RESIDENT MANUAL
Table of Contents
2009/2010
General Policies
General Information
Downtown Information
Guidelines by Hospital
Sinai-Grace
DRH/Harper
Huron Valley/POH
GCH
Rotation Goals and Objectives
Evaluation Protocol
Moonlighting and Other Activities Protocol
Work Hour Protocol
Vacation Time Protocol and Form
Department Contact List
GME Summary of Benefits
Catheters
Dictation
Professionalism
GENERAL POLICIES
The purpose of this handbook is to familiarize the Urology resident with his/her role in the
Department of Osteopathic Urological Surgery and their responsibilities at the affiliated Detroit
Medical Center Hospitals, POH Regional Medical Center, Garden City Hospital and Michigan
State University School of Osteopathic Medicine.
Mission Statement
The mission of the Osteopathic Urological Surgery training program is to provide learning
experiences that develop in its resident’s sound surgical judgment and technical ability through
the provision of a broad range of clinical and academic experiences in urological surgery.
Goals and Objectives
The general goals of the Urological Surgery Residency Program are to train and educate
surgeons to develop sound surgical judgment and skills, to contribute to the development of
broadly competent and responsible urologist of highest moral and ethical character; and to
provide an excellent training experience which will provide the graduates of this program with the
knowledge, skill, and confidence to function as independent surgeons in academic or private
practice.
The osteopathic residency program has adopted and implemented the AOA core competencies:
1) Osteopathic Principles and Practice, 2) Medical Knowledge, 3) Patient Care, 4) Interpersonal
and Communication Skills, 5) Professionalism, 6) Practice-Based Learning and Improvement,
and 7) System-Based Practice.
DURATION OF TRAINING:
The Osteopathic Urological Surgery program consists of 3 or 4 years following 1 or 2 years of
General Surgery or a specialty track internship.
FACILITES
The POH DMC Osteopathic Urological Residency program at Michigan State University School of
Osteopathic Medicine is based at the Detroit Medical Center – Detroit Receiving Hospital, Harper
University Hospital, Sinai Grace Hospital, Huron Valley Sinai Hospital, Children’s Hospital,
Pontiac Osteopathic Hospital and Garden City Hospital. Possible outside rotations at Henry Ford
Hospital and Beaumont Hospital.
Detroit Receiving Hospital located at 4201 St. Antoine, Detroit. It is the major Level One
Trauma Center for metro Detroit and for the Detroit Medical Center. The hospital is well known
for its trauma care.
Harper University Hospital located at 3990 John R, Detroit. It is a voluntary, non-profit general
hospital with about 400 operating beds. The outpatient clinic is at the Harper Professional
Building. The hospital is part of the Karmanos Cancer Center and Walt Comprehensive Breast
Center.
Sinai Grace Hospital located at 6071 W. Outer Drive, Detroit, 48235 It draws on the traditions of
two community hospitals and combines that history with the strength of a large medical system –
The DMC with complete medical services.
Huron Valley Sinai Hospital located at 1 William Carls Drive, Commerce, MI 48382 offers
access to unparalleled technology and innovative care.
Children’s Hospital of Michigan located at 3901 Beaubien, Detroit, MI is a modern 290-bed
hospital.
Pontiac Osteopathic Hospital located at 50 N. Perry, Pontiac, MI is a Level 2 Trauma Center
which provides primary and specialty health care services guided by the principles of Osteopathic
Medicine.
Garden City Hospital located at 6245 Inkster Road, Garden City, MI.
GENERAL INFORMATION
1. GME Provides
a. Parking at DRH or assigned lot
b. Badges
c. CIS training
d. Pager
2. Lab coats
a. 2 white coats per year
b. Launder by dropping off in linen room in Brush basement. Pick up when clean.
3. Call varies from rotation to rotation. Please see chief resident if any questions.
4. Department pays for
a. Loupes
b. X-ray gowns and glasses
5. AOA dues paid
6. ACOS
7. Meal tickets, 2 per call, 16 per month.
8. Courses
a. First year: Charlottesville, Basic Science course June
b. Second year: Chicago review course “Specialty Review in Urology” April
registration: cme@bsd.uchicago.edu
c. Third year: AUA review in Dallas June
d. Chief year: Oral boards review January.
http://www.bcgoncology.com/physicians/mock_boards2006.html
e. Applied lap course
9. Meetings
a. AUA national if you get a paper accepted*
b. AUA national as an R4 even without paper
c. ACOS Annual Clinical Assembly (ACA) (April) if paper accepted
d. ACOS Urologic Discipline Summer meeting July only if we have extra money*
(on hold for now)
* - $2,000 maximum for travel if approved.
11. In-Service
a. You should basically study for the in-service all year around.
b. About 2 months before the in-service you should be restudying those topics that
are most challenging for you (infertility, intersex, Wilms, whatever)
c. About 1 month before in-service you should begin doing Absite exams to
prepare. These are made up of OLD (or similar) INSERVICE questions
d. I suggest you also intensify your In-Service studying in this last month by
studying in groups, or other techniques with proven worth to you
12. ACLS. Take as intern (POH or SGH GME June), good for 2 years, recert paid by us
13. ATLS. Take as intern, no recert needed or paid us
14. Books. Campbell’s urology, AUA self assessment and AUA updates are provided by
SCS MSUCOM
15. Conferences
a. Grand Rounds: Wednesday 7-9, DMC Hechtman Bldg., 41935 Twelve Mile Road
Novi MI 48377
b. Journal club, last Tuesday of every month
c. MUS quarterly meetings and resident research meeting May of each year.
d. Poster presentations at MOA in May of each year, SGH and POH
16. Vacations, etc.
a. All Chief residents will work until the Friday before July 1. Earlier departure will
require use of vacation time
b. 3 weeks of vacation a year, in 7 day blocks for at least 2 of them. One week a
year can be broken up, with approval from DMC Urology department
c. 1 week off a year for conferences
d. Can NOT take vacation while rotating at Henry Ford Hospital
e. First Come First Serve
f. Job interviews will need to be completed during vacation time
17. Research .
a. DMC has website with many full text journals.
http://www.worldcat.org/wcpa/oclc/48984405?page=frame&url=http%3A%2F%2Fdm
c.dalnet.lib.mi.us%2F&title=CHILDREN%27S+HOSP+OF+MICHIGAN&linktype=cata
log&detail=MG8
b. Michigan State has a lot of electronic resources too. Tutorial at:
http://www2.lib.msu.edu/health/COM-tutorials.jsp. If you have questions or comments
about these tutorials, please contact Heidi Schroeder (hschroed@msu.edu) at the
MSU Libraries
18. Dictating
a. OR, consult, etc. dictations 66666 from any house phone. Dictate from home to
the DMC system 313-966-6666 or 800-442-1791
b. Clinic dictation is 172 from house phones, or 313-993-8694 from the outside.
19. Paging
a. Change pager 745-4050 (123 from house phone)
b. DMC pager 745-0203 (122 from house phone)
c. DMC operator 745-5111
DMC MIDTOWN INFORMATION
Useful Phone numbers:
DRH OR 53295
Harper OR 58061
I/R for perc neph 58411
Harper Urodynamics 51964
Pediatric on call at Childrens: 313-609-0821 beeper. Office 313-745-5588. Attending Dr.
Lakshmanan
On call beeper for Wayne State University 5161 (for consults that should go to them)
DRH Call room 4N-17
DRH Fellow office 4S.13.3
Consults
a. Remember to move the 90021 consult beeper over to your beeper
appropriately
b. Try to determine WHERE the consult is coming from and if they mean it to go to
a certain urologist (they must call Hollowell, anyone at Wayne State University
(Powell, Triest, Underwood, Singla, Cher, Fesseha) themselves). We are Santucci,
Kansara, Dhabuwala. Kaza, Hollowell and Maitland do call for us so they are
people we cover.
c. Daytime consults at Hutzel/Harper/RIM go to Dr. Mahmoud Tarsin (60133) until 4
pm.
d. The Wayne State University resident on call number is 5161 (to redirect those
back to them)
Call is every 4th night (8 calls a month). Chief call is q8 night (4 calls a month). Chief should
schedule himself/herself on as intern backup.
Night Call
g. DRH cysto cart in Room 1. Bring it back and give charge nurse a sticker to bill
for it.
h. Harper cysto cart in cysto suite. NO disposables. Pick up all disposable in
harper OR equipment rom (near boarding desk) and charge them out to patient
individually when used.
SCHEDULES
Santucci
Monday AM clinic/PM clinic procedures
Tuesday
OR
Wednesday
nothing
Thursday
OR
Friday
AM clinic/PM clinic procedures
Dhabuwala
Monday SGH OR
Tuesday
Harper OR
Wednesday
HPB clinic
Thursday
AM HBP clinic
Friday
Lahser clinic
Fellow
Monday
Tuesday
AM help Santucci clinic, PM off
Santucci OR
Wednesday
Thursday
Friday
Fellow OR
Santucci OR
AM Fellow clinic (Santucci helps), PM off
A note from the DRH OR -- Urology Resident Information
Floor Calls: If you use something disposable from the URO box it must be charged for. Put a
patient label on the provided charge sheet and enter the quantity of the items you have used.
When you use the flexible scope on the floor please return it to the Charge Nurse. This scope
needs to be cleaned and sent for processing ASAP. Never leave a dirty scope in the department
without letting the nurse know!!
In the OR: If an instrument is bent or otherwise compromised during a procedure, let the nurse
know before leaving the room. We cannot always see a problem and if it is sent down broken it
will come back broken. For some of our instruments we only have a quantity of one. This makes it
crucial that repairs are handled as soon as they are discovered.
Harper: Do not take disposable supplies from DRH (such as catheters, tubing, and SP Introducer
kits) to Harper for use on their patients. Harper has all of these items available for your use.
There is no way to capture the cost of the DRH supplies you use there.
A note from Silvia Maxwell
If patient will need Home Care after discharge from hospital, page Lynn Dazer at 96120. She is
the VNA liaison person at DRH. She will come to see patient and take care of discharging patient
home with VNA follow up. Patients with Medicare or BCBSM are being scooped up by other
"Home Care Agencies." I have never heard of some of them. They take the patients with
insurance, and leave everyone else for the VNA. Thank you for your cooperation in the above
matters. If you have any question or concerns, please feel free to contact me.
Lisa Steinhilb, DRH Urology Service Coordinator
Beeper 93737, Tuesday-Friday
RESIDENTS
Discharge Instructions for Post-Operative Urethroplasty patients
Updated 06/15/08
I.
Instructions
1. General
a. Do not sit directly on perineum while catheter is in place.
b. Ice to perineum for 20-30 minutes every two hours X 24 hours.
c. Remove dressing and jock strap, after 48 hours.
d. OK to bathe and shower after 48 hours.
e. RR staff to teach patient how to care for catheters.
f. Every patient to be discharged with both day (leg) bag and Large
(night-time) drainage bag.
2. Buccal mucosa
a. Diet
1. Clear liquids day of surgery.
2. Soft diet day after surgery.
3. Regular diet third day.
b. Ice to face for 24 hours.
c. Peridex swish and spit at least tid (after meals) X3 days.
4. First Stage Johansson
a. Apply Bacitracin to wound starting after 48 hours.
II.
Medications
I. Oral Cox-2 inhibitor in RR when awake.
a. Celebrex 400 mg po X1 in RR (on formulary).
b. Write prescription for Vicodin (or other narcotic if preferred by patient).
3. Write prescription for Peridex swish and spit if needed (buccal mucosa).
4. Write prescription for Ditropan 5 mg po bid pm bladder spasms. Write “do not fill
prescription unless you develop bladder spasms”.
5. Write prescription for Macrobid 100 mg po bid for 10 days. May substitute Cipro
250 mg P0 bid if allergic.
6. May purchase stool softener OTC if patient becomes constipated
SINAI GRACE HOSPITAL RESIDENT/PA GUIDELINES
Maitland # Pager 4720 Office 313-966-9251/966-3229 Alt. 313-864-4452
Kansara# Pager 1946 Office 248-347-8130/313-966-3222
C. Hollowell cell 313-737-1333 0ffice 248-559-5640
Ron 92647
Theresa 0410 Resident Clinic 313-966-3222
Urology service pager 0349
Female Locker 145 combo 17-27-37
Residents will need to see their post op patients before the first case of the day
 The PAs will round on the rest of the list while resident is in the OR
 Days when there aren’t cases Residents are to be at the hospital NO later than 7a
PAs will round on patients and perform consults while residents are in the OR
 These are to be done in a timely fashion and not left for residents to do after cases
 Residents will help PAs with rounds/consults after finishing all duties in OR
Rounds
 Resident teaching rounds (actually seeing each patient with PAs) will be done 1-2/week
 Paper rounds will be done everyday with PAs
 Residents should see all critical patients and any other patient that PAs need daily
 Rounds should be done in a timely fashion (~20min or less a patient)
Resident will assign daily PA duties/case coverage the night before
Resident does not need to be in house till 5pm but MUST BE available by pager until 5pm
 Be reasonable. If this privilege is abused it will be taken away and we will be required to
stay in house until 5
 IF an emergent consult is called in after resident has left, the resident must return to the
hospital to see the consult with the Pas. (Fourniers, priapism, difficult foley, torsion,
trauma etc)
Signout


Resident to PA sign out and vice versa is to be done everyday. Resident should know
what is going on with each patient even if they haven’t rounded on them that day
Starting July 1st sign-out will be resident to Dr. Tarsin every Friday and Tarsin to resident
on Sunday night
Bladder scans/instillations/straight caths etc will be done by PA unless they need help from
residents
All consults must be dictated.
Residents will make the PA schedule for the following month no less than 10days prior to the
month.
 PAs are to have vacation/special requests in no later than the 2nd Mon of the month
Resident is to see all consults even if they are done by PA. You don’t have to write a new note
but you must review the consult with the PA.
Residents have mandatory clinic every Friday afternoon.
PAs must turn in Logs on the last day of every month to Dr. Maitland
If a PA is sick it is their responsibility to contact the Resident, another PA to come in early or stay
late to cover, and DR MAITLAND no later than 6:30am
Most importantly, this needs to be a team effort. In order to make this work we all must
communicate and work together. Please remember we all have work to do, together and
separately, so help each other out. We can learn from each other.
DRH/HARPER-CLINIC 313-966-9852
On call/DRH day pager 90021
Wayne State Pager 5161
Intern is to carry pager everyday from 7a-5p
Intern is to forward pager everyday to himself at 7am and to the ROC at 5pm
To forward pager 313-745-4050 then press 90021#
Then 2 then 7 and enter your pager #
Call room at DRH 4N-17 (get key from Chris)
Girls DRH OR locker #66 combo 2-12-34
Resident Office Harper PRO in conference room 10th floor (get key from Chris)
To board cases with Santucci/Dhabuwala’s office email Gail Sass at GSass@dmc.org or call her
313-745-3553 (she prefers email)
Get your meal tickets from Chris Bassett each month
DRH
Either Intern/fellow/resident has to be in house until 5pm!
Normally round with fellow after cases daily
clinic 8:30-finish Mon & Fri
Have Dr. Santucci Proxy his surgery list to you at the beginning of the month- always
check at which hospital his cases are.
If patient will need Home Care after discharge from hospital, page Lynn Dazer 96120.
She is the VNA Liaison person at DRH. She will come to see patient and take care
of discharging patient home with VNA follow up.
Patients with Medicare or BCBSM are being scooped up by other "Home Care Agencies." I have
never heard of some of them. They take the patients with insurance, and leave everyone else for
the VNA.
Harper
Either Resident or Dr. Tarsin has to be in house until 5pm!
Rounds with Dhabs Tues/Wed/Thurs after OR or Clinic
Mon you are at Sinai-Grace so Dr. Tarsin rounds-call him when you are done to run list, you may
need to return to Harper to help him.
Friday at Lasher clinic so Dr. Tarsin Rounds- call him when you are done to run list, you may
need to return to Harper to help him
Bring Chris grand round papers on Wednesday
No bladder scanner, must have nurses straight cath for PVR
Harper OR 58061
DRH OR 53295
IR 58411
UDS 51964 (there is also clinic UDS with Donna)
HURON VALLEY/POH HINTS/GUIDELINES
Huron
OR 3402, Boarding (Julie will print weekly schedule for you)
Operator 248-937-3000
Oldford P 248-523-6095 O 248-896-5445 pt Office # 248-624-9900
HV office 248-937-4510
OCU office Waterford 248-674-8535 pt # 248-674-8530, HV office 248-937-4510
Novi office 248-348-4850
POH
OR 5102, Boarding 5104
Weekly schedules are already printed at the OR main desk
Call room 5N 134
Lim 248-523-4641
Coccimiglio 248-523-4766
McDevitt 248-523-4642
Operator 248-338-5000



Friday afternoon call Angie at Dr. Oldford’s office 248-896-5445 to find out which attending is
on call and let her know which resident is on call
Rounds
o OCU generally round at 7am starting at POH, Coccimiglio sometimes rounds at 6:30
 All POH patients should be seen by then
Weekend Rounds
o Normally go to POH first..All patients should be seen by 7am
o You should know the night before whether or not you are to wait at POH to round
with attending or call them at 7 from POH prior to going to Huron
o HV- MIU normally doesn’t round so see OCU patients first
o Call MIU AOC before you leave to run list and get new consults (consults are called
to Attending first at HV)






Call St. Joes OR or have schedule from Oldford’s office emailed to you so that you can cover
cases if your work at HV or POH is complete
Call Kelly at OCU she will board all cases for you & IS EXTREMELY HELPFUL 248-6748535
o She will call you everyday around 4:30-5 to get an updated OCU list
Dr. McDevitt requires a PREOP progress note and POSTOP progress note on all patients
o Ex PREOP: Pt s&e this am. Pt with Hx of L flank pain and distal 5mm stone on CT -/--/--. Plan for cysto, RP, and possible stent placement. H&P and consent reviewed
all questions answered.
o Ex POSTOP: Pt tolerated procedure (state what you actually did) well. Plan is to
follow up in…. Discharged home with RX….
Get meal tickets from Huron Valley Librarian at the beginning of the month
To board cases at HV in the middle of the night you must call the operator and she will put
you in touch with the OR supervisor
You are required to go to the Surgery Department meeting while at POH and the Urology
department meeting at Huron Valley while at Huron
GCH HINTS/GUIDELINES
Combinations:
3rd floor Urology Lounge 2708#
Lockers (male/female) 0813#
BOARDING CASES
ext 3218, Boarding (after 12 o'clock noon will be add-on, before noon will "follow")
ext 4400 (after 3pm for next day surgery, otherwise use above)
page RN supervisor and board through him/her after 11 pm
Operator 734-548-3300 in house "0"
Weigler office 734-548-7230 (in house "back line" 2708)
mobile 313-410-6352 (best contact; text)
home 734-421-7134
pager 9156
email: gregweigler@yahoo.com
Arnkoff Office 248-569-3009 Southfield (or Weigler office # on Monday)
mobile 248-885-4270 (best contact) home 248-851-6648
Davidson pager 9394
mobile 248-4123828 home 248-924-2081
OR 3375
ER 3430
Dictation line 3500 (follow prompts) (1-consult 2- procedure 3-discharge summary)
Electronic medical record systems
Patient list-Invision user name: will be supplied Urology Grp list # 01208
Rounds
Monday-after cases Dr Weigler
Tuesday- 9:30 am Dr Davidson
Wednesday- flexible (usually resident finishes rounds before didactics)
Thursday - after cases Dr Davidson
Friday - flexible
Weekend Rounds
If Arnkoff is on-call Davidson will round at 9:30 for Arnkoff
If Weigler is on-call; ask Friday; usually approximately 8:00 am, earlier on Sunday)
Typical week
Monday- cases all day Weigler; begin 7 am
Tuesday - 9:30 rounds or Add-ON cases and robotic surgery Providence at 1 pm
Wednesday - am cases Dr Weigler or Davidson or both
Thursady - cases all day Dr Arnkoff; begin 7 am
Friday - am cases Dr Weigler/Davidson/both; robotic surgery in afternoon at Providence
ROTATION GOALS AND OBJECTIVES
Richard A. Santucci; V 1.0, Wednesday, February 18, 2009
1. Research
Every year a single research project will be chosen by the resident and undertaken with
the help of staff. The project will be presented in May at the Michigan Urologic Society
Meeting and can be submitted to ACOS or AUA as well. The research should be written
into a publishable form and published. The goals of this exercise are:
a. Fulfill AOA research requirements
b. To allow in-depth research into single areas of urology
c. To train the resident in the methods of research writing
d. To allow the resident to participate in local and national research meetings
2. Children’s Hospital (note there is junior and senior rotation)
a. Fulfill AOA pediatric urology training requirements
b. Teach the fundamentals of pediatric urology so that the resident can safely
practice basic community pediatric urology after training
c. Hone and improve adult urology surgical skills by “cross training” in the pediatric
setting
d. Become exposed to pediatric urology in order to determine if this is a desired
Fellowship/Career outcome
e. Become sufficiently exposed to pediatric urology that the pediatric portion of the
boards is easily completed
f. Improve understanding of ambulatory pediatric urology by attending urology clinic
3. DRH (senior rotation)
a. Learn fundamentals of trauma urology
b. Learn fundamentals of reconstructive urology
c. Learn fundamentals of “end stage” urology such that is seen at a major urban
medical center
d. Increase independent practice of urology to transit towards Chief
resident/Attending practice.
e. Improve understanding of ambulatory urology by attending urology clinic
f. Learn to teach and supervise urology intern
4. Harper/SGH/POH (middle level rotation)
a. Learn broad fundamentals of urology including those cases most commonly seen
in the community setting
b. Become facile and independent with all aspects of endoscopy
c. Become facile and independent in aspects of basic open urologic surgery
d. Further improve diagnostic skill, and development of treatment plans on consult
patients
e. Begin learning fundamentals of major/advanced open surgery
f. HARPER: Learn specifics of penile prosthesis/artificial urinary sphincter surgery,
and office workup of the infertile patient
5. HVSH-Junior
a. Learn broad fundamentals of urology including those cases most commonly seen
in the community setting
b. Introduction to endoscopic surgery, towards becoming facile and independent
with all aspects of endoscopy
c. Introduction to basic open urologic surgery, towards becoming facile and
independent in all aspects of basic open urologic surgery
d. Learn to see urology consults, improve diagnostic skill, and develop treatment
plans on consult patients
6. HVSH-Senior
a. Become facile with major/advanced open surgery
b. Learn to supervise and manage a busy service with the help of a junior resident
7. Nephrology
a. Fulfill AOA requirements
b. Improve understanding of medical renal disease in order to better perform
urologic surgery
c. Improve exposure to medical nephrology so that that portion of the Boards is
easily completed
EVALUATION PROTOCOL
A.
New Innovations evaluations requested at the end of each rotation
-Faculty Evaluation of Resident
-Resident Evaluation of Faculty
-360 Degree Evaluation of Resident
B.
Dr. Lim and Dr Santucci will meet with each resident to review evaluations quarterly.
-One resident following Grand Rounds weekly until complete for quarter
C.
New Innovations Resident Evaluation of Program annually
POH/DMC UROLOGICAL SURGERY
MOONLIGHTING AND OTHER ACTIVITIES
Effective 7-1-08
Version 2 Revised 2-18-09
Moonlighting is not allowed.
Compensated call within the DMC may be considered with approval of the director.
The resident must engage only in program director-approved outside activities which do not
interfere with the resident performance in the training program.
Residents are prohibited from acting as a consultant, engaging in a private specialty practice, or
maintaining attending status during the residency program.
Violation of this policy can result in disciplinary action up to and including dismissal from the
program.
I have read and agree to abide by the above stated policy.
___________________________________
Signature
Date:_______________________________
______________________________
Print Name
POH/DMC UROLOGICAL SURGERY
INTERN/RESIDENT WORK HOURS AUDIT PROTOCOL
Effective 7/1/08
This protocol was established to monitor the intern/resident work hours and to insure greater
compliance with the American Osteopathic Association (AOA) regulations on work hours.
1) Prior to commencing training, all entering residents/interns will complete a Work Hour
Attestation form indicating they are aware of and agree to abide by the POH/DMC’s Work Hour
Policy.
2) Residents currently enrolled in training or rotating into the urology program will be required to
sign an attestation at the beginning of every academic year or rotation.
3) There will be monthly random work hour audits. A select number of residents/interns will be
identified to complete the Duty Hour Log Form and may be interviewed during the audit to
determine their compliance with the work hour regulations.
DMC UROLOGY REQUEST FOR TIME OFF
FORM MUST BE FILLED OUT COMPLETELY AND RETURNED TO THE CHIEF RESIDENT
AT LEAST 15 DAYS PRIOR TO TIME OFF
Name:_________________________________ Pager Number:___________
Date________________________
Vacation – 3 weeks allowed per contract year.
Week 1 From____________________ To____________________
Week 2 From____________________ To____________________
Week 3 From____________________ To____________________
-Days
1
2
3
4
5
6
7
____________________________________________
Signature of Dr. Dhabuwala
__________________
Date
____________________________________________
__________________
________________________________________________________________________
FACULTY:
2009/2010
POH Regional Medical Center
1.
Site Director: Kenneth Lim, DO - MSUCOM Clinical Associate
2.
Lucy Coccimiglio, DO - MSUCOM Clinical Assistant
3.
William McDevitt, DO - MSUCOM Clinical Assistant
4.
Tina Schuster, DO
DMC – Detroit Receiving Hospital
5
Chief: Richard A. Santucci, MD – MSUCOM Clinical Professor
6.
W. Britt Zimmerman, MD
DMC – Harper University Hospital & RIM
7.
Chief, Chirpriya Dhabuwala, MD
8.
Velji Kansara, MD
DMC – Children’s Hospital of MI
9.
Chief, Vegappan Lakshmanan, MD
10.
Jack Elder, MD
DMC – Sinai Grace Hospital
11.
Chief, Conrad Maitland, MD
12.
Christopher Hollowell, MD* - MSUCOM Clinical Assistant
13.
Melvin Hollowell, MD - MSUCOM Clinical Assistant
DMC- Huron Valley Sinai Hospital
14.
Chief, Sam Rosemberg, MD
15.
Greg Oldford, MD
16.
Anil Kumar, MD - MSUCOM Clinical Assistant
17.
Jennifer Sobol, DO
Garden City Hospital
18.
Gregory Weigler DO – MSUCOM Clinical Instructor
19.
William Davidson DO - MSUCOM Clinical Assistant
20.
Mark Arnkoff DO
*All board certified but Christopher Hollowell MD
DETROIT MEDICAL CENTER
GRADUATE MEDICAL EDUCATION PROGRAM
SUMMARY OF BENEFITS – POSTGRADUATE TRAINEES
All of the benefits listed below are provided to postgraduate trainees who are on the Detroit
Medical Center payroll. WSU/DMC reserves the right to add, delete or otherwise change benefits
without advance notice at WSU/DMC’s discretion and as WSU/DMC deems appropriate.
Premium Participation Required for Medical, Dental, and Vision
HEALTH INSURANCE
The Detroit Medical Center offers trainees the choice between two health plan options, DMC
Care Basic or DMC Care Plus. Premium participation is required. (Coverage is effective on the
date of your appointment.)
DENTAL INSURANCE
Dental coverage is available to all trainees. Premium participation is required. Sponsored
dependents are not eligible for coverage under dental insurance.
VISION INSURANCE
Vision Coverage is available to all trainees. Premium participation is required. Children over 19
are not eligible and Sponsored Dependents are not eligible for Vision coverage.
SPONSORED DEPENDENTS (e.g. PARENTS) can be enrolled if you pay the full premium
participation cost and the following requirements are met: Must be related by blood or marriage,
must have been claimed as a dependent on the prior year or will be claimed as a dependent on
the current year federal tax return ( the IRS 1040 Form which verifies the individual is dependent
upon you for 50% or more of his support as stated in the IRS dependent code), dependents who
are not U.S. citizens must reside within the United States for a minimum of six consecutive
months prior to becoming eligible to enroll in the plan and must have a social security number.
The postgraduate trainee must provide a copy of the Medicare card, if applicable, complete the
Certification of Dependent Eligibility form and complete the IRS Form 4506-T form (Request for
Transcript of Tax Return). This form allows the DMC to obtain a transcript of your most recent
income tax return.
PLEASE NOTE:
YOU ARE RESPONSIBLE FOR REPORTING ANY CHANGE IN YOUR FAMILY’S STATUS
(e.g. MARRIAGE, DIVORCE, ETC.) TO THE GME OFFICE IN PERSON WITHIN 30 DAYS OF
THE OCCURRENCE (YOU HAVE 90 DAYS TO REPORT THE BIRTH OF OR ADOPTION OF A
CHILD BUT IT IS RECOMMENDED TO ADD THE CHILD TO YOUR INSURANCE AS SOON
AS POSSIBLE.) If you do not report a family status change within the required period of time, it
may not be possible to obtain coverage for that individual until the next annual Open Enrollment,
at the end of each year, with coverage taking effect the following January 1.
LIFE INSURANCE AND ACCIDENTAL DEATH & DISMEMBERMENT COVERAGE
Life insurance benefit is two times the annual stipend. AFTER INITIAL ENROLLMENT, ANY
CHANGE IN BENEFICIARY MUST BE REPORTED TO THE G.M.E. OFFICE IN PERSON.
SHORT – TERM ILLNESS
Trainees who started on or after 7/1/97 (including Sinai trainees who transferred to DMC payroll
effective 5/11/97) will receive payment of stipend for verifiable illness for up to 180 days as
follows: 1-90 days at 100’%; 91-180 days at 75%. Trainees who started prior to 7/1/97 will
receive full payment of stipend for verifiable illness for up to 90 days. Program Directors will
notify the GME office when a trainee is out ill for more than 3 calendar days. For absences in
excess of 3 calendar days, physician verification may be required. Illness time does not
accumulate.
The WSU/DMC Graduate Medical Education Program does not have a separate policy for
maternity leave; time off for pregnancy and delivery is provided for under Short Term Illness.
Depending on the length of the medical absence and individual board requirements, training time
may need to be extended as determined by your Program Director.
LONG – TERM DISABILITY
A long-term disability plan underwritten by UnamProvident is provided to all trainees on the DMC
payroll. The plan provides 60% of salary to a maximum benefit of $2,500 per month. Long-term
disability benefits are payable after 180 consecutive days of disability and are payable as long as
the disability continues (maximum to age 65 benefit period).
An optional supplemental policy is available, at your own expense, up to a maximum of $1,000
per month. For service, contact our disability representative Patrick Flynn, (313) 745-4935 or
(248) 649-4100 (pflynn@flynncompany.com).
Depending on the length of the leave and individual board requirements, training time may need
to be extended as determined by your Program Director.
PERSONAL LEAVES OF ABSENCE
Approval of personal leaves of absence may be granted at the discretion of the WSU/DMC
Program Director for up to 90 calendar days. Personal leaves of absence shall be unpaid. The
Detroit Medical Center will continue to provide insurance premium payment for 30 days; after 30
days, the postgraduate trainee will be provided the opportunity to continue insurance coverage in
accordance with the provisions of current law (COBRA). An unpaid family leave of absence is a
conditional privilege of postgraduate training. Such time off will be provided in accord with DMC
policy in order to accommodate specific family care needs.
Depending on the length of the leave and individual board requirements, training time may need
to be extended as determined by your Program Director.
FAMILY LEAVES OF ABSENCE
An unpaid family leave of absence is a conditional privilege of postgraduate training. Such time
off will be provided in accord with DMC policy in order to accommodate specific family care
needs.
Under the Family Medical Leave Act, (FMLA), you may be eligible to take up to 12 weeks of
unpaid leave in order to care for a spouse, parent, or child who has a serious health condition, or
to care for a new child or newly adopted child. (If both parents are employed by the DMC, the
combined maximum time off for care of a child is 12 weeks between the two parents.)
A FMLA Certification form must be completed and submitted to the GME office via the Program
Director prior to the date of the requested leave.
A trainee taking time off in order to care for a family member may use paid vacation time; he/she
cannot use paid sick time since sick time only covers time off due to trainee’s own illness. If
vacation time is exhausted, the leave shall be unpaid.
Health and dental insurance coverage will be paid by the DMC for 12 weeks.
Depending on the length of the leave and individual board requirements, training time may need
to be extended as determined by your Program Director.
EMPLOYEE ASSISTANCE PROGRAM
The Detroit Medical Center offers an Employee Assistance Program (EAP) to all Postgraduate
Trainees. The EAP is designed to help you with personal problems or work situations that affect
your work and home life such as anxiety or depression, alcohol or substance abuse, marital or
family problems, legal or financial matters. To contact an EAP counselor, call 313-745-1900 or
877-789-3271.
PROFESSIONAL LIABILITY COVERAGE
Your professional liability coverage is through the DMC Insurance Company, Limited. Your policy
is a limited claims made policy with extended reporting endorsement (tail coverage). This
coverage does not extend outside of the training program.
TAX SHELTERED ANNUITY (TSA) PROGRAM
This Program can help you reduce your current taxes and increase your retirement savings by
saving pre-tax dollars. You have a choice of fixed annuity contracts, as well as variable annuity
(mutual fund) investment options within an annuity contract(s).
VACATION
First year trainees are eligible for two weeks of vacation per contract year. All other residents and
fellows are eligible for three weeks of vacation per year. All vacation time must be approved in
advance by your Program Director. Vacation time does not accumulate.
CATHETERS
Types of Catheters
Types of large-diameter catheters.
A, Conical tip urethral catheter,
one eye. B, Robinson urethral
catheter. C, Whistle-tip urethral
catheter. D, Coudé hollow olive-tip
catheter. E, Malecot self-retaining,
four-wing urethral catheter. F,
Malecot self-retaining, two-wing
catheter. G, Pezzer self-retaining
drain, open-end head, used for
cystotomy drainage. H, Foley-type
balloon catheter, one limb of distal
end for balloon inflation (i), one for
drainage (ii). I, Foley-type, threeway balloon catheter, one limb of
distal end for balloon inflation (i),
one for drainage (ii), and one to
infuse irrigating solution to prevent
clot retention within the bladder
(iii).
DICTATION
On Monday, June 23, the clinic dictation telephone number will change. Other than the new
phone number, this will not affect the way you phone in your clinic dictation.
NEW PHONE NUMBER FOR CLINIC DICTATION IS:
Dial '172' from phones with 313-966-XXXX, 313-745-XXXX, or 313-993-XXXX DMC Campus
and SGH numbers.
From any other phones outside of DMC dial 313-993-8694.
Your dictation ID (DMC pager number) and the prompts you will hear are basically the same;
however, you will hear a tone after the voice prompt to begin dictation. If you should ever use
the pause key (2) this system says “pause”, which indicates that you are in pause mode. To
resume dictation after pausing, press the 2 key and you will hear a tone to continue with your
dictation.
If you experience any difficulties with your dictation ID please contact Sandy Rapnicki at 800307-9524. Please do not contact the help desk or open a ticket for this issue – page Sandy first.
Thank you!
Rainbow Medical Transcription
586-412-9953
RainbowMT@Comcast.Net
PROFESSIONALISM
We have made a commitment to our profession to adhere to ethical principles and promote high
standards of professional behavior while remaining sensitive to our diverse patient population.
Professionalism encompasses integrity and responsibility to us and our colleagues. To our
patients, it encompasses confidentiality, honesty, respect and a way to deliver information that is
compassionate and caring. We have a responsibility to promptly inform our state medical board if
we have been charged or found guilty of a criminal offense. Lastly, we have a social
responsibility, to provide uncompensated care, and to ensure fair allocation and affordable
healthcare resources.
Objectives for OGME 1
1. Establish and trust with patients and staff
2. Demonstrate respect, compassion and integrity
3. Demonstrate punctuality, reliability and honesty
4. Recognize self limitations and ask for help
5. Recognize personal strengths and offer help
6. Show regard for the opinion of others
7. Accept and seek out constructive criticism
8. Maintain patient confidentiality
9. Compassionately respond to issues of culture age, gender, ethnicity and disability in
patient care
10. Return student rotation evaluation in a timely fashion
11. Complete medical records and medical education documentation in a timely fashion
12. Participate in one Quality Conference and report to Direct of Medical Education. This
should be included in resident file or Professional Development Portfolio.
Assessment: mandatory Professionalism Evaluation, monthly rotation evaluations, program
director evaluations (quarterly, semi-annually or annually), Professional Development Portfolio
Objectives for OGME 2
1. Including objectives above
2. Demonstrate responsiveness to the needs of patients, students and fellow residents
3. Recognize the limitations of fellow house staff and offer assistance
4. Delegate responsibility to others
5. Acknowledge errors and work to minimize them
6. Commit and contribute to system improvement
7. Participate in Committee Meetings and report to fellow house staff
8. Promote professional development and accountability in peers
9. Initiative and leadership
10. Participate in one Quality Conference and report to Direct of Medical Education. This
should be included in resident file or Professional Development Portfolio.
Assessment: mandatory Professionalism Evaluation, monthly rotation evaluations, program
director evaluations (quarterly, semi-annually or annually), Professional Development Portfolio
Objectives for OGME 3-OGME 7
1.
2.
3.
4.
Including Objectives listed above
Demonstrate concern for the educational development of students and residents
Volunteer for activities for the good of the institution and community
Assume professional responsibility for our healthcare system and demonstrate
commitment to system improvement
5. Demonstrate understanding of the ethical concerns about pharmaceutical and patient
gifts
6. Participate in one Quality Conference and report to Direct of Medical Education. This
should be included in resident file or Professional Development Portfolio.
Assessment: mandatory Professionalism Evaluation, monthly rotation evaluations, Program
Director evaluations (quarterly, semi-annually or annually), Professional Development Portfolio
Suggested Readings:
Guide to Good Medical Practice-USA
AOA Basic Standards
Professionalism Vignettes