Job Description & Essential Functions

Family Medicine

Position Identification: Resident

Position Summary: A Family Medicine Resident in our program is a physician in a three-year postgraduate training program that provides comprehensive, patient-centered care across the lifespan including pediatrics, pregnancy, adult and eldere care. Training includes rotations in inpatient medicine, outpatient medicine, andwithin the resident’s family medicine practice clinic to build continuity of care skills. The program also incorporates collaborative training with partner departments and affiliated institutions to broaden clinical exposure and interdisciplinary care experience.

For the purpose of this document, the term “Resident” includes medical and dental residents and fellows, including those in ACGME, CODA and non-ACGME accredited programs.

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:

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
  • 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 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 or other members of the team
  • complete MedHub clinical and educational hour logs
  • complete case or procedure logs
  • respond to email communications and request from program faculty and administrators in a timely manner
  • 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, etc.
  • Medical doctorate from an allopathic or osteopathic medical school recognized by the Washington Medical Commission
  • Passing score on USMLE or COMLEX step 1 and step 2
  • Eligible for Washington State Physician and Surgeon License
  • Eligible to participate in all federally funded health care programs
  • Have no felony convictions (past or pending) and no convictions for any crime of moral turpitude
  • Free of state or federal restrictions on ability to prescribe controlled substances   

 

Essential Program Core Educational Functions

Didactics

The Resident must:

  • Comply with all standards for attendance at didactics or other core educational activities
  • Adhere to the preferred mode of attendance (in-person, virtual, hybrid)

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.)

 

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.

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, medical staff and tracking and patient follow up of expected results

Patient Care Communication

The Resident must:

  • respond in a timely manner to pages, phone calls, Epic inbox and secure chat, lab result management, etc
  • 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
  • Provide contraception advice and options counseling to patients when requested or indicated
  • Assess, plan, implement and evaluate individual patient care appropriate to the age of patients served by demonstrating knowledge of the principles of growth and development over the life span
  • Practice of medicine in accordance with the current standards of care as well as the expectations of the assigned continuity FMP

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

  • Actively participate in and satisfactorily complete all scheduled rotations in the curriculum 
  • complete assigned shifts in settings deemed essential by the program, such as inpatient units, NICU, PICU, emergency department, and outpatient specialty and primary care clinics
  • complete assigned away rotations deemed essential by the program

Shift length and timing

The Resident must:

  • complete shifts of all lengths deemed essential by the program, which may include daytime, swing, nights, weekends, and holidays
  • complete work shifts of up to twenty-eight (28) hours that may require working without a break for significant portions of time
  • Shifts must not exceed ACGME limits of up to 28 hours per shift, and up to 80 hours per week averaged over a 4 week period
  • 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 overnight call, as deemed essential by the program
  • 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
  • cover up to 7 overnight shifts in a row of up to (14) hours each shift

 

Essential Cognitive Functions

  • Function effectively and professionally in unpredictable, stressful situations
  • Recognize and respond to emotions
  • Ability to act professionally, placing others needs ahead of one’s own when an urgent or emergent patient care need is present
  • Work with direct and indirect supervision
  • Receive and respond professionally to feedback from peers, faculty, staff, patients, and patient families
  • Participate in Residency evaluation system with timely completion and/or submission of evaluations for completion
  • Participate in Individual Learning Plan and any assigned remediation process
  • Participate professionally as part of a team, including in roles as subordinate, colleague, supervisor, and teacher
  • Participate in an equitable call and/or night float and weekend coverage schedule 
  • Consistently demonstrate professionalism in all professional activities

Essential Communication Functions

  • Input and retrieve computer data to fulfill expectations for patient care documentation, billing, and communication with patients, colleagues, and support personnel 
  • Communicate effectively with patients, staff, and colleagues, with professionally appropriate listening skills, information gathering, and explaining medical information to sufficiently provide routine and urgent medical care and fulfill training requirements
  • Spoken and written English proficiency
  • Timely completion of records adequate for medical, legal, and billing purposes that is consistent with sponsoring institution bylaws and training requirements 
  • Transfer patient care responsibilities with full and timely disclosure of relevant information 

 

Essential physical functions

  • Ability to move freely throughout the clinical site and hospital to address routine and emergent patient care needs with reasonable accommodation
  • Have the manual dexterity to: 
    • perform required inpatient and outpatient procedures, including pregnancy care
    • perform history and physical exams
    • interface with electronic health record and related systems sufficiently to maintain routine documentation and billing expectations with reasonable accommodations
  • Perform CPR at least 20 mins using 100 lbs. of force
  • Patient lifting & support up to 35 lbs. and non-patient up to 20 lbs.
  • Fine motor skills to be able to grasp instruments and perform precise procedures including needle injections and suturing
  • Sensate insofar as to be able to communicate effectively with and perform a relevant physical exam to facilitate routine and urgent or emergent care for patients of any age presenting with any need or concern

 

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 as part of the annual UWFMR Policy and Procedures Handbook