policy 60
Appendix B-Agreement to Arbitrate Disputes 64
Appendix C-Very Important Notice of Group Health Coverage Continuation Rights Under COBRA 66
Appendix D-Family Care and Medical Leave (CFRA Leave) & Pregnancy Disability 70
Appendix E-Stanford Industry Interactions Policy 73
Appendix F-Transfer of Care Policy 80
Appendix G-Supervision Policy 82
Appendix H-Duty Hours Policy 84
Appendix I-False Claims Recovery Policy 85
Appendix J-Substance Abuse-Free Workplace Policy 94
Appendix JA Impaired Behavior Checklist (Optional) 103
Appendix JB CONSENT TO DRUG AND ALCOHOL SCREENING 105
Glossary 106
Useful Stanford Contacts 107