An appropriately credentialed & privileged member of the medical staff who accepts full responsibility for a specific patient’s medical/surgical care.
Clinical Responsibility/Workload Limits:
Reasonable maximum levels of assigned work for residents/fellows consistent with ensuring a quality educational experience. Such work, & its level of intensity, varies by specialty & should be studied by all RRCs before a decision is made to incorporate specifics into the program requirements.
Graded, progressive responsibility for patient care with defined oversight.
Setting for a longitudinal experience in which residents develop a continuous, long term therapeutic relationship with a panel of patients.
Duty hours are defined as all clinical & academic activities related to the program; i.e., patient care (both inpatient & outpatient), administrative duties relative to patient care, the provision for transfer of patient care, time spent in-house during call activities, & scheduled activities, such as conferences. Duty hours do not include reading & preparation time spent away from the duty site.
Recognition by either a resident or supervisor of a level of resident fatigue that may adversely affect patient safety & enactment of a solution to mitigate the fatigue.
Fitness for duty:
Mentally & physically able to effectively perform required duties & promote patient safety.
Knowledge, skills, attitudes, and other attributes for each of the ACGME competencies, organized in a developmental framework from less to more advanced. They are descriptors and targets for resident performance as a resident moves from entry into residency through graduation.