Limited Staff Agreement: Residents are required to read and sign their Limited Staff Agreement annually.

Resident Handbook: Residents will be given an updated resident handbook at the start of each
year. It will also be available via an electronic collaboration site: carmen.osu.edu. Rotation
goals and objectives should be reviewed at the start of each rotation.

Hospital Reappointment: You will likely be told twice during your residency that you need to
reapply for your hospital appointment. When you get are sent this information it will need to be
completed in a timely manner. Your ACLS will need to be current, and your CBLs all completed for
the current year.

Parking: Responsibility of resident

Attendance at department conferences/meetings is mandatory, and promptness is expected

Meals: Responsibility of resident

Dress Code: Your clothes must display professionalism. Ties are required for the men.
Attentiveness to personal hygiene is expected.

No scrubs will be worn in clinic, conferences, meetings, or outside of the hospital. Residents must
come to the hospital campus and to ambulatory buildings fully dressed in professional attire. Scrubs
are permitted on the floors only if lab coat is worn. Shoes are required at all times.

USMLE Step 3: Urology interns are required to take their Step 3 during their intern year. If they do
not pass, then they must use their vacation time to repeat the exam. Per the Limited Staff
Agreement, all residents must pass their Step 3 by the end of their PGY2 year in order to advance to a PGY3 resident.

State Licensure: Residents are required to have in their possession a current, active, valid,
unrestricted professional license. Residents are responsible for renewing their license annually.

Advanced Cardiac Life Support (ACLS): All residents must obtain and maintain certification in
Advanced Cardiac Life Support.

Faculty Mentors: At the start of the residents PGY2 URO1 year, each resident is required to select a mentor from the faculty. This mentor will remain their mentor throughout their residency. This
relationship establishes a forum in which improvements in the resident and improvements in the
program are freely discussed, and have equal importance. It also creates an environment in which
the resident’s well-being is promoted and valued. Residents are required to meet with their mentor
a minimum of two times per year.

Duty Hour Logging: Resident will log all of their duty hours into E*Value, updating the log a
minimum of every week. Hours are logged on an honor system. Residents are trusted and
expected to log their hours accurately and truthfully. 

When you log your hours, E*Value provides many options for type of duty hour reported. For this
program and for my ability to run reports use only the following logging options:

1. Planned work hours – use any scheduled time you are here
2. Scheduled day off – use anytime you have a full 24 hours off of duty, and log 12 a.m. to 12 a.m.
(24 hrs), or 7 a.m. to 7 a.m., and so forth -- if you were here until 7 a.m. on Sunday but did not come in until
7 a.m. on Monday to get your full 24 hours off; also use this in lieu of sick day and vacation.
3. Called in from home – use anytime you are on call AND are at the hospital
4. On call at home – use anytime you are on call AND not at the hospital

ACGME Case Log: Residents are expected to log all cases as defined by the ACGME. Your case log should be updated at a minimum of every week. Cases are logged on an honor system. Residents are trusted and expected to log all of their cases accurately and thoroughly. Residents must continue to log their cases even after they have met the minimum requirement.

Resident participation in a surgical procedure will be credited as an index case whether the resident
functions as surgeon, assistant, or teaching assistant.

To be recorded as surgeon, a resident must be present for all of the critical portions of the case and must perform a significant number of the critical steps of the procedure. As a general principle, it is expected that over the course of their education, residents will develop the skills necessary to
perform progressively greater proportions of complex cases, and that they will be given the
opportunity to demonstrate those technical skills to program faculty members. It is also important
to remember that the Review Committee views involvement in pre-operative assessment and
post-operative management of patients to be important elements of resident participation.

Only one resident can claim credit as an assistant on a given case. Though it may well be valuable
educationally, activity as “second assistant” should not be recorded.

A resident may also be given index case credit when acting as a teaching assistant. To be recorded as teaching assistant, the chief or senior resident acts as teaching assistant (supervisor), directing
and overseeing major portions of the procedure being performed by the more junior resident
surgeon, while the supervising attending physician (staff member) functions as a second assistant
or observer.

For additional logging instruction go to:
https://www.acgme.org/acgmeweb/tabid/152/ProgramandInstitutionalAccreditation/SurgicalSpe
cialties/Urology.aspx
and review the PDF document titled "Urology Case Log Information."

Online Modules:

The GME and Department of Urology require the satisfactory completion of various modules.

IMPORTANT: For all online modules, be sure to print a completion certificate at the end of the
module and send them to the program coordinator to put into your resident file.

Collaborative IRB Training Initiative (CITI): All residents and fellows must
participate in basic education in research ethics, human subject’s protection, and research
regulation. Training will be completed by participating in the Collaborative IRB Training Initiative
(CITI) web based course at citiprogram.org. All residents must complete this training
prior to submitting any IRBs and no later than the end of their PGY2 year. Fellows must complete
this in their first year of training.

CBLs: CBL’s are required annually as part of your hospital appointment. If they are not completed by June
of each year, you will lose IHIS access.

Log on to the CBL system by through OneSource.

The following tests are required annually for Corporate Credentialing:

  • Annual Infection Control
  • Annual HIPAA Privacy Research
  • Annual HIPAA Privacy & Security
  • Universal Protocol for Invasive Procedures - Physicians
  • Surgical Counts Policy – is required for all Providers in surgical specialties

The following tests are required one time for Corporate Credentialing:

  • Fluoroscopy Module 1: Radiation Safety Introduction
  • Fluoroscopy Module 2: Fluoroscopy Basics
  • Fluoroscopy Module 3: Fluoroscopy Safety Procedures

Introduction to the Practice of Medicine:

“The Introduction to the Practice of Medicine” (IPM) is an online, on-demand lecture series that can
be accessed at ipm.knowbase.com. The lecture series was designed to increase the
exposure of housestaff to non-traditional curricular topics mandated by the ACGME. All residents
and fellows must complete the “Sleep Deprivation” and “Impaired Physician” lectures before the
completion of their training. Residents are required to complete an additional eight modules
throughout the course of their training program (after the two mandatory sessions – for a total of 10
modules). Trainees who are graduating and have not completed these requirements will not
receive a graduation certificate.

GME Requirements: Impaired Physician and Sleep Deprivation required for residents and
fellows, plus eight additional for residents. These are due by May 1 of your graduating year.

Interpersonal and Communication Skill

  • Effective Communications to Reduce Liability
  • Patient Handoffs
  • Resident Intimidation
  • Residents as Teachers
  • Thriving Through Residency

Patient Care

  • Do’s and Don’ts when Dealing with Difficult Patients
  • End of Life Myths
  • Patient Safety: Further Steps to Prevent Patient Harm
  • Patient Safety: Identifying Medical Errors
  • Patient Safety: National Patient Safety Goals
  • Prevention and Management of Patient Fires and Burns

Practice Based Learning and Improvement

  • Health Care Quality

Professionalism

  • After Residency: How to Obtain, Maintain and Avoid Losing Your Ohio Medical License Course
  • Confidentiality
  • Cultural Competency in Health Care
  • Financing a Practice Startup
  • Gifts to Physicians from Industry and the Sunshine Act
  • Introduction to Personal Finance
  • Medicine and the Legislative Process
  • Physician Employment Contracts
  • Physician Health: Physicians Caring for Ourselves
  • Quality Improvement Panel
  • Quality Improvement Q&A
  • Sleep Deprivation (Required)
  • The Impaired Physician (Required)

Systems-Based Practice

  • Anatomy of the Litigation Process
  • Choosing the Practice That’s Right for You: Some Practical Considerations
  • Medical Liability Insurance: Protection for your Practice Journey
  • Medical Record Documentation: Case Study
  • Physician Profiling: What you don’t know can hurt you

IHI Open School
IHI Open School Basic Certificate in Quality & Safety. All first year residents and fellows will need
to complete the 16 modules listed below by Dec. 31 of their first year. If residents and fellows have completed these in the past and provide proof of prior completion, they will be excused from this requirement.

To receive a basic certificate, you must complete the following online courses:

  •  Improvement Capability 101, 102, 103, 104, 105, 106
         1. Fundamentals of Improvement
         2. The Model for Improvement
         3. Measuring Improvement
         4. The Life Cycle of a Quality Improvement Project
         5. The Human Side of Quality Improvement
         6. Mastering PDSA Cycles and Run Charts
  • Patient Safety 100, 101, 102, 103, 104, 105, 106
         7. Introduction to Patient Safety
         8. Fundamentals of Patient Safety
         9. Human Factors and Safety
        10. Teamwork and Communication
        11. Root Cause and Systems Analysis
        12. Communicating with Patients after Adverse Events
        13. Introduction to the Culture of Safety
  • Leadership 101
        14. Becoming a Leader in Health Care
  • Person? and Family?Centered Care 101
        15. Dignity and Respect
  • Quality, Cost, and Value 101
        16. Achieving Breakthrough Quality, Access and Affordability

AUA Ethics Curriculum and the AUA Core Curriculum –
http://www.auanet.org/

ROBOTIC CASE LOGS/COLLABORATION: LOG ON AT
https://wwws.osumc.edu/Applications/UrologyRoboticLog/Webpages/Urology_Patient_List.aspx

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