This is unpublished

new residents for orientation week

 

Dermatology Trainee Position Description and Essential Functions

Position Identification: Resident

Position Summary 

Dermatology training at the University of Washington is undertaken with the goal and expectation of training thoughtful, knowledgeable and accountable dermatologists who are able to diagnose and treat any cutaneous disorder. Dermatology residents at the University of Washington must have completed one year of general post-graduate training.  Residents are expected to demonstrate a comprehensive understanding of the pathophysiology and management of dermatologic conditions affecting adults and children. They must also demonstrate competence in procedural dermatology and dermatopathology.  Moreover, trainees are expected to demonstrate excellence in interpersonal professionalism and patient care, recognizing the psychosocial burden of illness and the impact of social determinants of health on patients. Residents will also cultivate practices that allow for ongoing curiosity and lifelong learning.

General Overview of the Resident Role

A resident’s responsibilities include patient care responsibilities within the scope of their clinical privileges commensurate with level of training and other responsibilities required of all members of the medical staff. Under the supervision of attendings, general responsibilities of the resident may include:

  • Initial and ongoing assessment of patients’ medical, physical and psychosocial status
  • Performing history and physical examination
  • Developing assessment and treatment plan
  • Performing rounds
  • Recording documentation, including progress notes, admission notes, procedure notes and discharge summaries
  • Ordering tests, examinations, medications and therapies
  • Arranging for discharge, referral and after care.
  • Providing patient education and counseling about health status, test results, disease processes and transition of care planning
  • Performing procedures
  • Assisting in surgery
  • Teaching and evaluating junior learners, such as medical students

UW GME Expectations for Professional Behavior

Essential Functions

Essential functions are the fundamental job duties of the position that cannot be eliminated or substantially modified without changing the nature of the position.

A job function may be considered essential for the following reasons:

  • The reason the position exists is to perform that function
    • Resident educational requirements and patient care responsibilities
  • A limited number of available residents can perform that function
  • Varies by program, rotation, year, risk pools, etc.
  • The function may be highly specialized so that the trainee in the position is hired for their expertise or ability to perform the particular function
    • Cannot easily hire more trainees, especially of a specific R level
  • The percentage of time spent on a function does not determine whether or not it is essential.

Essential functions for GME residents must include consideration of:

  • ACGME program requirements
  • Specialty board requirements
  • UW program requirements
    • Unique to each UW training program and must consider:
      • Complexity of rotations/service requirements
      • Size of program
      • Structure and depth of risk pools
      • Please refer to the program’s Clinical Coverage Policy
    • Inclusive of the hospital system requirements:
      • Rotations dependent on residents’ service for patient care
      • Coverage options available

A resident must perform the position’s essential job functions with or without an approved reasonable accommodation. Reasonable accommodation means modifying or adjusting practices, procedures, policies, job duties, or the work or application environment so that a qualified individual with a disability can still perform a position’s essential functions. Approved reasonable accommodations are determined via an interactive process involving the resident, DSO/HR/GME and the program.

Essential functions ensure the safe and smooth delivery of education and patient care and are identified in alignment with program aims to facilitate trainee readiness for independent practice across an appropriate range of clinical settings for that specialty. Transparent documentation of a program’s essential functions is also an important resource for applicants evaluating the training program during recruitment.

Essential Program Administrative Functions

Onboarding

The Resident must:

  • comply with all program and institutional tasks required for credentialing and onboarding by the requested deadlines

Program Tasks and Documentation

The Resident must:

  • participate in all requests for schedule preferences, requests for absence or schedule changes of requests for clinical coverage on the requested timelines or deadlines.
  • complete in a timely manner all evaluations requested for medical students, peer residents, faculty, didactics presentations, or other members of the team
  • complete MedHub clinical and educational hour logs within 7 days 
  • complete case or procedure logs regularly
  • complete the annual ACGME Resident Survey
  • complete the program’s annual confidential internal survey
  • complete required examination preparation and/or testing requirements, to include USMLE or COMLEX Step 3, in-training examinations and program-specific guidelines for national board certification
  • attendance at all required program meetings, including semiannual meetings, mentorship meetings, program retreats, check ins with leadership, check ins with training site directors
  • complete updated Individualized Learning Plan in preparation for semi-annual reviews
  • update scholarly activity logs regularly
  • read and respond to emails at least 2x per week
  • regularly log on to SCH and VA computer systems to maintain remote access
  • complete site or rotation specific onboarding such as SCH red carpet, FHCC computer access tasks, Kaiser and Epiphany onboarding for the surgery rotation

Essential Program Core Educational Functions

Didactics

The Resident must:

  • Comply with all standards for attendance at didactics or other core educational activities by arriving on time
  • Adhere to the preferred mode of attendance (in-person on Wednesdays, virtual on Thursdays)
  • When participating virtually, have cameras on
  • Submit evaluations of faculty didactics presentations at the end of each session
  • Participate in the presentation of patients at Patient Care Conference
  • Complete one grand rounds lecture on the topic of their choice during the second or third year of dermatology training
  • Utilize the Dermres Outlook calendar for didactics schedule details and other program activities
  • Arrive prepared for resident-led readings and quizzes, and faculty-led journal clubs
  • Complete all required readings to be prepared for didactics

Scholarship

The Resident must:

  • Comply with all program or specialty requirements for research or scholarship, quality improvement, national or regional conference presentation, publication or scholarly writing or teaching and presentations internal to the program (e.g. journal club, didactics, case conference, M&M, etc.)
  • Participate in at least 1 quality improvement project during residency
  • Contribute to at least one research project or publication over the course of three years of training

Essential Patient Care Functions

Presence and preparedness

The Resident must:

  • present to work as physically, mentally and emotionally fit for duty
  • arrive at the patient care setting on schedule
  • arrive at work in attire appropriate for the professional and safe delivery of patient care
  • meet expectations for chart review or pre-rounding
  • satisfy expectations that precede sign-out and/or departure from the clinical setting, including an appropriate handoff and follow up on all patient assessments/data/studies that will alter care in the near term.
  • Remain in clinic until all patients have been seen and their care coordination completed

Administrative

The Resident must:

  • complete patient health record documentation on the schedule prescribed by the program or medical center. (Examples include but are not limited to progress notes/visit summaries, discharge summaries, operative or procedure notes, perioperative records)
  • comply with expectations for EHR inbox management, including timely responses to messages from patients or medical staff, tracking /patient follow up of expected results, sign-out of inbox if away on PTO

Patient Care Communication

The Resident must:

  • respond in a timely manner to pages, phone calls and Epic Secure Chat
  • remain within the program-prescribed geographic range while on call or eligible for coverage

Patient Care Volumes

The Resident must:

  • work toward (with supervision) or meet benchmarks for patient care volumes in all clinical settings
  • appropriately request and utilize supervision
  • work toward or ultimately meet procedure certification standards

Consultation

The Resident must:

  • appropriately respond to, triage, and staff consultations in a timely manner
  • document findings and recommendations in a timely manner
  • communicate with the requesting service directly (e.g. in-person, phone) in advance of and following the assessment
  • ensure that consultations are staffed and finalized with a faculty member in a timely manner

Essential Shift and Schedule Functions

Settings

  • complete assigned shifts in settings deemed essential by the program, such as inpatient units, outpatient specialty and primary care clinics, dermatopathology suite
  • complete assigned away rotations deemed essential by the program

Shift length and timing

The Resident must:

  • complete all clinical shifts as listed on Site Rotation Profile schedules on the Derm Intranet, adhering to clinic beginning and end times
  • if attendings are away, residents are still required to be on site and rotate with the listed back up attending
  • prepare for rotations by reviewing Site Rotation Profiles in advance, completing any advanced reading, understanding the goals and expectations, and adhering to the schedules
  • residents are not allowed to leave clinic early for travel related to vacation or professional leave, they must use paid time off
  • complete all weeks of home call (11-13 over the course of 3 years)
  • where appropriate, comply with designated break lengths (to meet personal needs and not impact patient care)

Call Responsibilities

The Resident must:

  • complete assigned shifts of home call, as deemed essential by the program
  • remain within the prescribed geographic range while on call or eligible for coverage
  • complete approximately 11-13 weeks of overnight call over three years of training

Essential Cognitive Functions

Intellectual Abilities

  • Comprehend and learn factual knowledge from readings and didactic presentations
  • Gather information independently 
  • Analyze and synthesize learned material and apply to clinical situations
  • Develop sound clinical judgment and exhibit well-integrated knowledge about the diagnosis, treatment, and prevention of illness
  • Identify and set priorities in patient management and professional work
  • Be comfortable with uncertainty and ambiguity in clinical situations
  • Seek the advice of others when appropriate
  • Develop habits of life-long learning, resilience, and a growth mindset

Essential Communication Functions

Basics of Communication

  • Gather pertinent information
  • Explain medical information in a patient-centered manner
  • Listen effectively
  • Recognize, acknowledge and respond to emotions
  • Exhibit sensitivity to social and cultural differences
  • Work cooperatively with supervisors, trainees, and other team members
  • Exercise discernment

Behavioral, Social and Professional Abilities

  • Exhibit compassion, empathy, altruism, integrity, responsibility and tolerance
  • Interact productively, cooperatively and in a collegial manner
  • Possess the emotional maturity and stability to function in stressful situations
  • Adapt to circumstances that change rapidly and/or are unpredictable
  • Engage in teamwork and team building
  • Be punctual and perform work in a timely manner
  • Be sensitive to social and cultural differences

Essential physical functions

Motor Skills

  • Physical dexterity to master technical and procedural aspects of patient care
  • Physical stamina and energy to carry out taxing duties over long hours
  • Upper extremity manual dexterity to perform complex diagnostic and therapeutic dermatologic procedures (e.g. skin biopsy, cryotherapy, excision, intralesional injections)
  • Physical strength to lift up to 50lbs

Sensory Abilities

  • Gather information with all senses, especially sight, hearing, smell and touch, to collect a medical and psychosocial history, perform a physical examination, diagnose and treat a patient

The use of a third party for the fulfillment of an attribute is not adequate.

Statement Of Nondiscrimination

The University of Washington prohibits discrimination, harassment and sexual misconduct in any education program or activity that it operates. Individuals may report concerns, make complaints, or direct inquiries to the Civil Rights Compliance Office. View the Statement of Nondiscrimination.

This document reflects requirements, established practices, policies, procedures, and resources as of the date of publication; however, parts of this document may be updated from time to time in accordance with changes in the law and applicable requirements, established practices, policies, procedures, and resources. Continued participation by a resident in the program will demonstrate agreement by the resident to adhere to the updates. The program will communicate such change at least two weeks in advance.