Policies & Procedures

2020-2021

Commonly Asked Questions

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