Welcome to UC Davis Medical Center's Graduate Medical Education Program!

The information on this page will orient you to the GME program at the UC Davis Medical Center and its Affiliates.

We are here to help you during your residency. Please feel free to reach out to us at anytime for any reason.

The GME Team

**May 30, 2017:  2017-2018 Academic Year Information has been updated ~ Check back regularly for additional information & updates**

There are four in person orientations scheduled for the 2017-18 incoming Residents and Clinical Fellows. Each one is important to your successful onboarding at UC Davis Medical Center and Health System. Below we have described the general logistics, schedule and what to expect at each session. There may be exceptions to your specific program. Please contact your Program Coordinator with any questions.

ORIENTATION PARKING & DIRECTIONS

Complimentary parking at the UC Davis Medical Center is being provided for your Electronic Medical Record (EMR), Human Resources (HR) and Graduate Medical Education (GME) Orientation activities on your assigned dates for those of you that drive and park. VA Finger Printing activities will also be covered. The designated location is in Parking Structure 3. Please note this is a change from the electronic pass you may have received.

Parking & Transportation Services will have signage directing you where to park. Please look for “Special Event Parking” Orientation Parking. Maps and directions are available from various regional directions and for campus buildings and parking lots. Please contact your Program Coordinator for additional instructions or if you have any questions.

ELECTRONIC MEDICAL RECORD (EMR) TRAINING

All new Medical Staff members who are involved in patient care must attend mandatory classroom EMR training before receiving their login and password to the EMR. This ensures an adequate degree of knowledge and skill in using the EMR. Standard training is a full eight (8) hours. Training may vary depending upon the clinical setting and role of the new provider.

EMR Training is scheduled by your program for either two (2) half day sessions or one (1) full day session. Please contact your Program Coordinator for your assigned training time and location.

HUMAN RESOURCES ORIENTATION

The HR Orientation will provide information you will need regarding working at UC Davis Medical Center (policy and benefits) and processes you will need to complete (health screening, identification health clearance and view diploma). Please note the documentation items that you need to bring with you - picture identification and original diploma. You will also Health Clearance: N95 Fit Test, TB Skin Test.

Time:   7:30 AM – 12:00 PM
Date:    June 14th, 16th, 19th & 20th for PGY1 Residents
            June 23rd for PGY2+
            June 26th & 27th for Fellows
            July 28th for Late Starts

Please contact your Program Coordinator if you have any questions or concerns.

GME ORIENTATION

At the GME Orientation (also known as Hospital or Medical Center Orientation) you will be introduced to the GME Team and provided key information to learning and working at the UC Davis Medical Center . Dr. Nuovo will provide an overview of Accreditation Council on Graduate Medical Education (ACGME) and Clinical Learning Environment Requirements (CLER) Overview & Goals. Margaret Rea will discuss Wellness for Residents and Clinical Fellows.

  • Thursday June 22, 2017:  New Residents PG Is
    Location:  Medical Education Bldg., Lecture Hall 2222
    Time:  9:00 am – 12:00 pm, Registration opens at 8:30 am; Lunch is provided
    HR Badge & Parking Permit Distribution 11:30 am – 1:00 pm
  • Thursday June 29, 2017:  All New PG IIs and above / Clinical Fellows
    Location: Medical Education Bldg., Lecture Hall 2222
    Time: 9:00 am – 12:00 pm, Registration opens at 8:30 am; Lunch is provided
    HR Badge & Parking Permit Distribution 11:30 am – 1:00 pm

Please contact your Program Coordinator if you have any questions or concerns.

VETERANS ADMINISTRATION (VA) ONBOARDING & ORIENTATION

If your program includes a rotation at the Veterans Administration (VA) Medical Centers you will receive information from your Program Coordinator. Special VA fingerprinting is required for all Residents and Clinical Fellows who rotate at the VA Medical Centers. There two VA fingerprinting opportunities scheduled in the Medical Education Bldg., 2nd Floor open space on the UC Davis Medical Center campus for the incoming Residents & Clinical Fellows. VA Fingerprinting & Orientation (for those rotating at the VA only).

June 15th ~ RESIDENT Onboarding Day at UC Davis

TIME:  9:00 a.m. – 4:00 p.m.

LOCATION:  Education Building, 2nd Floor South Bridge/Hallway 2200D/2100

Required Documents:  2 forms of matching government issued ID are required ~ Please bring a copy of each (i.e. Social Security Card, birth certificate, driver’s license, or a state issued ID). Acceptable ID Matrix (PDF)

The VA will notify UCD program coordinators of residents who need to attend fingerprinting and will provide fingerprint schedule.

June 30th ~ FELLOW Onboarding Day at UC Davis

TIME: 10:00 a.m. – 4:00 p.m.

LOCATION: Medical Education Building, 2nd Floor South Bridge/Hallway 2200D/2100

Required Documents:  2 forms of matching government issued ID are required ~ Please bring a copy of each (i.e. Social Security Card, birth certificate, driver’s license, or a state issued ID). Acceptable ID Matrix (PDF)

The VA will notify UCD program coordinators of fellows who need to attend fingerprinting the week prior and will provide fingerprint schedule.

June 21st & 23rd ~ VA ORIENTATION (Onsite)

This year, the VA has elected to have three orientation days on June 21st and June 23rd. Please contact your Program Coordinator for your assigned time.

Time: 8:00AM – 5:00 PM (AM or PM Session)

Location: Mather Medical Center, 10535 Hospital Way, Mather, CA 95655

The required paperwork for your VA rotation is listed below under Affiliates. Download and complete the appropriate paperwork.

Please contact your Program Coordinator for your assigned time.

UC Davis Medical Center’s Graduate Medical Education is committed to ensuring that our Residents and Clinical Fellows are supported and have access to services throughout their time at UC Davis. The GME Team is here to help you, please contact us with any questions you have at any time. For more contact information, please see the GME website, contact us.

GME Team, Roles & Responsibilities

Administration

Jim Nuovo, MD, DIO, Associate Dean, and Acting Manager
916-734-4270 | jnuovo@ucdavis.edu

ACGME Designated Institutional Official (DIO), Associate Dean for Graduate Medical Education and Chair, Graduate Medical Education Committee (GMEC)
Dr. Nuovo is the individual at UC Davis Health System who has the authority and responsibility for all of our ACGME-accredited GME programs and non-ACGME programs, including training activities and affiliate sites.

As Acting Manager for GME, Dr. Nuovo is responsible the operational and strategic planning of the Graduate Medical Education Department to ensure institutional compliance with ACGME's accreditation and Clinical Learning Environment (CLER) requirements, and manages the Resident Medical Education (RMS) Committee, and Housestaff Coordinators (HSC) Meeting.

GME Team

Jennifer Cano, Analyst and Assistant to Dr. Nuovo
916-734-4270 | jmcano@ucdavis.edu

Responsible for Resident and Fellow Ecotime compliance, on-call (sleep room) management, new Resident and Fellow EMR Training, NRMP, E*Value and GME projects.

Christine Edwards, Analyst
916-703-6756 | caedwards@ucdavis.edu

Responsible for MedHub, New Resident and Fellow GME Orientation, certificate orders, GME web development and maintenance, data analysis and operational projects.

Kathe McDonald, Analyst
Kathe has retired effective 7/1/2017.  The position will be posted shortly.  Please send all correspondence for Kathe to Dr. Nuovo until further notice.

For questions regarding the Graduate Medical Education Committee (GMEC), Educational Commission for Foreign Medical Graduates (ECFMG) liaison (Visas), ACGME-sponsored programs training and support, please contact Dr. Nuovo at 916-734-4270 | jnuovo@ucdavis.edu.

Marcia Pereira, Administrative Assistant
916-734-7797 | mpereira@ucdavis.edu

Responsible for Resident and Fellow licensing, credentials and rotations, California Medical Board liaison, GME notary and general information.

Kris Singh, Analyst
916-734-7696 | kssingh@ucdavis.edu

Responsible for affiliation agreements and GME's financial affairs, personnel transaction forms (new hire, separation, etc.) pre-HR approval and the Resident and Fellow meal program.

Shriner's Hospital for Children of Northern California

Veterans Administration, Mather Medical Center

NEW to VA Onboarding forms:

RETURNING to the VA:

About Mather Medical Center:

Graduation:

Veteran's Administration Contacts:

Laura Wilson
Education Department, Program Assistant
Laura.Wilson5@va.gov 
916-843-9155

Kaiser Permanente Sacramento

North Valley Sacramento and Roseville (PDF)

South Sacramento (PDF)

Kaiser Facilities (PDF)

Kaiser Onboarding (SurveyMonkey)

Kaiser Contacts:

 

Bernadette Sario
Residency Program Administrator Bernadette.Sario@kp.org  916-688-2589

 

Olivia Bettencourt
Residency Program Coordinator Olivia.K.Bettencourt@kp.org 916-973-4402

Kaitlin Sands
Residency Program Coordinator
kaitlin.c.sands@kp.org
916.973.6950

HR Contacts, Roles and Responsibilities

Human Resources Team

General Residency Program

Main Line:  916-734-6387

Fax: 916-734-2756

Steve Gutierrez, HR Generalist
916-734-1504 | sagutierrez@ucdavis.edu

Samantha Yang, HR Generalist
916-734-7899 | myyang@ucdavis.edu

Please contact them for questions regarding Residents and Clinical Fellows: benefits, maternity/paternity LOAs,  moonlighting, new Resident and Clinical Fellow onboarding, billing packets, employee relations and GME HR projects.

ID Badge

New Residents and Clinical Fellows will begin the process for their new ID Badge at the assigned HR Orientation. ID Badges will be available for pick up following the assigned GME Orientation. Please work with your Program Coordinator if you need to replace or update your badge.

All personnel are required to wear their UC Davis Medical Center photo identification badge above the waist, unobstructed and clearly visible, at all times while working (see UC Davis Medical Center P&P 2900 (staff only), and Title XXII of the California Administrative Code Section 70721 d).

Computer Access

Once you receive your employee ID number, you can set up your computing account through UC Davis Computing Account Services. You will have UC Davis Kerberos and UC Davis Health System accounts.

As part of the hiring process, Human Resources will request access for the following core IT systems: E-Sign Access, EMR, Images, Badge/Cardkey, Wireless, and Ecotime. Some programs will have additional access requests.

If you have any issues requiring IT assistance, please call the IT Help Desk at 916-734-HELP (4357). They are available 24/7. Best times are outside of peak business hours (before 8:00 am or after 5:00 pm).

Comply with HIPAA and privacy regulations.

For additional details, please see UC Davis Medical Center P&P 1333 (staff only), HIPAA Data Integrity, UC Davis Medical Center P&P 1309 (staff only), Information Systems Security and Access, UC Davis Health System Information Security Program (staff only), 10.10 - Technology Security Log Management Standard, UC Davis P&P 310-21 (PDF), Computer Vulnerability Scanning Policy, UC Davis P&P 320-35 (PDF), Privacy of Health Information, UC Davis P&P 310-22 (PDF), UC Davis Cyber Safety Program, and University of California Business and Finance Bulletin IS-3, Electronic Information Security

Salary

Appointees to Resident & Fellowship position titles will be paid a monthly salary in accordance with the current schedule of Salary scales for Residents and Clinical Fellows (PDF) published by the University. Residents/Clinical Fellows are paid at their corresponding PG-level. Information regarding salaries will be available at all times from Human Resources.

Salary scales for Residents and Clinical Fellows (PDF) rotating at all sites are established by the UC Office of the President (UCOP) and are consistent throughout the five UC medical schools (San Francisco, San Diego, Los Angeles, Davis, and Irvine). The UC Office of the President (UCOP) maintains the current UC salary scales for clinical student titles for title codes (UCOP title codes 2708, 2724, 2725, 2726, and 2732) which covers the range from PGYI to PGYVIII.

State and federal taxes as well as Medicare will automatically be deducted from earnings. In addition, deductions are made for the UC Defined Contribution Plan (DCP) and in lieu of social security, 7.5% will be deducted and put into a safe harbor account. These accounts are currently held with Fidelity Investments.

Paychecks from all rotation sites are issued through UC Davis Health System.

Benefits

The benefits package for Residents and Clinical Fellows is reviewed annually. The 2017 Benefits brochure (PDF) is currently being updated and will provide additional detail regarding your benefits.

Direct Deposit

Any employee wishing to participate in the direct deposit program can sign-up online. The sign-up is done using the employee's UCD Login ID and Kerberos password (usually established with your campus e-mail account). The website includes links to information on login ID's and passwords.

Duty Hours, Time Off & Leave

Residents and Clinical Fellows Duty Hours, Time Off and Leave policies can be found in the Resident Medical Staff P&P. For more details, please see RMS Policies 300 - 370 (PDF) – 370 or call Human Resources at 916.734.6387.

Fatigue Mitigation

Each program must educate all Faculty members, Residents and Clinical Fellows to recognize the signs of fatigue and sleep deprivation.

In the course of duty hours, if a resident or fellow is too tired to drive home, you may take a taxi and provide the original receipt later for reimbursement RMS Policy 300.7, On-Call Activities.

Sexual Violence and Sexual Harassment

The UC Davis P&P 400, 20 – Sexual Violence and Sexual Harassment provides guidance to those who believe they have been subject to sexual violence or sexual harassment, or have been accused of sexual violence or sexual harassment, as defined by the UC Policy on Sexual Violence and Sexual Harassment, and describes the University’s actions to address those complaints through administrative channels.

Additional information regarding the definitions of consent and incapacitation is available in the UC Policy on Sexual Violence and Sexual Harassment.

For assistance with incidents of sexual violence, sexual harassment, dating violence, domestic violence, and stalking, please contact your Title IX Officer. The health system Human Resource department has additional information and resources on the Sexual Harassment Prevention Program page.

Principals of Community

Physicians and staff must recognize that patients, visitors and colleagues are to be treated with courtesy, sensitivity, and respect at all times (UC Davis Principals of Community). All physicians and staff are expected to make the "extra effort" to ensure a professional, gracious, and overtly hospitable environment for patients, visitors, and colleagues. The goal is to maintain an atmosphere of personal and institutional excellence where outstanding performance is expected.

Parking

The Parking & Transportation Services website has information on parking permits, alternative transportation, and Green Commuter options. There are shuttles available from various parking lots to main working areas across the Sacramento campus and the Davis campus. There are special benefits for Green Commuters.

Residents and Clinical Fellows who have had 12 months of parking auto deducted from payroll and have been in a rotation assignment away from UC Davis Medical Center for at least 3 months, will be eligible for a three month “holiday” of Parking fees -reimbursed at the end of the contract year. Please contact Parking for more information.

Maps and directions are available from various regional directions and for campus buildings and parking lots.

Police and Personal Security

The Security Program at UC Davis Health System is managed on a day-to-day basis by the UC Davis Police Department (PD). The health system Emergency Preparedness & Security Administrator works closely with UC Davis Police Department.

In an EMERGENCY, dial 9-1-1 from a landline on the Sacramento health system campus, which will direct your call to the UC Davis Dispatch Center. If you are calling from a cell phone, dial 916-734-2555.

The police department protective service officers are trained by the police department in crime prevention, access control, customer service and tactical communications. 

The Residents and Clinical Fellows should contact the UC Davis Police, Sacramento at 916.734.2555 to request any of the following services:

  • Lock out service for employees locked out of offices
  • Safety Escort Services are available 24/7 if either a protective service officer or police officer are available. Otherwise available scheduled Escort Services run from 9pm to 7am Monday through Friday. Please call the dispatch center to arrange an escort.

Codes

It is essential that every employee understand the six codes in use in the UC Davis Health System. These codes are activated in unusual situations that require a specialized response. The Hospital Operator will announce different codes over the UC Davis Medical Center paging system. For more information on these codes please see Environmental Health & Safety Emergency Codes (staff only). The Code Line is 916-734-3666.

Standards of Dress and Personal Appearance

All UC Davis Medical Center and UC Davis Health System staff, including Residents and Clinical Fellows, are expected to maintain a professional appearance in accordance to the individual’s occupation/profession. It contributes to the highest standard of hospital hygiene, patient expectation and employee safety.

Please see the Patient Care Standards P&P XIX-01, Dress Code and Personal Appearance (staff only) for more information. Your department may have additional guidelines.

Uniform Colors

UC Davis Medical Center has a color coded uniform policy for Patient Care Services (PCS) staff. For information on what colors are assigned to each function, please see the Employee Apparel Program’s Uniform Color Chart (staff only).

For additional details, please see the Patient Care Standards P&P XIX-01, Dress Code and Personal Appearance (staff only) and UC Davis Medical Center P&P 2904, Standards of Dress & Personal Appearance (staff only).

All UC Davis staff, including Residents and Clinical Fellows, must complete their required UC, UC Davis and UC Davis Health System training modules and health clearance before they can work in clinical areas and see patients. Some training modules are repeated annually and are required to be eligible for the Residents and Clinical Fellows Annual Personal Allowance.

 

Please note: You must claim your Kerberos computing account in order access UC Learning Center.  If you do not have any assignments, you can search for the required training using the course number.  

Compliance Training Modules

The compliance training modules are accessible through the UC Learning Center with your Kerberos login.

  • Ecotime for Residents and Clinical Fellows: course #08696
  • Mandatory Annual Training (MAT): course #09115
  • Privacy & Security: course #06528
  • UC Ethical Values & Conduct: course #07842 (this module will be available in September and while it is still required, it will not be required to receive your Personal Allowance for the incoming 2017-2018 Residents and Fellows
  • UC Cyber Security & Awareness: course #SECURITY-DA-ECO
  • UC Sexual Violence & Sexual Harassment Prevention for Non-Supervisors: course # SVSAST-DA-ECO**
  • Electronic Medical Record (EMR) (Your initial in-person training course will be scheduled by your Program Coordinator)**
  • Got Sleep: Course Code 06845
  • Medicare Fraud, Waste, and Abuse plus General Compliance Training:  Course Code DAHS-CDFWAGC

** UC Sexual Violence & Sexual Harassment Prevention Training for Non-Supervisors and Electronic Medical Record (EMR)  are every two years.

Electronic Medical Record (EMR)

The EMR system provides a single source of patient data that can be used anytime, anywhere, using computers located anywhere patients are served. Prior to receiving an EMR account, you will need complete the Privacy & Security training. Please print the certificate at the end of the module as evidence of your compliance.

The EMR News (staff only) website has additional training information and updates on the latest enhancements to the system.

The Health Information Management (HIM) team provides the medical staff with EMR training. HIM’s Physician Advocate Program (staff only) has resources available to provide additional guidance and tools. Their goal is to provide ongoing training and support. The EMR Drop in Lab is open every Wednesday from 8:00 am to 12:00 pm in the Main Hospital, South 4, Room 4303.

Resident Employee Health Clearance Requirements

TB Screening must be completed at Employee Health Services (EHS) annually. This screening is mandatory in order to provide patient care. For more information, please see UC Davis Medical Center P&P 2164 (Staff only), Tuberculosis Surveillance Program for Employees.

GME Allowance Benefit Flyer (PDF)

Relocation Allowance

A $1,100 one-time relocation allowance is provided to all new PGI and PGII Residents for mitigation of new expenses at the start of residency at UC Davis Medical Center.

Personal Allowance

Residents and Clinical Fellows are eligible for a $1,500 personal allowance upon completion of all required trainings & screenings each year:

  • Ecotime for Residents and Clinical Fellows: course #08696
  • Mandatory Annual Training (MAT): course #09115
  • Privacy & Security: course #06528
  • UC Ethical Values & Conduct: course #07842(this module will be available in September and while it is still required, it will not be required to receive your Personal Allowance for the incoming 2017-2018 Residents and Fellows
  • UC Cyber Security & Awareness: course #SECURITY-DA-ECO
  • UC Sexual Violence & Sexual Harassment Prevention for Non-Supervisors: course # SVSAST-DA-ECO**
  • Electronic Medical Record (EMR) (Your initial in-person training course will be scheduled by your Program Coordinator)**
  • Got Sleep: Course Code 06845
  • Medicare Fraud, Waste, and Abuse plus General Compliance Training:  Course Code DAHS-CDFWAGC
  • TB Screening must be completed at Employee Health Services (EHS) annually. This screening is mandatory in order to provide patient care. For more information, please see UC Davis Medical Center P&P 2164 (staff only), Tuberculosis Surveillance Program for Employees.

** UC Sexual Violence & Sexual Harassment Prevention Training for Non-Supervisors and Electronic Medical Record (EMR) are every two years.

Compliance for the personal allowance is monitored automatically by Human Resources, and does not require notification of completion by the resident or fellow. New and returning residents and fellows who are compliant on August 20, 2016 will receive their personal allowance payout in mid-September.  Residents who do not achieve compliance by August 20th, will again be eligible for the allowance by the 20th of the following month.

GME is responsible for ensuring UC Davis Health System provides services and systems to minimize the work of Residents and Clinical Fellows that extraneous to their educational program. If you have any questions, please contact the GME Team.

  • Residents on duty have access to adequate food services.
  • Residents on-call are provided with adequate on-call room/sleeping quarters.
  • Patient support services, such as intravenous services, phlebotomy services and laboratory services, as well as messenger and transporter services are provided to be consistent with education objectives and patient care.
  • Laboratory, pathology and radiology services are available to support timely and quality patient care.
  • Information systems are available.
  • A medical records system is available at all times to support quality patient care, the education of residents, quality assurance activities, and to provide a resource for scholarly activity.
  • Security and personal safety measures are provided to Residents and Clinical Fellow at all locations including parking facilities, on-call (sleep) quarters, hospital and institutional grounds, and related clinical facilities.

The UC Davis Medical Center’s Graduate Medical Education Committee is the authoritative body to review concerns related to work conditions as well as issues related to the program and/or Faculty. Residents and Clinical Fellows who have concerns about their work conditions, program or Faculty should address their Program Director and/or Department Chair. If problems or concerns are not resolved at this level, these should be brought to the attention of the DIO/Chair of the GMEC or, in his absence, the GME Manager. The GMEC is then charged with the resolution of the concern or issue. In some cases, the appointment of a subcommittee or task force may be necessary to provide thorough analysis and plan of action.

On-Call (Sleep) Rooms

On-call (sleep) rooms are provided within the hospital. They are allocated to departments; the departments, in turn, assign the rooms for use by their Residents and Clinical Fellows. These rooms are accessible by UC Davis Medical Center ID badge, key or key pad depending on the location. Please contact your Program Coordinator with any questions or concerns.

GME Exercise Room

The GME Exercise Room is located in the basement of the Surgical & Emergency Services Pavilion (SESP), Room 0P541, for use by Residents and Clinical Fellows. The exercise room is accessible with your UC Davis Medical Center ID badge. Please contact your Program Coordinator with any questions or concerns.

Meal Program

Residents and Clinical Fellows are eligible for meals based on their on-call rotation schedule. The Meal Program is distributed in annually and refreshed on July 1. The formula is calculated at $7.00/meal based on the number of scheduled on-call shifts when Residents or Clinical Fellows are required to be on the UC Davis Health System campus.

The ID Badge must be used to purchase meals. You can purchase your meals at the following locations:

  • Pavilion Café is located in the first floor main lobby area. Café hours are from 6:00 a.m. to 8:00 p.m., reopening from 11:00 p.m. to 12:00 a.m. and again from 1:00 a.m. to 4:00 a.m. Breakfast is available from 6:00 a.m. to 10:00 a.m.; lunch from 10:30 a.m. to 3:00 p.m.; and dinner from 4:00 p.m. to 8:00 p.m. Limited self-service is available at other times, including the late-night café hours.
  • Ambulatory Care Center Café (ACC) is open Monday through Friday from 7:00 a.m. to 2:30 p.m.
  • Scrubs East located in the Medical Education Building is open Monday through Thursday, and Friday 7:00 a.m. to 4:00 p.m.
  • M.I.N.D Institute Café is open Monday through Friday from 8:00 a.m. to 2:00 p.m.

For additional details, please see RMS Policy 530 (PDF), Meal Program.

The wellness of our Residents and Clinical Fellows is a priority. GME is here to help and support you through your residency at UC Davis.

wellness /wel-nis/ n. the state of being healthy in mind, body and spirit through conditioning one's self with positive daily habits, exercise, relaxation, stress-control, and good personal and social relationships.

UC Davis Medical Center Residents and Clinical Fellows have counseling services available through the Academic and Staff Assistance Program (ASAP). The Residents and Clinical Fellows program is led by Dr. Margaret Rea. The program provides services that are designed specifically to support the unique needs of individuals in residency.  Counseling services can help identify and resolve problems whether the problem is work related, personal, career or relationship focused. Services include individual counseling, couples/family sessions, as well as sessions with spouse/partners alone. The services are confidential and at no fee and can assist in improved coping in such areas as:

  • Concerns about work performance
  • Coaching on communication and interpersonal skills
  • Family difficulties and tensions
  • Financial concerns
  • Anxiety and depression
  • Career decisions
  • How to address and prevent burnout
  • Referrals: ASAP can also assist residents and their families locate resources through their medical insurance plan or self-pay providers.

There are many resources available to improve and maintain medical staff wellness at UC Davis. However, if you are in crisis, please call 911 or 800-273-TALK. Below are a few of the many resources available to you.

UC Davis / UC Davis Health System WorkLife and Wellness

UC Davis / UC Davis Health System WorkLife and Wellness provides programs, policies, referrals and education that enable employees, faculty, staff, and students to be effective at work, school and home. WorkLife encompasses dependent care and family services, health and wellness, breastfeeding support, spiritual wellness and community involvement to name a few. You can contact the program (worklife@ucdavis.edu) to be added to the mailing list to receive quarterly newsletters, monthly happenings and Brown Bag information.

UC Living Well

UC supports faculty, staff and retirees in their pursuit of a healthy lifestyle by building a culture that values health and well-being. UC Living Well, the university’s wellness program, provides activities and resources to help faculty, staff and retirees reach their wellness goals.

WorkStrong Program

The WorkStrong program is a University of California system-wide program developed with the expertise and collaborative support of UC staff in wellness programs, occupational health and rehabilitation services. It was designed to promote recovery and prevent future workplace injuries.  Each UC campus has its own unique program to suit the needs of the employees at their location.

UC Living Fit Forever

UC Living Fit Forever (staff only) is a sustainable fitness and wellness program for UC Davis Health System & SOM employees, Faculty, Residents, Medical and Nursing students looking for a permanent lifestyle change.

In this program, participants will learn skills and knowledge to live fit forever. Program highlights include: on-site fitness training and monthly “Lunch and Learn” educational seminars.

Academic and Staff Assistance Program

Academic and Staff Assistance Program (ASAP) offers confidential, cost-free assessment, counseling, consultation and referral services to all UC Davis/UC Davis UC Davis Health System faculty, staff and families. Whether the problem is work-related or personal; administrative or individual; career or relationship focused; ASAP can assist you in recognizing and resolving the problem. ASAP’s mission is to provide high quality confidential counseling services in a safe and supportive environment using highly skilled clinicians.

GME works closely with Margaret Rea, Ph.D., who has been responsible for providing the wellness services for the UC Davis Medical Center Residents and Clinical Fellows which includes counseling, group facilitation and educational programming about physician well-being.

Resident Support Association (RSA)

Resident Support Association (RSA) is an organization affiliated with the UC Davis Medical Center that supports Resident and Clinical Fellow families. Residency life involves unique challenges and adjustments for the whole family. RSA is here to help ease the adjustment into residency life by providing a supportive social network of people who understand these challenges through their own experiences. RSA’s focus is to provide support and a social outlet for spouses, significant others, and children of Resident/Clinical Fellow by offering a variety of social, intellectual, and recreational activities.

Medical Staff Well-Being Committee

The purpose of the UC Davis Medical Center Medical Staff Well-Being Committee is to support the health and wellness of our medical staff members and in so doing, protect patient welfare, improve patient care, and improve medical staff functioning. The Committee works to achieve this purpose through prevention of, and intervention in, alcohol-related, drug-related, and behavioral problems affecting members of the Medical Staff. The committee also supports Medical Staff members who are involved with the Medical Board regarding impairment issues. Please see the wellness resources tab for additional resources.

Ombuds

As a designated neutral, the UC Davis Ombuds is not an advocate for any individual or office, but rather serves as an advocate for fair processes. The Ombuds Office is independent of all administrative and academic structures within the University. Please review our Standards of Practice.

Dean’s Loan

One-time, no interest $500 loan for relocation expenses is available; please contact Human Resources for information. For additional details, please see RMS Policy Appendix A (PDF) A, Resident Medical Staff Benefits, Support and Personnel Policy Summary.

Student Loan Deferment

Residents and Clinical Fellows may be eligible for Student Loan Deferment. For information on deferment during your Residency at UC Davis, please contact the Financial Aid Office or your Loan Servicer.

National Provider Identifier (NPI)

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for healthcare providers and health plans. As a result the Centers for Medicare and Medicaid Services (CMS) created the National Provider Identifier (NPI) number. All Residents and Clinical Fellows are required to have an NPI number. Please to the National Plan and Provider Enumeration System (NPPES) to obtain your NPI number. Please contact your Program Coordinator with any questions or concerns.

USMLE Step III Requirements

For detailed information on the requirements, please see RMS Policy 210.6 (PDF), USMLE Step III Requirements.

UC Davis Medical Center Residents are eligible for USMLE Step III / COMplex 3 Testing Fee Reimbursement of $690 during their appointment with UC Davis Medical Center. Please submit your paid receipt and scores to Marcia Pereira in the GME office.

California Medical License

The California Medical Practice Act permits medical and osteopathic school graduates to practice medicine under the following conditions:

  • Graduates of US or Canadian medical schools may participate in ACGME accredited programs unlicensed for no more than a total of 24 months. The California Medical Board requires a minimum of 12 months of training in an ACGME accredited program and a passing score on the USMLE Step III to qualify for medical licensure. A license must be obtained by the first day of the 25th month of training.
  • Applicants for non-ACGME accredited clinical fellowship positions are required to obtain a full and unrestricted California medical license prior to beginning a UCD postgraduate medical education program.
  • Graduates of medical schools outside of the United States or Canada must have a current and valid Education Commission for Foreign Medical Graduates (ECFMG) certificate at the time of application. International medical graduates may participate in ACGME accredited programs unlicensed, with a valid Postgraduate Training Authorization Letter from the California Medical Board, for no more than a total of 36 months. The Medical Board requires a minimum of 24 months of training in an ACGME accredited program and a passing score on the USMLE Step III to qualify for medical licensure. A license must be obtained by the first day of the 37th month of training.
  • Applicants for non-ACGME accredited clinical fellowship positions are required to obtain either a full and unrestricted California medical license or a 2111 licensure exception prior to beginning a UC Davis Medical Center postgraduate medical education program, 2111 licensure exemptions must be requested by the training program and submitted to the California Medical Board by Graduate Medical Education.

Trainees who have not obtained a California medical license within the above mentioned time frames will not be allowed further patient contact or access to patient information including medical records, laboratory values, radiographic studies, etc. A Resident or Clinical Fellow that is not licensed by July 1st (or other start date) of the required year may not do any clinical work until a medical license is secured. During the period of non-licensure, the resident or clinical fellow appointment, including salary, may be suspended. Resumption of training, once a California medical license has been obtained, will be at the discretion of the Program Director and/or department chair. Thereafter and for the duration of training, the California medical license must be continually maintained as a prerequisite to appointment.

Please contact Marcia Pereira with any questions regarding licensure.

Drug Enforcement Administration (DEA) Number

A physician licensed in the state of California must apply for a Drug Enforcement Administration (DEA) number. The “Fee Exemption” box can be checked if the applicant registers with a city/county, state or federal hospital address (UC Davis Medical Center). Applications are completed online, UC Davis Medical Center info is entered, the name of the person responsible for the Resident or Clinical Fellow is entered (i.e., Program Director), and Rx levels are selected. However, if the “fee exemption” classification is used, the DEA number is valid only at UC Davis Medical Center training sites, including Affiliates.

Residents and Clinical Fellows without a DEA license in the State of California may order narcotics for inpatients only. For outpatient Schedule II medication prescribing, physicians must use a tamper-resistant prescription pad, which is available at each UCD clinical site.

For more information about DEA registrations, please go to the website of the Office of Diversion Control.

Certificates

Certification is through Center for Professional Practice of Nursing (CPPN). Please sign up for certification classes through the CPPN Class Calendar.

CPR and Basic Life Support (BLS) – CPR and Basic Life Support (BLS) training is required of many health-care professionals and lay rescuers to help revive, resuscitate, or sustain a person who is experiencing cardiac arrest or respiratory failure.

Advanced Cardiac Life Support (ACLS): Blended Learning – The AHA HeartCode® blended learning program is a Web-based, self-paced instructional program that uses eSimulation technology to allow students to assess and treat patients in virtual health-care settings. In this environment, class participants apply their knowledge to real-time decision making and skills development. This program presents interactive hospital-based cases to teach ACLS knowledge, building on the foundation of lifesaving BLS skills and the importance of continuous, high-quality CPR. After completing the cognitive portion of the course, students practice and test their skills with an AHA Instructor.

Pediatric Advanced Life Support (PALS): Blended Learning – The AHA HeartCode® blended learning program is a Web-based, self-paced instructional program that teaches health-care providers knowledge and skills needed to recognize and prevent cardiopulmonary arrest in infants and children. This program uses eSimulation technology to allow course participants to assess and treat patients in virtual health-care settings. In this environment, course participants apply their knowledge to real-time decision-making and skills development. Debriefings and coaching are provided immediately after each simulation to facilitate learning about pediatric advanced life support.

Please contact your Program Coordinator with any questions or concerns.

Duty Hours

ACGME Resident and Clinical Fellow programs must comply with both ACGME Duty Hours requirements and UC Davis Medical Center’s GME policies. It is the responsibility of each Resident, Clinical Fellow, and Faculty member to ensure that he/she is in compliance with his/her program’s policy. Duty hours are defined as time spent in all clinical and academic activities related to Residency and Clinical Fellowship training. Duty hours do not include reading and preparation time spent away from the duty site. Ecotime is UC Davis Medical Center’s official time keeping system and is required to validate and document Duty Hours, exceptions and time off in for all Residents and Clinical Fellows. For additional details, please see RMS Policy 300, Scheduling & Duty Hours.

Ecotime

Ecotime (staff only) is UC Davis Health System and Medical Center’s official time and attendance system for all staff, including Residents & Clinical Fellows. The information in Ecotime is used by UC Davis Health System to accurately track and report approved hours and transmit data to the payroll system for processing. Resident and Clinical Fellows must validate and programs must approve their time in Ecotime by the 15th of the month.

Ecotime is used to input work hours, vacation, sick, and other leave (time off). All Residents and Clinical Fellows are required to validate Duty Hours and time off in order to accurately track and capture duty hours, moonlighting hours, calculate leave balances (vacation, sick, and other). In addition, Ecotime is programmed to capture and track ACGME Duty Hour rule violations with timesheet warnings. Violations must be documented with a reason for the violation. These are reported to the GME office.

Training

All Residents & Clinical Fellows are required to complete the Ecotime online training module #08696 which will provide you with an overview of the elements and steps for Resident & Clinical Fellow time and attendance documentation. Your Program Coordinator is another Ecotime resource.

Access

Ecotime is accessible from The Insider (staff only) home page by typing “ecotime” in your browser address bar or using the link under WorkLife the top navigation bar. Ecotime is only available through a networked computer, Citrix or VPN connection. Citrix and VPN require an additional access request.

Fatigue Mitigation

Each program must educate all Faculty members, Residents and Clinical Fellows to recognize the signs of fatigue and sleep deprivation.

In the course of duty hours, if a Resident and Clinical Fellow is too tired to drive home, you may take a taxi and provide the original receipt later for reimbursement RMS Policy 300.7 (PDF), On-Call Activities.

Sepsis (staff only) - Improving Detection & Management of Severe Sepsis

UC Davis Medical Center and Health System have a priority initiative to improve early detection and standardize treatment and documentation for patients with severe sepsis and septic shock.  The goals of this initiative are to reduce mortality and to improve compliance with evidence-based recommendations in line with the SEP-1 Core Measure.

The Sepsis Improvement Collaborative (SIC) Committee (staff only) has led the development of EMR enhancements to aid in the recognition and treatment of severe sepsis and septic shock.  These tools include best practice alerts to aid in screening for sepsis, specially designed order sets for screening, treatment and monitoring, clinicial pathways for nurses and physicians, and standardized smartphrases for documentation.

Sepsis: The Effect of SEP-1 Core Measure Compliance on Mortality and Hospital Length of Stay: A Retrospective Review (PDF)

The UC Learning Center and Center for Professional Practice of Nursing offer sepsis education (staff only) modules.

For more information please visit the Sepsis website (staff only) or contact:

Georgia McGlynn, R.N., M.S.N.-C.N.L., C.P.H.Q.
Quality and Safety Nurse Analyst, UC Davis Medical Center
gmcglynn@ucdavis.edu | 916-734-8928

Patient Safety Initiatives

The Clinical AffairsQuality & Safety (Q&S) Department (staff only) monitors patient safety and quality improvement initiatives at UC Davis Medical Center. Their main safety initiatives center on:

  1. Review of system level issues brought to our Patient Safety Events Committee
  2. Daily analysis of Agency for Healthcare Research and Quality (AHRQ) patient safety indicators
  3. Value Team Initiative
  4. Hand Hygiene
  5. Medication Reconciliation
  6. Deep Vein Thrombosis (DVT) Prevention Efforts
  7. Antimicrobial Utilization and C. difficile Control
  8. Ongoing efforts on Falls, Decubitus Ulcer, Ventilator-Associated Pneumonia (VAP)
  9. Infusion Orders Improvement
  10. Short-term projects (current examples are: improper use of arm bands, specimen mislabeling, and communication to physicians about medication errors)

The 2016 Patient Safety Culture Survey is underway to collect data and assess the environment in reference to 12 safety culture domains:  teamwork, supervisor/manager expectations, organizational learning, management support, overall perception of patient safety, feedback about errors, frequency of errors reported, communication openness, teamwork across units, staffing, handoffs and transitions, and non-punitive response to error.

Resources:

For more information please see the Quality & Safety (Q&S) Department (staff only) website.

Hand Hygiene at UC Davis Medical Center & Health System

Hand Hygiene is a UC Davis Medical Center and UC Davis Health System patient safety priority. All Residents and Clinical Fellows are responsible to comply with the hand hygiene (staff only) policies and procedures outlined in Patient Care Standards P&P XI-23, Hand Hygiene (staff only). It is crucial to decontaminate hands when entering and leaving a patient care area.

The Patient Care Area is defined as any area where patient care is provided. The area may have a boundary such as a doorway, curtain line or imaginary line around the gurney in a hallway. Other examples are a bathroom, public area or other space where the patient may be in need of assistance.

The World Health Organization recommends five key moments when health care workers should clean hands:

  • Before touching a patient - anyone who crosses the threshold of the patient care area* must perform hand hygiene even if they believe they will not touch the patient (e.g. during rounds or individuals observing a procedure);
  • Before clean/aseptic procedures;
  • After body fluid exposure/risk – prior to donning gloves and after removing gloves;
  • After touching a patient; and
  • After touching patient surroundings.

If you witness a break in practice, please remind the individual to clean their hands. When someone reminds you, please be gracious and thank them. We all want to do what is best for our patients.

What is considered good hand hygiene?

  • Using alcohol based hand sanitizer for at least 20 seconds (or until it dries).
  • Wash hands with soap and water for at least 15 seconds when hands are visibly soiled, when caring for Clostridium difficile (C.difficile) patients.
  • The use of anti-microbial (CHG) soap or alcohol based hand sanitizer is required before and after contact with high-risk patients (please use the policy link above for further details).
  • Always wear gloves when caring for a patient with Clostridium difficile and Bacillus anthracis.
  • Soap and water is preferred when caring for a patient with a spore-forming organism. The friction of hand washing along with the running water is believed to remove the spores from the hands.
  • Do not use alcohol based hand sanitizer after caring a patient known to be infected or colonized with a spore-forming organism.

For more information please see the Hand Hygiene Campaign (staff only) at UC Davis Medical Center.

Compliance Program

The health system Compliance Program is all about making right choices and demonstrating to both internal and external customers the organization's continued commitment to making proper and ethical decisions. The Code of Conduct is an integral part of this compliance program and reflects the values of the organization. The health system's ability to further its mission depends upon the capability of all employees to support one another in upholding these values.

The Compliance Program website will provide you with information regarding the compliance program, the code of conduct and answers to common questions and guidance documents; including information on coding, industry relations, privacy & security and research.

Confidential Reporting: Sharalyn Rasmussen is the Chief Compliance Officer at health system. In her message to the health system community, she states that the compliance office is “here to help you and to help the health system take the ethical high road.” Complaints will be properly investigated and identity kept confidential to the fullest extent allowed by law.

Risk Management

The Risk Management Department oversees the health system’s professional and general liability issues. The primary objective of the department is to identify and control those conditions and behaviors that expose the University, its faculty, and staff to risk or loss.

Their website provides information on service of documents (e.g. subpoenas, summons and complaints, etc.), the claims process, malpractice verifications and claims histories for credentialing entities, and available patient and client resources.

Your Responsibilities

As a university employee or student, you have a personal responsibility to report any activity that appears to violate the Code of Conduct, any applicable laws or regulations or any occurrence or near miss that is not consistent with routine Medical Center operations or situations that may potentially or actually result in unanticipated injury, harm or loss to any patient, visitor, student, volunteer, or employee. In general, if you are aware of a compliance violation and fail to report it, you may be subject to corrective or disciplinary action.

Please see UC Davis Medical Center P&P 1466 (staff only), Incident Reports for more information.

These are the most common incidents and events and how they are reported:

RL Solutions Risk Module (Incident Reporting System)

UC Davis Medical Center currently uses the RL Solutions Risk module incident reporting system for notification of any occurrence or near miss that is not consistent with routine Medical Center operations or situations that may potentially or actually result in unanticipated injury, harm or loss to any patient, visitor, student, volunteer, or employee. To access RL Solutions, type "incident" in the address bar of your browser, click on the RL Solutions icon on Citrix, or click on the RL Solutions on your computer desktop. Submit the Incident Report via using the appropriate category.

If you additional questions please see review the FAQs for Reporters (staff only).

Please click on RL Solutions Training for more in depth information on how to use RL Solutions Risk and use your Kerberos login.

Incident Reporting Line for Housestaff: 4-7050

Purpose of Incident Reporting Line: To allow Residents & Fellows an alternate method for reporting patient safety events. 

Incident Reporting Line FAQ (PDF)

Procedure for Resident Use of IR Line:

  1. Call the incident reporting line at 4-7050
  2. Provide the following information, speaking slowly and clearly, in your recorded message. (This line will not be answered by a live person.): a. Patient name b. Medical record number c. Date and time of event d. Patient care concern (provide as much detail as possible) e. Reporter's name f. Reporter's department g. Reporter's phone number/pager
  3. Quality and Safety staff will check the phone line for messages at close of business during regular work days (ie, Monday through Friday minus University holidays). A Quality and Safety staff member will return the reporter's call within two business days of retrieving the message to provide confirmation of receipt/follow-up. 

Interprofessional Collaborative Incidence Response Training (I-CIRT) Program

I-CIRT (staff only) is another resource at UC Davis Medical Center that provides resources to assist the health care team respond “when things go wrong.”

These clinical incidents can include anything from a sentinel event to delayed antibiotic administration.

ACGME Programs

The Accreditation Council for Graduate Medical Education (ACGME) is responsible for the accreditation of graduate medical education programs in the United States. Accreditation is accomplished through a peer review process and is based upon established standards and guidelines. The mission of the ACGME is to improve health care by assessing and advancing the quality of graduate medical education through exemplary accreditation. The policies and standards in this handbook have been developed to maintain compliance with the institutional and program requirements of the ACGME.

ACGME Core Competencies

The ACGME has directed that each graduate medical education training program integrate into its curriculum as well as provide objective assessments of competence based on the following six core competencies:

Patient Care: Trainees must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Medical Knowledge: Trainees must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences as well as the application of this knowledge to patient care.

Practice-Based Learning and Improvement: Trainees must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.

Interpersonal and Communication Skills: Trainees must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health care professionals.

Professionalism: as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

Systems-Based Practice: as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively request system resources to provide care that is of optimal value.

The Clinical Learning Environment (CLER)

The Clinical Learning Environment Review (CLER) program is a component of the NAS.3 As such, it is designed to provide US teaching hospitals, UC Davis Medical Centers, health systems, and other clinical settings affiliated with ACGME-accredited institutions with periodic feedback that addresses the following six areas: patient safety; health care quality; care transitions; supervision; duty hours and fatigue management and mitigation; and professionalism.4 The feedback provided by the CLER program is designed to encourage clinical sites to improve engagement of resident and fellow physicians in learning to provide safe, high quality patient care. For more information please see the CLER program brochure (PDF).

Anonymity and Confidentiality of Resident, Clinical Fellow and Faculty Evaluations

Starting with the 2017-2018 Academic Year, UC Davis Medical Center training programs are required to use MedHub to distribute and analyze evaluation data for the 2016-2017 academic year. Each program is responsible for the set-up, monitoring, and maintenance of its evaluations. The Graduate Medical Education (GME) office provides assistance to the programs that use MedHub to ensure compliance with this policy and maintain confidentiality of evaluations.

MedHub, in addition to automation of the evaluation process, data collection, and advanced reporting, provides anonymity tools to guarantee confidentiality. All changes to anonymity are carefully considered and documented.

Ability to view completed evaluations in MedHub is determined by role assignment in the system. Programs must allow only the Program Director and Program Administrator to view all evaluations. Programs should strictly limit who has access to evaluation data. Program Directors may not have direct access to evaluations completed by trainees about them as teaching Faculty. This access to Program Director evaluations should only be granted to the department Chair or his/her designee.

To ensure trainee confidentiality and encourage honest feedback, all evaluations by Residents and Clinical Fellows who have four or fewer fellows in their program, must be suppressed until a minimum of three (3) evaluations, are completed and submitted about an individual Faculty, rotation, program, etc. For example, if a rotation only has one Resident per month, those teaching Faculty may not see their evaluations until the fourth Resident has completed and submitted evaluations. Therefore, Residents and Clinical Fellows must complete evaluations in a timely manner to ensure adequate feedback for program improvement.

To provide Residents, Clinical Fellows and teaching Faculty the opportunity to give instant feedback, all programs in MedHub should be set-up to allow “on the fly” evaluations through praise and concern cards. These comments are forwarded to the Program Director only.

At UC Davis Medical Center, the Quality & Safety Department (staff only) exists to promote excellence in clinical and inpatient care as well as to help departments achieve sustainable improvements in patient safety and service delivery. These collaborations focus on instituting best practices and developing systems of care that meet national benchmarks for excellence, with an emphasis on continuous process improvement.

Quality Improvement is an interdisciplinary process designed to raise the standards of the delivery of preventive, diagnostic, therapeutic, and rehabilitative measures in order to maintain, restore and improve health outcomes of individuals and populations.

Goals and Your Role

As an institution we recognize that the foundation of quality and safety for patients is a culture that puts patients first, and fosters open and professional communication across all disciplines working as a team for the patient. Conveying respect for the patient, their families, and all other members of the healthcare team is the glue that holds the other elements of quality and safety together. You should feel free to speak out to improve patient care, regardless of hierarchy or position in the organization, and welcome others to do the same. ~ Gregory Maynard, M.D., Chief Quality Officer, UC Davis Medical Center

Residents and Clinical Fellow at UC Davis Medical Center provide patient care on a daily basis. You are on the front line and are well-positioned to identify waste, lapses in quality, and problems with patient experience, as well as recognize potential solutions.

The Value Construct is the organizational strategy to achieve our goals. The 2016-17 improvement goals fall into 3 categories:

  • Quality & Safety
  • Patient Experience
  • Financial Stewardship

For more information on these goals please visit the Value Construct (staff only) and Quality & Safety (staff only) websites.  Please work with your Program Director to initiate improvements in your program.

Please use RL Solutions incident reporting system to report an incident or concern, any occurrence or near miss that is not consistent with medical center operations or situations that may potentially or actually result in unanticipated injury, harm or loss to any patient, visitor, student, volunteer, or employee. To access RL Solutions, type "incident" in the address bar of your browser, click on the RL Solutions icon on Citrix, or click on the RL Solutions on your computer desktop. Submit the incident report using the appropriate category. If you additional questions please see review the FAQs for Reporters (staff only).

UC Davis Medical Center Metrics, Goals & Performance

The University Healthcare Consortium (UHC, now Vizient) 2015 Quality & Accountability Performance Scorecard for UC Davis Medical Center (staff only) is an annual report that shows where we are performing in relationship to ourselves and other academic UC Davis Medical Center nationally in selected domains – Overall, Mortality, Safety, Effectiveness, Patient Centeredness, Efficiency and Equity.

National Patient Safety Goals – 2017

The purpose of The Joint Commission’s National Patient Safety Goals (PDF) is to improve patient safety. The goals focus on problems in health care safety and how to solve them. If you have any questions on the medical center’s National Patient Safety Goals for 2016, please contact Clinical Affairs at 916-734-1166.

Goal 1:  Improve accuracy of patient identification.

Goal 2:  Increase effective communication.

Goal 3:  Improve medication safety.

Goal 6:  Improve alarm safety.

Goal 7:  Prevent health care associated infections (MSRA, BSI, SSI, and CAUTI)

Goal 15:  Identify patients at risk for suicide

Universal Protocol (UP):  Prevent mistakes in surgery. Right patient, site and procedure. Mark the site. Surgical Pause. Documentation.

Introduction to Quality Improvement & Patient Safety

As an introduction to UC Davis Medical Center’s quality improvement and patient safety standards for all of our healthcare providers, we recommend that you complete the following Institute for Healthcare Improvement (IHI) Open School online training modules.

In order to access these training modules you will need to register with IHI. They are free to those with a “resident” role, which covers Clinical Fellows.

Quality Improvement

QI 101: Fundamentals of Improvement Serious errors occur at the best hospitals and clinics — despite the best efforts of talented and dedicated providers. As the Institute of Medicine (IOM) declared in 2001, in words that still ring true, “Between the health care we have and the care we could have lies not just a gap, but a chasm.” This course launches you on your journey to becoming a health care change agent. First, you’ll get a sense of the scope of the problem, from an up-close and personal look at a wrong-site surgery at a major academic hospital, to a high-level picture of the current quality of care in the US and around the world. Then you’ll begin to work on a solution to the problem, using the roadmap for change offered by the Institute of Medicine’s six aims for improvement — and a theory of how to change systems.

QI 102: The Model for Improvement: Your Engine for Change This course will teach you how to use the Model for Improvement to improve everything from your tennis game to your hospital’s infection rate. You’ll learn the basic steps in any improvement project: setting an aim, forming a team, selecting measures, developing ideas for changes, testing changes using Plan-Do-Study-Act (PDSA) cycles, and measuring to determine if the changes you are testing are leading to improvement.

QI 103: Measuring for Improvement Measurement is essential in any improvement work: It tells you if the changes you are testing are leading to improvement. But measurement for improvement is different from measurement for research or measurement for accountability. In this course, you’ll learn how to use three basic kinds of measures: outcome, process, and balancing measures. You’ll learn how to collect, display, and interpret data — to ensure that measurement accelerates the pace of change, rather than slowing it down.

QI 104: The Life Cycle of a Quality Improvement Project The first three IHI Open School quality improvement courses introduced you to the fundamentals of improving health care. In this course, you’re going to see how people in real health care settings actually use these methodologies to improve care. Next, you’ll start learning the four phases of an improvement project’s “life cycle”: innovation, pilot, implementation, and spread. Next, you’ll delve deeper into the theory of spreading change — both the foundational work by sociologist Everett Rogers and IHI’s Framework for Spread. Finally, you’ll follow a detailed case study about how an organization used the methodologies you're studying to improve patient care at the bedside throughout Central Texas.

Patient Safety

PS 101: Fundamentals of Patient Safety This course provides an overview of the key concepts in the field of patient safety. You’ll learn the relationship between error and harm, and how unsafe conditions and human error lead to harm — through something called the Swiss cheese model. You’ll learn how to classify different types of unsafe acts that humans commit, including error, and how the types of unsafe acts relate to harm. Finally, you’ll learn about how the field of patient safety has expanded its focus from reducing error to also encompass efforts to reduce harm.

PS 102: Human Factors and Safety This course is an introduction to the field of human factors: how to incorporate knowledge of human behavior in the design of safe systems. You’ll explore case studies to analyze the human factors issues involved in health care situations. And you’ll learn how to use human factors principles to design safer systems of care — including the most effective strategies to prevent errors and mitigate their effects. Finally, you’ll learn how technology can reduce errors — even as, in some cases, it can introduce new opportunities for errors.

PS 103: Teamwork and Communication  No matter how safe we make the design of systems in which we work, there is no substitute for effective teamwork and communication. In this course, you’ll learn what makes an effective team. Through case studies from health care and elsewhere, you’ll analyze the effects of teamwork and communication on safety. You’ll learn essential communication tools, such as briefings, SBAR, and the use of critical language. Finally, you’ll learn how to use these tools when they are most essential—at transitions in care, when errors are most likely to occur.

PS 104: Root Cause and Systems Analysis This course introduces students to a systematic response to error called root cause analysis (RCA). The goal of RCA is to learn from adverse events and prevent them from happening in the future. The three lessons in this course explain RCA in detail, using case studies and examples from both industry and health care. By the end, you’ll learn a step-by-step approach to completing an RCA after an error – and improving the process that led to the error. Note: Because RCAs are usually conducted in teams, it may be beneficial to take this course with a small group.

Triple Aim for Populations

TA 101: Introduction to Population Health This course will introduce you to the concept of population health — a different way of thinking about how and why some of us enjoy healthy lives and others do not. You’ll learn about a number of interventions and factors (some may be new to you) that influence our health outcomes. You’ll learn about the roles health professionals play when promoting and practicing population health. And, finally, you’ll see examples of several successful interventions that are improving health and health outcomes for different populations around the world today.

High Value Competition

The GME High Value Competition (staff only) is designed to meet the CLER mandate to engage Residents and Clinical Fellows in opportunities to improve patient care. In collaboration with GME, the medical center Quality & Safety department manages a competition to select and fund improvement projects that support the medical center’s strategic goals.

Please see the High Value Care (staff only) website for more details on the competition and winning projects.

Patient Care Services (staff only) (PCS) continues to play an essential role in the health system by building a model for patient-centered, collaborative practice that is facilitates the bedside education of health-care professionals and assures measurable quality care. PCS encompasses Nursing, Unit Management, PCS Quality & Safety, Infection Prevention, Clinical Case Management, Clinical Social Services, California Children’s Services, Lift Team, Bed Control, Hospital Unit Services Coordinators (HUSC), Patient Transport Services, Tracheostomy Resources Services, Diabetes Resources, the Transfer Center and many other patient care services provided at the Medical Center.

As Residents and Clinical Fellows with UC Davis Medical Center you have access to the extensive University of California Libraries. New faculty and staff may register for library privileges online. For more information, please see the UC Davis Libraries website.

Blaisdell Medical Library, Sacramento

The Blaisdell Medical Library (BML) serves the faculty, staff and students affiliated with the UCD UC Davis Health System (UC Davis Health System) and supports the curriculum of the Schools of Medicine and Nursing. It is located in the Medical Education Building on the first floor. There are two specialized collections at the Blaisdell Medical Library — the Civil War Medicine Collection and the Bioethics Collection. The Civil War Collection is the personal collection of Dr. F. William Blaisdell, a UC Davis emeritus professor and a founding father of modern trauma care.

Please contact the Blaisdell Medical Librarians with any questions. They are there to assist you.

General email: bmlref@ucdavis.edu / | (916) 734‑3529

Librarians:

Bruce Abbott | btabbott@ucdavis.edu | (916) 734‑3529

Amy Studer | acstuder@ucdavis.edu | (916) 734‑0206

Carlson Health Sciences Library, Davis

The Carlson Health Sciences (CHSL) serves the faculty, staff and students of the Schools of Veterinary Medicine, Medicine, and the Dept. of Public Health Sciences.

California Digital Library (CDL)

California Digital Library (CDL) was founded by the University of California in 1997 to take advantage of emerging technologies that were transforming the way digital information was being published and accessed. Since then, in collaboration with the UC libraries and other partners, we assembled one of the world’s largest digital research libraries and changed the ways that faculty, students, and researchers discover and access information.