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Resident Learning Environment Policy

I. Purpose of Policy

The purpose of this policy is the expectation of how the Dartmouth-Hitchcock Graduate Medical Education Office (GME) provides appropriate support services to minimize the work of residents extraneous to the educational programs as per the Institutional Requirements set forth by the accrediting body: Accreditation Council for Graduate Medical Education (ACGME).

II. Policy Scope

The policy applies to all ACGME-accredited Dartmouth-Hitchcock (D-H) residency and fellowship programs.

III. Definitions

Resident: Any physician in an accredited graduate medical education program, including interns, residents, and fellows.

IV. Policy Statement

  • Residents on duty in the hospital must be provided adequate and appropriate food services and sleeping quarters.

  • Patient support services including an intravenous team, phlebotomy services, laboratory services, and transportation services must be provided in a manner appropriate to, and consistent with, educational objectives and patient care.

  • An effective laboratory and radiologic information retrieval system must be in place to provide for appropriate conduct of the educational programs as well as timely, high quality patient care.

  • A medical records system that documents the course of each patent’s illness and care must be available at all times and must be adequate to support patient care, the educational needs of residents, quality assurance activities, and provide a resource for scholarly activity.

  • Appropriate security and personal safety measures must be provided to residents in all locations including but not limited to parking facilities, on-call quarters, hospital and institutional grounds, and related clinical facilities.

  • Educational materials to support patient care in the working environment (e.g. computer with internet access, biomedical library materials, etc.) must be available at all times.

  • Patient Safety: D-H must ensure that residents have:
    • Access to systems for reporting errors, adverse events, unsafe conditions, and near misses in a protected manner that is free from reprisal.
    • Opportunities to contribute to root cause analysis or other similar risk-reduction processes.

  • Quality improvement: D-H must ensure that residents have:
    • Access to data to improve systems of care, reduce health care disparities, and improve patient outcomes.
    • Opportunities to participate in quality improvement initiatives.

V. References

Accreditation Council for Graduate Medical Education, Institutional Requirements, effective 7/2015. http://www.acgme.org/Portals/0/PDFs/FAQ/InstitutionalRequirements_07012015.pdf

D-H Policy ID: 11272