110-27 Clinical Teaching Activities

Category: 
Administration
Sub-Category: 
Research & Teaching
Subject: 
Clinical Teaching Activities
Policy Number: 
110-27
Effective Date: 
January, 2015
Next Review Date: 
January, 2018
Responsible Manager(s): 
Medical Director
Training Director
Purpose: 

To define Student Health and Counseling Services (SHCS) requirements for clinical teaching activities including documentation of pre-participation eligibility requirements, clearance requirements for infection control compliance, and program participation supervision.

Policy: 

SHCS participates in medical student, resident/fellow, Nurse Practitioner (NP), predoctoral and postdoctoral psychology training programs, as well as public health and Dietitian internships as described in the procedures below.  Initiation of any additional training activities requires approval of the SHCS Executive Committee.

Academic institutions sponsoring students at UC Davis Student Health and Counseling Services (SHCS) will provide an extent of involvement statement for each student discipline participating.  This statement will define the student’s role and provide guidelines for the student experience, including evaluation requirements. 

The health professionals who provide psychiatric/psychological counseling or other sensitive health services to medical students will not have any involvement in the academic evaluation or promotion of the students receiving those services.

SHCS provides training opportunities in the following Medical/Clinical disciplines:

  • Medical Students’ Training, UC Davis School of Medicine
  • Medical Residency/Fellowship Training
  • Preceptorship training of NP students
  • Clinical Dietitian Intern
  • Public Health Intern

SHCS provides training opportunities in the following Mental Health disciplines:

  • Doctoral Psychology Interns
  • Postdoctoral Psychology Residents        
  1. Requirements for Medical/Clinical Trainees
    1. Participants schedule their training activities through the Medical Staff Office with the approval of the Medical Director.
    2. Participants must provide the following documentation before beginning training activities: (Attachment 1).
      1. Appropriate licensure for residents and fellows, such as a copy of their California Medical license and DEA certificate (Controlled Substances)
      2. Verification or copy of immunizations from UC Davis Health System Employee Health Services or sponsoring training program
      3. Verification of annual tuberculosis screening
      4. Complete assigned clinical HealthStream Training
      5. Complete a SHCS Emergency Contact Information form
      6. Signed child and elder/dependant adult abuse forms
      7. A letter stating the individual is in good standing with their training program
      8. Verification of workers comp and malpractice liability coverage by training program (if not UC Davis)
  2.  Requirements for Mental Health Trainees:
    1. Participants schedule their training activities with the Training Director.
    2. Participants must provide the following documentation before beginning training activities (Attachment 2):
      1. Counseling Services (CS) Training Director or designee ensures predoctoral psychology interns and postdoctoral psychology residents possess the educational level that meets the requirements of their particular training assignment at CS.
      2. Complete assigned non-clinical HealthStream Training; other training may be assigned if deemed appropriate
      3. Complete clearance requirements (Attachment 2) if assigned to CAPS Clinic
      4. Complete a SHCS Emergency Contact Information form
      5. Signed child and elder/dependent adult abuse forms
    3. Counseling Interns and Residents who will not staff CAPS Clinic are exempt from infection control requirements (Reference SHCS Policy & Procedure 150-08) at the discretion of the Medical Director in consultation with the Training Director.
    4. Trainee activities must also comply with all APA and APPIC training guidelines, protocols and policies as well as individual job descriptions.                  
  3. Requirements for ALL Trainees:
    1. Participants must observe the following identification and consent practices when providing care in the Student Health and Wellness Center facility:
      1. Name tag identification clearly noting level of training must be worn.
      2. Participants identify themselves and their training status to patients/clients and obtain and document verbal patient consent prior to providing care.
    2. All teaching activities are provided under the supervision of licensed SHCS professional staff.  SHCS staff retains responsibility and authority for all medical/mental health services and cosigns the health record.
      1. Medical/clinical entries are all cosigned by supervising SHCS staff.
      2. Mental health initial assessment and closing summaries are cosigned by supervising SHCS staff. All other case notes include trainee documentation of supervision.
      3. Any documentation or formal communications requiring professional licensure must include co-signature of licensed supervisor.
    3. Orientation for participants
      1. The Medical Director, Training Director, or designees, meets with the trainee and orients them to the SHWC facility and to the area(s) in which they will be working.
      2. PnC training
        1. Once the participant is scheduled for clinic, the Medical Staff Office/Training Director completes an ETR form and forwards to Application Support to set up a one hour training session during the first hour the participant reports to SHWC.
          1. ISG is notified of the trainee’s term of appointment with SHCS so that their access can be cancelled on their last day.
        2. SHCS Application Support will train the trainee on the Basic and Order entry functions. Trainees obtain their confidential password at the time of training.
Procedure: 
  1. Medical Residency/Fellowship Training – Elective Rotations and Sport Medical Clinic Participation
    1. Director of Patient Care Services is responsible for ensuring completion of the checklist for Medical/Clinical Disciplines (Attachment 1); completed checklist with associated documentation will reside in locked file in Medical-Administrative Support Staff office.
    2. Rotations are available to UCDMC affiliated residents who wish to fulfill elective training requirements in a student health clinic setting.  Clinic rotations are arranged by resident and UCDMC resident program director with SHCS Medical Staff Office and approval of the Medical Director.
    3. Sports Medicine specialty clinic participation is available to residents and fellows who wish to include this activity in their training experience.  Participation is arranged for the resident/fellow with the consultant specialist in the designated clinic and coordinated with SHCS Medical Staff Office and approval of the Medical Director.
    4. Residents perform independent patient evaluation in urgent care, primary care and sports medicine clinics.
    5. PnC access and permissions for residents and fellows:
      1. Participants will document their note in PnC.  When completed and signed, they will ‘send’ the note to the attending provider for co-signature. 
      2. All labs and x-rays are entered by the participant and placed under the attending providers name.  The attending provider must sign the orders before the participant can sign the encounter note. 
      3. The attending provider enters referrals.
      4. Prescriptions can be entered by the participants but must be signed/authenticated by the attending provider.
    6. The urgent care, primary care, and sports medicine M.D. supervises all residents’ and fellows’ care.  All cases are discussed and evaluated with the attending physician prior to disposition.
    7. The overseeing attending physician(s) complete the Participant Evaluation Forms as required by the participant’s institutional training program.
  2. Unlicensed Resident, Medical Student, NP, Dietitian Intern, Public Health Intern, Predoctoral Psychology Intern, Postdoctoral Psychology Resident
    1. SHCS Human Resources Manager (or designee) in collaboration with the Director of Patient Care Services and Training Director are responsible for ensuring completion of Mental Health disciplines checklist (attachment 2); completed checklist with associated documentation will reside in locked file in SHCS HR office.   
    2. Rotations are available for medical students, NP students, Dietitian interns, Public Health Interns, Predoctoral Psychology Interns, and Postdoctoral Psychology Residents who wish to fulfill training or preceptorship requirements in a student health setting.
    3. Trainees are assigned to a designated supervising provider (SHCS staff MD or NP preceptor, Dietitian, health educator, or Counseling Services licensed mental health provider) who is responsible for supervision of all medical/mental health care and educational activities.
    4. Rotations are scheduled by the student with the assistance of SHCS Medical Staff Office, the trainee’s program director, SHCS Dietitian, or the Training Director in conjunction with MD/NP/Dietitian/health educator or Counseling Services staff preceptor and approval of the Medical Director and/or Training Director.
    5. Students may perform independent patient evaluation at the discretion of their staff preceptor/supervisor and if granted approval in accordance with their scope of practice guidelines.  Scope of practice guidelines for mental health trainees specific to the work location at SHWC is provided in this policy. (Attachment 3)
    6. The preceptor MD, NP, Dietitian, Health Educator or Counseling Services staff oversees all care.
      1. All cases are discussed with and evaluated by the supervising provider.
      2. Read/write access in the EHR requires pre-approval by the Medical Director and/or Training Director. 
Originated: 
February, 1995
Supersedes: 
January, 2012
References
Related SHCS Policies: 
150-08 Employee Infection Surveillance and Pre-employment Screening
Attachments: 
Office spreadsheet icon Attachment 1 – Medical/Clinical Disciplines Check List
Office spreadsheet icon Attachment 2 - Predoctoral Psychology Intern/Postdoctoral Psychology Resident Check List
Microsoft Office document icon Attachment 3 – Scope of Practice (CAPS Clinic Trainees) Working at SH&WC