Supervision and Scope of Practice Policy

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IUSM-PO-EDU-CUR-0004

Full Policy Contents

Scope
Policy Statement
Reason for Policy
Procedures
Approval
Procedures
Definitions

ADDITIONAL DETAILS
Additional Contacts
Related Information
History

Effective: 10/25/16
Last Updated: 04/27/2017

Responsible University Office:
Medical Student Education

Responsible University Administrator
Senior Associate Dean for Medical Student Education

Policy Contact:
Phase 2 and 3 Assist. Deans

RESPONSIBLE Educational Policy Sub-committee Chair, haywooda@iu.edu
ACCOUNTABLE Curriculum Council Steering Committee Chair, aladd@iupui.edu
SUPPORT Educational Policy Sub-committee members
Colleen O’Brien, colmobrie@iupui.edu
CONSULT Joseph Scodro, Deputy General Counsel, (317) 274-5277, jscodro@iu.edu
Educational Policy Sub-committee members
Curriculum Council Steering Committee Chair, aladd@iupui.edu
INFORM Educational Policy Sub-committee members
Andy Foster, IUSM Website, fosteran@iu.edu

LCME Standards

9.3 Clinical Supervision of Medical Students


Scope

Any individual, student, faculty member, resident physician, advanced practice provider, administrator, staff member, group or committee involved in providing patient care in a clinical learning environment.


Policy Statement

All medical students participating in required educational experiences are engaged in clinical learning environments where they are supervised by members of the faculty, and/or where present, residents.  It is the precepting physician’s responsibility to ensure compliance with this policy and ultimately to make the determination as to the level of independence each student should have when providing patient care in a clinical learning environment.
 
IUSM students are expected to assume developmentally appropriate, graduated levels of responsibility during their training.

The degree of supervision provided to students when providing patient care will be determined based on a number of factors in order to ensure the safety and comfort of the patient, including but not limited to: the developmental level of the student, complexity of the procedure, potential for adverse effects, and the demonstrated competence, maturity and responsibility of each student.  

Once a medical student has been observed successfully performing one of the  procedures listed below by a faculty or qualified resident, that is within the faculty’s scope of practice, the supervising faculty may verbally authorize the student on a case-by-case basis to perform it with the physician not present but immediately available. The process will include verbal permission from the patient when possible.  

As with all clinical encounters, students must seek assistance as needed if faced with a medical circumstance that is beyond their skill level or comfort.


Reason for Policy

To ensure that medical students in clinical learning situations involving patient care are appropriately supervised at all times to ensure patient and student safety.


Approval

Approved by CCSC on 11/29/2016


Procedures

In addition to all components of the history and physical examination, medical students may perform any of the following per policy with the knowledge and authorization of the supervising physician.

Blood collection: arterial, venous, or capillary
Injections: intramuscular, subcutaneous, intradermal, intravenous
Insert peripheral intravenous catheter
EKG
Foley catheter insertion (male and female)
Nasogastric tube insertion
Local anesthesia
Suture simple laceration
Suture or staple removal
Ventilation (ambu-bag)

Procedures performed on the case-by-case process described in this Policy will be logged through the School’s central procedural skills logging system (e.g. Evalue PxDx) with sign-off verification by the supervising physician.

Adherence to this policy and its utilization is monitored by CCC quarterly and CCSC every six months, and modified as appropriate.  The frequency of procedures performed under this policy will be tracked for location, clerkship, and student level.  The adequacy of supervision tracking system on the Learning Environment web page will also be monitored for reports of students not feeling adequately supervised in clinical activities.


Definitions

Supervision requires a faculty physician, or qualified resident physician to be present or immediately available.
A qualified resident is one who is enrolled in an ACGME-accredited training program.

Additional Contacts

Subject Contact Phone Email
Policy; Compliance Phase 2 Dean  (317) 948-7576 jeschwar@iu.edu
 Phase 3 Dean  (317) 880-7819 wcarlos@iu.edu
Changes/Updates Neelum Safdar (317) 274-4742 nsafdar@iu.edu
Technical Assistance Joel Smith (317) 278-1762 joelsmit@iu.edu

Related Information

Required Clinical Skills Policy


History

Approved by CCSC: 11/29/2016
Revised: 12/13/2016
Revised: 04/25/2017

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