UNIVERSITY OF MINNESOTA GRADUATE MEDICAL EDUCATION

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U

NIVERSITY OF

M

INNESOTA

G

RADUATE

M

EDICAL

E

DUCATION

2015-2016

FELLOWSHIP

POLICY & PROCEDURE

ADDENDUM

Department of Medicine

Pulmonary Disease and

Critical Care Medicine

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Introduction and Welcome to New Fellows

On behalf of the faculty, staff, residents and fellows, welcome to the Pulmonary, Allergy, Critical Care and Sleep Division of the Department of Medicine at the University of Minnesota Medical School. We hope that the time you spend with us will be both educational and enjoyable.

This Fellowship Addendum refers to policies and procedures specific to your training program. Please refer to the Institution Manual and the Internal Medicine Program Policy Manual for further policies and procedures on the following: Student Services; Benefits; Institution Responsibilities; Disciplinary and Grievance Procedures; General Policies and Procedures and Administration. Should information in the Fellowship Program Manual or Fellowship addendum conflict with the Institution Manual, the Institution Manual takes precedence.

The Institution Manual can be found on the GME website at:

www.med.umn.edu/gme/Institution Policy Manual/index.htm

The Institution Manual is designed to be an umbrella policy manual. Some programs may have policies that are more rigid than the Institution Manual in which case the program policy would be followed. Should a policy in a Program Manual conflict with the Institution Manual, the Institution Manual would take precedence.” The Internal Medicine Program Policy Manual can be found at the GME website at:

http://www.gme.umn.edu/prod/groups/med/@pub/@med/@gme/documents/content/med_content_495277.pdf

Visa Sponsorship: The J-1 alien physician visa sponsored by ECFMG is the preferred visa status for foreign national trainees in all UMN graduate medical education programs; therefore, the Pulmonary Disease and Critical Care Medicine Fellowship sponsors only J-1 visas. We do not sponsor H-1B visas. More information on the J-1 visa can be found on the UMN-GME webpage:

http://www.gme.umn.edu/central/home.html

Fellows are responsible for: Knowing and adhering to the policies and guidelines contained in this handbook. When in doubt, fellows are responsible for contacting the program coordinator or director. Again, welcome to the program!

Department Mission Statement / Philosophy The mission of the Department of Medicine is to enhance the health of the people of Minnesota, the nation and the world, through innovation and research, education and patient care. It is the mission of the Department of Medicine to provide excellent training in the practice and science of Medicine by immersion in patient care, with emphasis upon critical reasoning, scholarship and professional responsibility, and to promote personal and professional satisfaction.The Pulmonary and Critical Care Fellowship Program Website address is: http://www.dom.umn.edu/pulmonary-allergy-critical-care-and-sleep-medicine/fellowship-program/index.htm

The Division of Pulmonary, Allergy, Critical Care and Sleep Website address is:

http://www.dom.umn.edu/pulmonary-allergy-critical-care-and-sleep-medicine/index.htm

Program Mission Statement

The Program's mission is to provide fellows with extensive clinical experience in all aspects of pulmonary disease, sleep medicine and critical care illness, basic science and clinical research. The Program's

philosophic mission is to develop a sturdy medical knowledge/skill base and professional attributes that allow a fellow to independently and competently practice pulmonary and critical care medicine with a life-long

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Table of Contents

Introduction and Welcome

Department Mission Statement Program Mission Statement

Section 1 – STUDENT SERVICES

Campus Mail

Email and Internet Access

HIPAA and Data Security Training Pagers

Office Space Tuition and Fees

Section 2 – BENEFITS

Stipends

Payroll Information Vacation and Sick Policy

Professional and Academic Leave Leaves of Absence

Unauthorized Leave

Policy on Effect of Leave for Satisfying Completion of Program Health, Dental, and Additional Insurance Coverage

Worker’s Compensation Program Specific Policies and Procedures Professional Liability Insurance

Meal Tickets

Lab Coats/Laundry Policy Parking

Conference Parking Research Expenses In-Service Exam

Section 3 – GENERAL POLICIES AND PROCEDURES Evaluations

On Call Schedules

Duty Hours and Work Environment

Residency Management Suite (RMS)/ New Innovations Monitoring of Well-Being

Completion of GME Web-based Modules via Moodle ACGME Fellow Survey

On Call Rooms, Support Services, Lab Services, Medical Records, Security Job Postings Information

Moonlighting

SECTION 4 - DISCIPLINARY AND GRIEVANCE PROCEDURES SECTION 5 – GENERAL POLICES AND PROCEDURES SECTION 6 – ADMINISTRATION

Pulmonary/Critical Care Fellowship Program Contacts

Pulmonary Allergy Critical Care Sleep Medicine Division Contact Department of Medicine Fellowship Program Directory

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SECTION 1 - STUDENT SERVICES Campus Mail

Each Fellow has a campus mailbox located in the PACCS Division mail and copy room in 350 VCRC. Campus Mail Code is: MMC 276. Many important mailings are also sent directly to fellows’ homes. Fellows must ensure that the Fellowship coordinator always has their current address. Fellows must check their mail sent to their homes and campus mail addresses regularly. Any unclaimed campus mail that appears to be important may be forwarded to the fellow’s home address.

Email and Internet Access

Fellows are assigned a University of Minnesota e-mail account at the beginning of their fellowship. We realize that you may have an existing personal email account. All correspondences from the University of Minnesota will be directed to your U of M account. If you do not plan to check your U of M email account, you may have your mail forwarded to an existing account. For assistance, contact 1-Help at (612) 301-4357. We regularly send announcements about the program via e-mail and we ask that you check email at least once a week. Computers are available for the fellows to use in the Fellows room, C325 Mayo, 350 VCRC, and throughout the medical center facility.

HIPAA and Data Security Training

On April 14, 2003, the federal Health Information (Health Information Portability and Accountability Act), went into effect. HIPAA establishes strict privacy standards--and legal consequences if "protected health

information" is inappropriately disclosed.

"Protected health information" is that information that can be used to identify an individual; it is created when a person has seen a health-care professional, been treated by one, or paid for health services. It can be spoken, on paper, or electronic. It is protected wherever the information is created or received. Under HIPAA, only the minimum information necessary for a specific purpose should be used or disclosed.

To prepare you for compliance with the HIPAA privacy regulations, every University of Minnesota student, faculty member, researcher, and staff person who may have access to "protected health information" must complete the online courses about privacy and data security, before July 1, or the first day of the fellow’s contract.

This is an important obligation imposed by federal law and the University takes this responsibility very

seriously. Members of the University community who do not complete training on time place the University at risk and will be subject to appropriate University disciplinary procedures, which will be directed by this office and implemented through the appropriate channels. This process may include suspension of your internet ID, as well as conventional disciplinary action.

Completion of HIPAA training courses is required. If you are new to UMN, you will need to complete all required courses. These courses have been assigned to you and will show up on your ULearn Transcript (as detailed in your RMS Onboarding Checklist).

If you have previously held a UMN student or employee role prior to your resident/fellow role at UMN, you may not need to complete the HIPAA training courses again. If this is the case, the courses have NOT been

assigned to you and will not show up on your ULearn Transcript: https://it.umn.edu/sign-ulearn. Note: You will need to activate your x500 (email account, see above) before being able to access your training modules. If you are unsure if you need to complete UMN HIPAA trainings, contact Tanya (tmadson@umn.edu).

For more information on HIPAA and Data Security, go to the Privacy and Security Project Web site at http://www.privacysecurity.umn.edu/, e-mail privacy@umn.edu, or call 612-624-7447.

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University Pager

Each fellow will be given an alpha numeric pager and unique pager number assigned only to him/her. Pagers have an 80-mile radius. Batteries for pagers are available at all Medicine Offices at each of the hospital sites. For repair, fellows should turn in their pagers to the UMMC Information desk located in the Lobby and a temporary pager will be assigned.

First year fellows, additionally, will be assigned a pager for rotations scheduled outside the University. If you are assigned a second pager – wear both. Thanks!

The pager number for each site is as follows: Regions: 651-629-0358.

VAMC: 612-818-1674.

HCMC: 612-336-0502.

Office Space

Office space is provided in C325 Mayo. This is a secure area where UMN fellows can keep belongings, study and use shared computers. Please request a key from Kristine Christopherson.

Tuition and Fees

Tuition and fees are being waived at this time. Trainees who are enrolled in Graduate School pay tuition and fees.

SECTION 2 - BENEFITS

Stipends

Stipends paid to fellows will be dependent on the range of remuneration negotiated between the Association of Teaching Hospitals and the University of Minnesota. For the 2015-2016 stipends, please see

http://www.gme.umn.edu/residents/stipendinfo/home.html

Payroll Information

Fellows are paid bi-weekly (every other Wednesday). If you have direct deposit (encouraged) your statement will be accessible on-line only. To access go to “Employee Self Service” at the Office of Human Resources (OHR) http://hrss.umn.edu/. You will need your x.500 number (the beginning of your email address) and your own password. Please note that your first check may not be for a full pay-period depending on where your start date falls in the pay period).

Vacation and Sick Policy

 In accordance with ABIM policy, all fellows will be given one month (i.e., four weeks) of leave, to be used for both vacation and sick leave. Any leave that exceeds one month will be unpaid and must be made up at the end of the training. There is no carryover of vacation or sick time from one year to the next. For details, please refer to the ABIM policy located on the web at www.abim.org .

 For sick time, Fellows must contact the program’s fellowship coordinator and the faculty they are working with. Sick leave will be approved for legitimate illness.

 Allotted vacation time is 3 weeks. First year fellows are allowed to take one week of vacation at a time during the first year clinical rotations. One week means 5 weekdays Monday-Friday plus one weekend. If a holiday falls within the week of vacation, you do not get extra vacation days. Any exceptions to this one full week policy must be approved by the program director. Vacation days cannot be carried over to your next academic year.

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First year fellows are allowed to take 1 day, complements of the program, to take board exam. Additional time off to study for the exam follows the one week of vacation at a time rule.

 Please be aware that any request for vacation time which will necessitate clinic cancellation at any site must be submitted to the fellowship coordinator 90 days in advance to allow time for approval and submission to the scheduling offices (requires 100 days notice).

 As a courtesy to Faculty, any request for vacation time that will not necessitate clinic cancellation must also be submitted one month in advance.

 First year vacation requests must be submitted 2 months prior to the requested time off.

 A specific vacation request will not be approved until the fellow has completed required paperwork which include, but are not limited to, evaluations, patient dictation, and RMS New Innovations duty hour logs.

 An Absence Request form must be filled out and signed by your Site Director and then delivered to the PCC fellowship coordinator for final approval and turned into the Director at your site. Absence Request form (fillable PDF) are accessible anywhere by logging into the PCC Fellowship moodle2 website

www.moodle2.umn.edu. The form is also available in your orientation binder. First year fellows:

o Vacations should be split into 3 full weeks, with no more than one week at a specific hospital.

o Coverage for absences at UMMC will be assigned to your 2nd and 3rd year colleagues

o No vacation may be taken during the last week of the fellowship for first year fellows.

o Only one first year fellow may be on vacation at a time - requests will be honored on a first-come, first serve policy.

o One vacation request is due from first year fellows by the end of July.

o Please do not take vacation during the University consult rotation unless there are special circumstances approved by the PD.

Senior fellows: Vacations should not be taken from clinical rotations, except under exceptional circumstances with special permission. Please fill in the appropriate form and turn it in as above. If a senior fellow wants to take more than one week of vacation at a time, this must be approved by the program director.

Once a vacation has been processed it cannot be changed.

Professional and Academic Leave

Usually first year fellows do not attend professional meetings. If you are submitting an abstract for presentation at a meeting please obtain ADVANCE permission, and if necessary, coverage and funding to attend the meeting. Sometimes funded special opportunities for meeting attendance are provided to the Division, we will distribute based on interest and trying to balance out everyone’s opportunities.

For senior fellows, we expect fellows to attend one meeting per year - usually ATS, but this may vary depending on the type of research. Fellows are expected to present original research with their assigned research mentor at least once during the two years,

otherwise travel may not be reimbursed for a second meeting. Individuals paid by the training grant have travel money included in the grant. For individuals paid by other sources, each site has funds that help support travel to one meeting per year. Frequently we can obtain scholarships to support fellow attendance at meetings. Fellows have 5 days/year educational leave in the second and third years to attend meetings. Use of more than this requires written approval from the Program Director.

Travel costs are expected to be minimized by sharing rooms, early registration, etc. For major meetings, we will set a reasonable standard amount of money that a fellow can expect to have reimbursed. Costs exceeding this may not be paid without written prior approval from the Program Director. All travel expenses must be

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documented by detailed original receipts - credit card statements are not sufficient. Alcohol will not be reimbursed. For all travel MEALS, there is a specified per diem amount that is established for each city and costs exceeding this amount will also not be reimbursed. Requests for reimbursement must be turned in within 30 days after travel. For more information about University Travel Services, visit http://travel.umn.edu/. Requests for reimbursement must be turned in within 30 days after travel.

ANY SCHOLARLY WORK PRESENTED MUST BE LISTED AS “SUPPORTED BY THE DIVISION OF PULMONARY, ALLERGY, CRITICAL CARE AND SLEEP MEDICINE, UNIVERSITY OF MINNESOTA MEDICAL SCHOOL”.

Emergency leave, leave for examinations, or other absences may be authorized by the supervising faculty and the Program Director, depending on the circumstances.

Leaves of Absence

For information on the following leaves, please see

http://www.gme.umn.edu/InstitutionPolicyManual2013/index.htm

 Bereavement Leave

 Parental Leave

 Medical Leave

 Family Medical Leave Act (FMLA)

 Holidays

 Jury/Witness Duty

 Military Leave

 Personal Leave of Absence

Unauthorized Leave Unexcused or unsupportable absences or unauthorized leave and therefore significant tardiness from any mandatory clinical or educational activity constitute unprofessional conduct. Under your signed employment contracts, unprofessional conduct is one behavior which will subject the resident to discipline for non-academic reasons. Such discipline may be in the form of a written warning, probation, suspension or termination.

Policy on Effect of Leave for Satisfying Completion of Program

All fellows must meet the thirty-six month training requirements established by the American Board of Internal Medicine. Fellows may miss one month per year or three months per fellowship, including vacations, sick leave, LOA, etc. Time in excess of three months, whether for vacations, sick leave, maternity or paternity leave must be made up to meet this requirement. Any request for an LOA should be considered carefully, as it will invariably create difficulties for the training program and your fellow residents. A requested LOA must be discussed with the Program Director. The Program Director must approve your request atleast three months prior to the requested LOA date. Exceptions may be made if the request falls under the definition of the Family Medical Leave Act (FMLA). Please see Part A of this manual for the Medical School policy on FMLA. Do not assume that an LOA will be granted automatically. Obtain approval before making plans. Requests need to be submitted to the Program Director 3 months in advance.

Health, Dental, and Additional Insurance Coverage

Please see the following website www.shb.umn.edu/twincities/residents-fellows-medical.htm with descriptors of the following insurance coverage:

 Health & Dental

 Short and Long Term Disability Coverage

 Professional Liability Insurance

 Life Insurance

 Voluntary Life Insurance

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Worker’s Compensation Program Specific Policies and Procedures

Please see the GME website under “Resident and Fellow Resources” at

http://www.gme.umn.edu/InstitutionPolicyManual2013/index.htm) for a detailed description of Worker’s

Compensation policy and the procedure for needle sticks.

Professional Liability Insurance

Moonlighting activities and any activities that are not part of the formal education program are not covered under the University of Minnesota professional liability policy.

The fellowship program’s current liability insurance policy is # RUM-1005-14.

Meal Tickets

There is no allotment for meals to fellows in Pulmonary/Critical Care.

Lab Coats / Laundry Policy

New Fellows Only: You will receive two embroidered lab coats on the day of your orientation. Returning Fellows: Please notify the Program Office if there is a need to replace your coat.

Lab coats used at Fairview mustbe laundered through the hospital laundry facility. Fellows are not allowed to launder them themselves.

Parking

Parking is provided for first year fellows at each hospital and 2nd/3rd year fellows on clinical rotations. Fellows can pick up their parking card from the PACCS Education desk in 350 VCRC on the first day of their rotation. Please notify fellowship coordinator if arrangements have been made to get parking card from fellow previously on that service. Parking cards MUST be turned in at the end of the last day of the rotation so that it may be given to the next fellow on the rotation. Return parking cards to a PACCS staff member that can verify receipt of the parking card and check you off the sign-in sheet. If the parking card is not received promptly, the fellow will be assessed the daily cost of the division parking coupon ($12/day) that would have to be used by the next fellow until the parking card is returned.

Afterhours and weekend parking is available to residents and fellows on both the East Bank and West bank campuses. Afterhours parking begins at 4:30pm, Monday - Friday and all day Saturday and Sunday. In order to utilize afterhours parking you must follow the procedure outlined in the “University of Minnesota Medical Center, Fairview/Resident/Fellow Parking Policy” at

http://www.med.umn.edu/gme/prod/groups/med/@pub/@med/@gme/documents/content/med_content_33769 4.pdf.

Fellows on the UMN Training Grant: Currently parking cards are not provided to fellows doing training grant research months. Only when a parking card is not needed (declined) by a fellow doing a clinical rotation is the parking card offered to a training grant fellow.

Conference Parking

Parking is provided to attend required conferences. At HCMC, contact the secretary to obtain parking stickers. At UMMC, fellows can sign in at the PACCS Education desk and receive a parking coupon. The UMMC parking coupon can be used in the East River Road Ramp, Oak Street and Washington Avenue ramps. At Regions, tickets will be provided at the conference. Parking sticker/coupons will not be issued if fellows are not current on logging duty hours in the New Innovations/Residency Management System (RMS).

Research Expenses: Fellows supported on the training grant have some dedicated money for their training grant related research. For non-lab investigators this can be used for computer software and books directly related to your research. This money can also be used to help supplement travel expenses. For fellows not on

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the training grant, research expenses should be provided by the Mentor and site. Some sites have special funds set aside for research support.

In-Service Exam

Second-year fellows will take a computer based examination that is offered once yearly and has been constructed to assess knowledge in the fields of pulmonary and critical care medicine. It was developed to provide trainees in pulmonary disease and critical care medicine fellowship programs feedback regarding their individual knowledge base as they progress through their training. It was also developed to provide feedback for training program directors about the training program curricula. The examination has been developed as a "low stakes" examination and is not intended to be used as a basis for promotion during or graduation from the program.This exam is designed to test your level of knowledge in areas of pulmonary disease and critical care medicine to help you prepare for boards. This exam is taken nationally, and we now have several years of experience looking at the results. Based on prior local and national scores, we expect that our fellows should score at the 75th percentile or above on the in-service exam. Fellows scoring below this level will be

encouraged to delay their first board examination until after graduation, and may be given the exam again in year 3 to assess for improvement.

Section 3 – GERNERAL POLICIES AND PROCEDURES Evaluations

Evaluations will be generated electronically by the RMS/New Innovations system

https://www.new-innov.com/login/. Other evaluations are paper-based and require you to distribute to the intended evaluator. Fellows

 First-year fellows will be evaluated monthly during the basic clinical year. The evaluation will be conducted by your attendings for the month. All faculty are expected to complete their evaluations of fellows within four weeks of completion of the rotation. Faculty are also expected to provide end-of-rotation feedback to the residents. Please access and read your evaluations regularly!

 Second and third year fellows will be evaluated on their clinical rotations, research, and sub-specialty clinics (if applicable).

 All fellows will be evaluated on their continuity clinics.

 Fellows will also need to complete mini-CEX bronchoscopy evaluations. (First years must return two from each quarter).

 Fellows will be evaluated on case review presentations at conference 1-2 times each year. See sample evaluation form

Faculty

You will have an opportunity to evaluate each of the faculty members who are directly involved in your supervision each month. Please note that your evaluation is kept anonymous. Evaluations are grouped and not released to faculty until there are enough evaluations to ensure anonymity.

Program

You will be required to evaluate the program at least twice during your training:

1. At the end of each year, giving you an opportunity to express your views on the pros and cons of staff, faculty, curriculum, rotation site, etc.

2. At the end of your fellowship training program providing an overall (exit) evaluation on the program. Patients and Clinic Staff

Every fellow will be given copies of 360 Evaluations for the UMMC ICU, UMMC Consult Service, and UMMC Continuity Clinic (if applicable). Fellows are required to distribute these evaluations. Envelopes are attached so that patients (and families) and clinic staff can return directly to our office. For fellows with Regions continuity clinics, patient evaluations are collected by the clinic staff, and are released in aggregate form to fellows on a regular basis.

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Program Director Semi-annual Evaluation of Performance (SEP) Session Each resident meets twice yearly with the Program Director to review evaluations, conference attendance,

procedural logbooks, and to provide feedback to the program. These mid and year-end evaluations are also placed in the fellows' RMS Portfolio file and are readily accessible for review.

Your completed evaluation is one of the tools we use in improving the quality of our training program. In addition, after you graduate, we will periodically ask for feedback from you regarding your training.

On Call Schedules

There is no required in-house call. Beeper call from home varies, depending on the rotation. The schedule is distributed at the beginning of the year, with some sites scheduling weekends and night call on an ongoing basis. The University Minnesota Health (UMG) call schedule can be viewed monthly via AMION at

www.amion.com (PW: paccmed350*). This schedule is frequently updated so please check regularly.

Duty Hours and Work Environment

Beginning times vary for each hospital but in general, it is 8:00 a.m. until the work is finished (usually around 6:00 p.m.). When averaged over any 4-week rotation or assignment, fellows must not spend more than 80 hours per week, or 30 continuous hours performing patient care duties. Please notify the program director if this occurs so that we can address this! There are three reasons, according to the ACGME, under which justifications are acceptable: 1) To observe or participate in a rare education activity, 2) to serve a single patient who is very ill or unstable, 3) to serve a patient and his or her family for humanistic reasons. Duty hours are defined as all clinical and academic activities related to the training program, i.e. patient care,

administrative duties related to patient care, the provision for transfer of patient care, time spent in-house during call activities and scheduled academic activities such as conferences. Duty hours DO NOT include reading and preparation time spent away from the duty site. In compliance with ACGME guidelines, fellows will have one day off per week on average (weekends).

The training program provides adequate time for rest and personal activities which consists of a 10-hour time period provided between all daily duty periods. If you think these guidelines are being exceeded, PLEASE contact the program director.

Residency Management Suite (RMS)/New Innovations

All fellows will receive RMS training on orientation day where the duty hours “painting” system will be introduced. Fellows are responsible for “painting” in their hours worked. It is expected that fellows log in to RMS at least every three days to enter in hours; however, daily entering would be ideal. For all questions related to RMS, please contact Fellowship Coordinator, Kristine Christopherson. Kristine will be checking compliance and will send reminders with deadlines. Painting in duty hours is a program requirement. Failure to comply with these requirements is considered unprofessional behavior and as such will be included in your evaluations.

Please note that forms such as vacation requests, moonlighting forms, or verification of training will not be filled out by the Program Coordinator or Program Director unless RMS is up to date. Fellow parking tickets/coupons at conferences may not be validated if RMS is not up to date.

Monitoring of Well-Being

The program director will monitor duty hours, days off, and adequacy of rest at all sites by reviewing RMS duty hour reports and informal communications. The attending physicians are responsible for monitoring the duty hours, days off and adequacy of rest, levels of stress for fellows under their supervision, and report any excesses to the program director. The program encourages fellows to recognize their own levels of stress also, and to seek the advice of their attending physician or program director if stress becomes too great. The Program Director and faculty will monitor and adjust schedules as necessary to mitigate excessive service demands and/or fatigue. In addition, the Program Director will monitor the need for and ensure the provision of

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back up support systems when patient care responsibilities are unusually difficult or prolonged. Please notify the Program Director if these situations are impending.

Fellows are required to review the online module about Sleep Deprivation and Fatigue. See below: Information regarding this can be accessed at: GME/Resident and Fellow Resources/Well-Being Tools

http://www.gme.umn.edu/residents/wellness/home.html

Completion of GME Web-based Modules

GME Administration offers a variety of required pre-orientation topics via RMS onboarding for all new incoming residents and fellows. Incoming residents and fellows are able to complete these modules at their own pace before arriving to the U of M, and compliance is tracked by GME Administration.

Modules: All new incoming residents/fellows must complete the following modules,

1. Central Line Placement (optional for fellows)

2. Sleep Deprivation and Fatigue 3. SBAR

4. Impairment/Drug and Substance Abuse

Contact person for Pre-Orientation Modules: Tanya Madson at tmadson@umn.edu.

ACGME Fellow Survey

The ACGME survey’s trainees yearly to ensure compliance with ACGME guidelines. A copy of sample surveys and instructions can be found at

https://www.acgme.org/acgmeweb/tabid/97/DataCollectionSystems/ResidentFellowSurvey.aspx

Job Postings/ Information

The PACCS Education office keeps a bulletin board posted with current academic job requests/position

openings. This bulletin board is located in the hallway outside of the PACCS conference room,300 VCRC. Any job info sent to the program by email is forwarded to the fellows directly.

Moonlighting

Moonlighting is a privilege, not a right. If you are interested in moonlighting you must complete the “Standard

Moonlighting Request Form” (available on the program’s RMS homepage) and present it to your fellowship coordinator for the program director’s consideration. Your program director may deny or approve the request. (Note: Without prior approval, Verification of Training requests will be fulfilled). The completed request form will be saved in the files and notes section of your personnel record in RMS.

 You are not required to engage in moonlighting activities.

 You are required to obtain prospective permission (one form for each site) annually and as changes to your training program requirements or previously approved moonlighting activities occur.

 The University of Minnesota professional liability for trainees does not cover moonlighting or any other activities outside the curricular component of the training program. You must obtain separate

professional liability insurance which covers any liability for this moonlighting activity

 You must have a valid Minnesota Medical License issued prior to the beginning of any moonlighting activity that required a medical license, and that the license must be renewed prior to the expiration date.

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 Moonlighting must not interfere with your ability to achieve the goals and objectives of the training program. Moonlighting activities are not part of the educational curriculum in the University of

Minnesota residency and fellowship programs. This activity (i.e. procedures) will not be credited toward my current training program requirements.

 Moonlighting activity is outside the course and scope of your approved training program. Moonlighting activities are prohibited during regular program duty hours as defined by your Program Director. Not while scheduled on clinical services and not more than 300 hours (avg. 24 hours/month) per an academic year.

 Time spent moonlighting (internal or external) must be reported as a part of duty hour monitoring in the Residency Management Suite (RMS) and must be included in assessments of compliance with

ACGME duty-hour requirements. Moonlighting activities must not interfere with meeting the duty hour requirements.

 Violating the Moonlighting Policy set forth in the Institution Manual and your Program Manual is grounds for discipline under Section VI of the Residency/Fellowship Agreement.

 Your program director has the right to rescind approval of moonlighting at any time.

See your Internal Medicine Program Policy manual about the following (see link below): On Call Rooms Support Services Laboratory/pathology/radiology services Medical Records Security/Safety http://www.med.umn.edu/gme/programresources/programmanuals/home.html ACLS/BLS Certification

All fellows are required by ABIM to keep their BLS and ACLS training certification current. In general, the PACCS Division Faculty schedule training sessions twice a year in the fall and spring time. In the worst case scenario, if you miss the PACCS training, you may be able to schedule a course with a different group, or look into training at the VA. Please, if your certificate expires this year, please contact Tracy Brown 612-626-3773 to schedule a class.

SECTION 4 -DISCIPLINARY AND GRIEVANCE PROCEDURES

“The Institution Manual is designed to be an umbrella policy manual. Some programs may have policies that are more rigid than the Institution Manual in which case the program policy would be followed. Should a policy in a Program Manual conflict with the Institution Manual, the Institution Manual would take precedence.”

www.med.umn.edu/gme/Institution Policy

SECTION 5 - GENERAL POLICIES AND PROCEDURES

www.med.umn.edu/gme/Institution Policy

SECTION 6 - ADMINISTRATION

www.med.umn.edu/gme/Institution Policy

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Fellowship Program Director Melissa King-Biggs, MD Kingx048@umn.edu;

Melissa.B.KingBiggs@HealthPartners.com

Fellowship Program Coordinator Kristine Christopherson paccsedu@umn.edu Sr. Administrator (UMH) Funmi Thompson Thomp014@umn.edu Division Director (UMH) David Ingbar, MD Ingba001@umn.edu Site Director (HCMC) Bob Shapiro, MD Robert.Shapiro@hcmed.org CC Coordinator (HCMC) Cheryl Christenson Cheryl.Christenson@hcmed.org Pulm Admin (HCMC) Wendy Yates Wendy.Yates@hcmed.org Site Director (VAMC) Christine Wendt MD Wendt005@umn.edu VA Coordinators (VAMC) Kimberle Fischbach (until 12/31/15)

Kara Rosen-Villarreal

Kimberle.Fischbach@va.gov

Kara.Rosen-Villarreal@va.gov Site Director (RGHP) Petr Bachan, M.D. Petr.X.Bachan@HealthPartners.com

Pulm Admin (RGHP) Elizabeth (Bess) Farrell Elizabeth.A.Farrell@HealthPartners.com

Site Director (Methodist) Nicolette Myers myersn@parknicollet.com Pulm Admin (Methodist) Mary Horsch

Jennifer Lutz

Mary.horsch@parknicollet.com

Jennifer.lutz@parknicollet.com

Pulmonary Allergy Critical Care Sleep Medicine Division Contact

http://www.dom.umn.edu/pulmonary-allergy-critical-care-and-sleep-medicine/contact-us-staff/index.htm

Department of Medicine Fellowship Program Directory

http://www.dom.umn.edu/education/fellowship-programs/index.htm

Confirmation of Receipt of your Fellowship Addendum for Academic Year ________

By signing this document you are confirming that you have received and reviewed your Fellowship Addendum for this academic year. This policy manual contains policies and procedures pertinent to your training program. This receipt will be kept in your personnel file.

Fellow Name (Please print) _______________________________________________ Fellow Signature ________________________________________________________ Date __________________

Coordinator Initials ________________ Date __________________