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    Observing Physicians

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    Eljohn Esteban
    This document outlines the policy for physician observers at the University of Iowa Hospitals and Clinics (UIHC). It defines an observer as a physician who is not enrolled in a medical school and observes patient care under supervision without providing direct hands-on care. The policy specifies requirements for eligible observers including a maximum duration of one month, completion of forms, ID badges, and signed confidentiality agreements. It requires the supervising physician to obtain patient consent and ensure the observer's activities are within the scope of observation.

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    Observing Physicians

    Uploaded by

    Eljohn Esteban
    19 views4 pages
    This document outlines the policy for physician observers at the University of Iowa Hospitals and Clinics (UIHC). It defines an observer as a physician who is not enrolled in a medical school and observes patient care under supervision without providing direct hands-on care. The policy specifies requirements for eligible observers including a maximum duration of one month, completion of forms, ID badges, and signed confidentiality agreements. It requires the supervising physician to obtain patient consent and ensure the observer's activities are within the scope of observation.

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    Observing-Physicians

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    Observing-Physicians

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    This document outlines the policy for physician observers at the University of Iowa Hospitals and Clinics (UIHC). It defines an observer as a physician who is not enrolled in a medical school and observes patient care under supervision without providing direct hands-on care. The policy specifies requirements for eligible observers including a maximum duration of one month, completion of forms, ID badges, and signed confidentiality agreements. It requires the supervising physician to obtain patient consent and ensure the observer's activities are within the scope of observation.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    19 views4 pages

    Observing Physicians

    Uploaded by

    Eljohn Esteban
    This document outlines the policy for physician observers at the University of Iowa Hospitals and Clinics (UIHC). It defines an observer as a physician who is not enrolled in a medical school and observes patient care under supervision without providing direct hands-on care. The policy specifies requirements for eligible observers including a maximum duration of one month, completion of forms, ID badges, and signed confidentiality agreements. It requires the supervising physician to obtain patient consent and ensure the observer's activities are within the scope of observation.

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    of 4

    Policy and Procedure Manual

    Human Resources HR-03.29

    SUBJECT/TITLE: POLICY FOR PHYSICIAN OBSERVERS AT UIHC

    PURPOSE: To delineate the requirements for physician observers at UIHC. This is a


    joint policy of the UIHC and CCOM.

    DEFINITIONS: Observer/Observation: only as defined by the Iowa Board of Medicine:

    Iowa Board of Medicine Adopted and Filed


    “Observer” means a person who is not enrolled in an Iowa medical school or
    osteopathic medical school, who observes care to patients in Iowa for a defined period
    of time and for a noncredit experience, and who is supervised and accompanied by an
    Iowa-licensed physician as defined in 9.2(3). An observer shall not provide or direct
    hands-on patient care, regardless of the observer’s level of training or supervision. The
    supervising physician may authorize an observer to read a chart, observe a patient
    interview or examination, or witness procedures, including surgery. An observer shall
    not chart; touch a patient as part of an examination; conduct an interview; order,
    prescribe or administer medications; make decisions that affect patient care; direct
    others in providing patient care; or conduct procedures, including surgery. Any of these
    activities requires licensure to practice in Iowa.

    An unlicensed physician observer may:


    a. Participate in discussions regarding the care of individual patients, including
    offering suggestions about diagnosis or treatment, as long as the unlicensed
    physician observer does not direct the care; and

    b. Elicit information from a patient as long as the unlicensed physician does


    not actually perform a physical examination or otherwise touch the patient.

    POLICY:

    DURATION:
     Maximum of one month per fiscal year
     Requests for clinical observation periods that exceed one month require a written explanation

    ELIGIBLE OBSERVERS: MD or equivalents from other medical institutions who do not have UI CCOM
    appointments. Individuals should have faculty or staff physician status at another institution, including
    international institutions.

    INELIGIBLE OBSERVERS:
     Medical students (refer to the Office of Student Affairs and Curriculum policies)
     Medical resident and fellows currently in non-UIHC programs (refer to the GME Office at UIHC)
    Policy for Visiting or Observing Physicians
    Page 1 of 4
     International physicians who are seeking US experience to apply for US residency programs
     Visiting professors who come to lecture or spend a few days in the Department are not required to complete
    this process.

    REQUIREMENTS:
     Completed form – attached Application for Observing Physicians at UIHC
     An ID badge - all badges must be obtained from UIHC Human Resources and must clearly identify the
    observer as a VISITOR
     Signed confidentiality agreements - attached
     Supervising physician shall accompany the observer and solicit consent from each patient after informing
    the patient of the observer’s background
     Prior to introducing the observer to any patient, the supervising physician shall afford the patient the right to
    refuse the presence of the observer
     The supervising physician shall ensure that the observer acts within the scope of an observer, including no
    direct physical patient contact
     No CCOM appointment required
     No Iowa license required
     No credential checks or background checks required
     Observer must pass an illness screening prior to entering into any patient area
     Departments found to violate this policy will be precluded from applying for visiting observers for one year
    following the violation

    Source:
    Date Approved: 2/5/09 (VPMA)
    Date Effective: 2/5/09
    Date Revised: 6/13/13; 9/4/14
    Date Reviewed: 2/8/11

    VPMA Approval 2-5-09; 6/13/13 Policy for Visiting or Observing Physicians


    Page 2 of 4
    APPLICATION FORM FOR VISITING OR OBSERVING PHYSICIANS AT UIHC
    Name of Visitor/Observer:
    Observer’s Home Institution and Address:
    Specialty Area of Interest:
    CCOM Faculty Sponsor’s Name:
    Sponsoring Department:
    HR Representative Name: ______________________ Phone: _ _ _/ _ _ _ - _ _ _ _ Campus Address: ______________

    Observation start date: ___________________________ Observation end date: __________________________________

    Prior UIHC observation? _____Yes _____No If so, give start and end dates: From: ____________ To: ______________

    If current observation is proposed for longer than one month, explain why:__________________________________
    _____________________________________________________________________________________________________

    Description of activities during this observation period:_________________________________________________________

    _______________________________________________________________________________________________________________________________

    Percent of effort of the observer in the following areas: Education: ___ % Research: ___% Clinical Observation: ___%

    Confidentiality agreement signed/dated and on file: ___Yes ___ No


    Funding Source:

    Corp Fund Org Dept SubDept ID Grant Program Inst cct Org DeptAcct Fund Cost

    I agree to abide by the observer rules set forth by the Carver College of Medicine and the University of Iowa Hospitals and
    Clinics, including avoidance of direct physical contact with patients:

    Signature of Observing Physician Date

    ____________ ______________
    Signature of Sponsoring Physician Campus Address Phone Date

    ____________ ______________
    Signature of Department Chair Campus Address Phone Date

    APPROVAL STATUS—REASON

    □ Yes □ Denied______________________
    Lois Geist, MD Date ______________________
    Associate Dean for Faculty Affairs, CCOM

    ____________________________________________
    Theresa Brennan, MD
    ___________
    Date
    □ Yes □ Denied______________________
    Chief Medical Officer, UIHC ______________________

    Submit this form via e-mail to lori-posey@uiowa.edu


    The completed form must be received no later than 30 days prior to the observer’s proposed start date at UIHC.

    VPMA Approval 2-5-09; 6/13/13 Policy for Visiting or Observing Physicians


    Page 3 of 4
    Declaration of Patient Information Confidentiality

    University of Iowa Hospitals and Clinics (UIHC) is legally required by the Health Insurance Portability
    and Accountability Act (HIPAA) to protect the privacy of the health care information of all patients
    treated at our institution.

    Your visit to UIHC may include contact with patients, viewing of computer-stored patient information,
    viewing information from patient medical records, and/or incidentally overhearing confidential
    conversations. Under no circumstances may this information be discussed with anyone.

    State and federal law protect the confidentiality of patient information that you might obtain during the
    course of your visit to UIHC. State and federal law prohibits you from making any disclosure of this
    information.

    I declare that I have read and understand the above aspects of patient confidentiality. Furthermore, I
    understand that violation of the confidentiality of patient information is reason for revocation of UIHC
    educational privileges, and is subject to civil and criminal penalties.

    Signature____________________________________ Date________________

    Print Name___________________________________

    This document will remain on file in the host Department for six years. Visitors are required to sign this
    statement for each site visit.

    VPMA Approval 2-5-09; 6/13/13 Policy for Visiting or Observing Physicians


    Page 4 of 4

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