Policies

Introduction

• Introduction (.pdf)

Section One - Benefits and Amenities

• Policy No. 1.1 - Benefits (.pdf)
• Policy No. 1.2 - Bereavement (.pdf)
• Policy No. 1.3 - Leave of Absence (SPUH Policy) (.pdf)
• Policy No. 1.4 - House Staff Leave of Absence (.pdf)
• Policy No. 1.5 - Sick Leave (.pdf)
• Policy No. 1.6 - Temporary Disability Insurance (SPUH Policy) (.pdf)

Section Two - House Staff

• Policy No. 2.1 - Eligibility and Selection of House Staff (.pdf)
• Policy No. 2.2 - Evaluation of House Staff (.pdf)
• Policy No. 2.3 - Promotion of House Staff (.pdf)
• Policy No. 2.4 - Responsibilities of House Staff (.pdf)
• Policy No. 2.5 - Supervision of House Staff (.pdf)
• Policy No. 2.6 - Working Environment (.pdf)
• Policy No. 2.7 - Disciplinary Action: Termination of Appointment (.pdf)
• Policy No. 2.8 - Peer Selection of House Staff (.pdf)

Section Three - Human Resources/Administration

• Policy No. 3.1 - Employee Assistance Program (.pdf)
• Policy No. 3.2 - Impaired House Staff (.pdf)
• Policy No. 3.3 - Restrictive Covenants (.pdf)
• Policy No. 3.4 - Sexual and Other Types of Harassment (.pdf)
• Policy No. 3.5 - House Staff Background Checks (.pdf)

Section Four - Institutional Responsibilities

• Policy No. 4.1 - Evaluation of Faculty, Educational Experience and Overall Postgraduate Program (.pdf)
• Policy No. 4.2 - The Institutional Graduate Medical Education Committee (.pdf)
• Policy No. 4.3 - Affiliation Agreements (.pdf)
• Policy No. 4.4 - Internal Program Review (.pdf)
• Policy No. 4.5 - Responsibilities of the Program Director (.pdf)
• Policy No. 4.6 - Rotation to External Graduate Medical Education Programs (.pdf)
• Policy No. 4.7 - Rotation-In From External Graduate Medical Education Programs (.pdf)
• Policy No. 4.8 - Standards of Conduct (.pdf)
• Policy No. 4.9 - Autopsy & Quality Assurance (.pdf)

Section Five - Work Schedules

• Policy No. 5.1 - Duty Hours (.pdf)
• Policy No. 5.2 - Moonlighting (.pdf)
• Policy No. 5.3 - Resident Fatigue (.pdf)
• Policy No. 5.4 - Maggie's Law (.pdf)

Section Six - Miscellaneous

• Policy No. 6.1 - Grievance and Appeals Process (.pdf)
• Policy No. 6.2 - Residency Closure/Reduction (.pdf)

Section Seven - Institutional Policies Relative to GME Programs

• Policy No. 7.1 - Organizational Code of Ethics (.pdf)
• Policy No. 7.2 - A Statement of Patient's Rights (.pdf)
• Policy No. 7.3 - Conflicts of Interest Policy (.pdf)
• Policy No. 7.4 - House Staff Completion of Medical Records (.pdf)
• Policy No. 7.5 - Confidentiality of Information (.pdf)
• Policy No. 7.6 - Employee Health Service Procedures and Guidelines (.pdf)
• Policy No. 7.7 - Exposure to Blood and Body Fluids (.pdf)
• Policy No. 7.8 - Exposure to Communicable Diseases Within SPUH (.pdf)
• Policy No. 7.9 - Standard Precautions (.pdf)
• Policy No. 8.0 - GME Administrative Support During Disasters (.pdf)
• Policy No. 8.1 - Interaction with Vendors – GME Faculty & Residents (.pdf)
• Policy No. 8.2 - Self Assessment: Annual Program Review Policy (.pdf)