Administration Basic Sciences Clinical Sciences Centers of Excellence
 
 

Training Sites, Rotation Learning Objectives & Expectations and Policies

Training Sites

To view comprehensive curriculum, goals, and objectives for each training site, click on individual location, below:

Rotation Learning Objectives and Expectations

The learning objectives and expectations for each rotation are reviewed by the fellow and supervising faculty at the beginning of each rotation. To access the appropriate document, click on the rotation below:

Policies

Policy on Duty Hours for Trainees

The Pulmonary/Critical Care Medicine Section recognizes that the physical and emotional well being of trainees dramatically affects their ability to provide quality care for patients and to assimilate the complex medical knowledge essential to developing competence as a subspecialist. As such, the Pulmonary/Critical Care Medicine Section complies with the LSUHSC-New Orleans Institutional Policy on Duty Hours.

  • Fellows will work no more than 80 hours/week of work when averaged over 4 weeks.
  • Fellows will have one 24-hour day out of seven free of Program duties when averaged over 4 weeks.
  • Fellows will have in-house call no more frequently than every third night when averaged over 4 weeks.
  • Continuous in-house duty is limited to 24 hours with up to 6 additional hours for transition of patient care post-call.
  • Fellows will have 10 hours between daily duty periods and following in-house call.

To assure compliance, regular self-reporting of duty hours is supervised by the Program Director. These guidelines for duty hours apply to all institutions where Pulmonary/Critical Care Medicine fellows rotate. The Program Director and Section faculty members will monitor fellows for signs of fatigue and sleep deprivation. Specific feedback related to duty hours and impairment secondary to fatigue will be discussed with each trainee at least semi-annually during performance reviews.

Along with this commitment to limited regular duty hours, the Pulmonary/Critical Care Medicine Section monitors moonlighting activities by fellows. All extracurricular medical practice by trainees of the Section conforms to institutional policies at LSUHSC-New Orleans and must be approved by the Program Director and/or Section Head. Fellows are required to obtain this approval and independent medical malpractice insurance prior to participating in any moonlighting activities. Moonlighting by fellows should not exceed 72 hours per month and should be recorded as clinical service when reporting duty hours.

Non-Teaching Patients Policy

Residents/Fellows evaluate and provide care to patients only under the supervision of teaching faculty. Residents/Fellows may attend to non-teaching patients only when rendering immediate care is required as a matter of professional conduct (e.g. cardiopulmonary resuscitation).

Supervision Policy

  • Fellows are supervised by teaching faculty in all their activities commensurate with the complexity of care being given and the ability and experience of the fellow.
  • Fellows are supervised by teaching faculty in such a way that the fellows assume progressively increasing responsibility according to their level of education, ability, and experience.
  • Schedules for teaching faculty are structured to ensure that supervision is readily available to fellows on duty.
  • Teaching faculty determine the level of responsibility accorded to each fellow.
  • Procedures requiring moderate sedation are directly supervised by qualified teaching faculty unless these procedures are emergent.

Order Writing Policy

Residents/Fellows will write all orders for patients under their care while rotating on the service. To assure proper communication and management, any order that may have a significant impact on patient care will be discussed with the attending physician before being written. If the primary resident/fellow is unavailable, a resident/fellow or attending physician covering for the primary resident/fellow may write orders. The physician writing these orders will notify the primary resident/fellow of these actions as soon as possible. During medical emergencies when the primary resident/fellow is unavailable, the resident covering for them may write the appropriate order.

Moonlighting Policy

Fellows must make a request to, and receive the explicit permission of, the Department Head at the School of Medicine before engaging in any extracurricular medical practice (see moonlighting application form). Further, fellows must receive such permission for any additional extracurricular medical practice which differs in location or nature from that which may have originally been approved, or for any substantive change (increase in frequency or duration) from that which may have been originally approved. Foreign Medical Graduates sponsored for clinical training as a J-1 by ECFMG are not allowed to moonlight or perform activities outside of the clinical training program.

For purposes of this policy, "extracurricular medical practice" activity is medical practice which is not an official part of the undergraduate medical education program, or any post-graduate training medical education program of the School, or any of the School's free-standing affiliated post-graduate medical education programs.

School, by its approval of permission to participated in extracurricular medical practice, is not a party to any such arrangement, nor will the School furnish medical malpractice insurance for extracurricular medical practice, nor defend any claim made against me (malpractice or otherwise) that arises out of, or is in connection with, any extracurricular medical practice.

Grievance Policy

Adverse actions which could significantly jeopardize a Fellow's intended career development are subject to appeal. The process is found in the House Officer Manual (http://www.medschool.lsuhsc.edu/medical_education/graduate/house_officer_manual.pdf)

Counseling and Support

The Campus and Employee Assistance Program is a free service provided by LSU Health Sciences Center New Orleans to assist employees, faculty, staff, residents, and students in resolving personal or work related problems. Information about this service is found at http://www.lsuhsc.edu/no/organizations/campushealth/ceap.htm

Departments and Centers Feedback School Home Search