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:
- To provide excellent clinical education
- To provide opportunities to explore research and teaching
- To teach the necessary skills to sustain a lifetime of learning
- To encourage lifelong ethical and moral behavior in the practice of medicine and in the conduct of research
- 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 |