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Updates for the 2007-08 Academic year Accommodations for ADA Disabilities and Religious Observance
INFORMATION TO BE INCLUDED IN COURSE SYLLABI/HANDOUTS As we continue to identify opportunities to enhance communication with the students regarding our policies and to have internal consistency for the October LCME reaccreditation visit, please include the following four items in your course/clerkship schedules and/or handouts. 1. 2007-08 MSPRB Evaluation Meetings Tuesdays, 3:00 – 6:00 PM September 18, 2007 January 8, 2008 March 11, 2008 June 3, 2008 2. GUIDELINES TO PREVENT THE MISTREATMENT OF STUDENTS In compliance with AAMC on student mistreatment, the following procedures have been adopted to prevent the mistreatment of School of Medicine and Dentistry students. Reaffirming Institutional Standards of Behavior in the Learning Environment The medical learning environment is expected to facilitate students' acquisition of the professional and collegial attitudes necessary for effective, caring and compassionate health care. The development and nurturing of these attitudes is enhanced and, indeed, based on the presence of mutual respect between teacher and learner. Characteristics of this respect is the expectation that all participants in the educational program assume their responsibilities in a manner that enriches the quality of the learning process. While these goals are primary to a school's educational mission, it must be acknowledged that the social and behavioral diversity of students, faculty, residents, and staff, combined with the intensity of the interactions between them, will, from time to time, lead to alleged, perceived or real incidents of inappropriate behavior or mistreatment of individuals. Examples of mistreatment include sexual harassment; discrimination or harassment based on race, religion, ethnicity, gender, sexual orientation, physical handicap or age; humiliation, psychological or physical punishment and the use of grading and other forms of assessment in a punitive manner. The occurrence, either intentional or unintentional, of such incidents results in a disruption of the spirit of learning and a breach in the integrity and trust between teacher and learner. University of Rochester GuidelinesEducation Specifics regarding the University of Rochester guidelines have been shared with the faculty, house staff and students. An ombudsperson to hear student concerns has been designated in the Offices for Medical Education (Dean David R. Lambert). The basic science course directors and clinical clerkship directors are the initial contact people and are responsible for prevention of mistreatment of students in the courses. The Associate Dean for Undergraduate Medical Education (ADUME) will be the contact person for issues that occur in all electives. Student concerns that are not satisfactorily addressed via the proposed course/clerkship grievance procedure will be reviewed by the Associate Dean for Undergraduate Medical Education. If further action is warranted, the ADUME will take the appropriate steps to resolve the problem(s). It is the University's aim to provide a setting which is characterized by respect for all and encouragement for the development of each individual's full potential. The University will not tolerate any behavior, including verbal or physical conduct, which constitutes sexual harassment. All students, staff, and faculty are accountable for compliance with this policy; violations may lead to disciplinary action which, in sufficiently severe cases, may lead to separation from the University after appropriate due process. Certain forms of sexual harassment are also illegal under state and federal laws. While the Medical School generally considers the wishes of the alleged victim in deciding when and how to response to cases of sexual and other harassment, in instances when the perpetrator has threatened to harm and/or is felt to be a danger to the victim or the SMD community, the School retains the right (without approval of the victim) to take appropriate measures to protect the victim and the community. Students who report incidents of alleged sexual harassment, will be given a copy of the SMD and Medical School policy on sexual harassment, as well as information on the University and Medical School ombudspersons. As described in Section C, the Non Academic Standards, Policies and Procedures of the MSRCAP, student charges of the sexual harassment will be reviewed by the Medical Student Promotions and Review Board (MSPRB). The University of Rochester Policy on Sexual Harassment - Adopted 1981 Sexual harassment ranges from sexual innuendo made at inappropriate times to coerced sexual relations. Sexual harassment is defined by the University to include unwelcome verbal and physical conduct of a sexual nature and may include, but is not limited to, the following types of behavior: sexually degrading words or gestures verbal sexual abuse or harassment offensive sexual graffiti, pictures or cartoons subtle pressure for sexual activity leering or ogling disparaging remarks to a person about his/her gender or clothing demands for sexual favors accompanied by implied or overt threats unnecessary touching, patting, pinching or brushing forced sexual contact including rape or date rape Source: University of Rochester Sexual Harassment Brochure If there are questions, concerns, or you need to discuss a problem, the following individuals are available to help: Ruth Lawrence, M.D. University Intercessor 275-4354 E-mail: ruth_lawrence@urmc.rochester.edu
Kathy Sweetland University Intercessor 275-9125 E-Mail: Ksweetland@admin.rochester.edu David R. Lambert, M.D. Associate Dean for Undergraduate Medical Education 275-4537 E-Mail: david_lambert@urmc.rochester.edu Diane M. Hartmann, M.D. Associate Dean for Graduate Medical Education AAMC Women’s Liaison Officer 275-4607 E-mail: diane_hartmann@urmc.rochester.edu RESPONDING TO ACTS OF INTOLERANCE AND DISCRIMINATIONAs a result of the number of acts of intolerance that occurred at the University in recent years (for example in one year 15 events on the undergraduate campus and ESM, six involved racial issues, six involved gay and lesbian issues, three with issues of ethnicity and sexism) the brochure, Responding to Acts of Intolerance and Discrimination, was developed. The brochure describes how the University manages such incidents. The Committee on Inclusion and Diversity was created to serve as a mechanism to monitor acts of intolerance across the entire University and to insure a coordinated response. The coordinator is University Intercessor Kathy Sweetland in the Provost’s Office, 24 Wallis Hall RC Box 270039 275-9125 Ksweetland@admin.rochester.edu 3. AD HOC COMMITTEE TO REVIEW TEACHING EXERCISES WITH STUDENT SUBJECTS Purpose: To provide a committee and a process to review and approve proposals from faculty for teaching exercises that involve students as subjects. Committee composition: Basic science faculty member TBA Medical Humanities Division director (Chair J. Greenlaw) University Health Services director (R. Manchester) Research Subjects Review Board director (G. Chadwick) Second year medical student (Rotating) Procedure:
Committee review will include consideration of the above factors as well as the voluntariness of student participation and the issues of privacy and confidentiality. When necessary, the committee will identify appropriate faculty members for consultation outside the committee’s expertise. Requests for approval should be submitted to the Director of the Division of the Medical Humanities no less than six weeks before the date of the teaching exercise. Approval will be in writing, and will be renewed annually for two additional years according to the following procedure. At the end of the academic year the course director will submit an annual report detailing for each exercise the number of student participants, any deviations from the exercise as it was approved, any problems or student complaints that arose during the exercise, any anticipated changes in the exercise. Any substantial modification in the exercise will require reapplication. If a proposal cannot be approved as submitted, the committee will provide to the course director a written explanation of the reasons for the decision and recommendations for changes that would allow for approval of the exercise. Decisions of the committee can be appealed to the Associate Dean for Undergraduate Medical Education. (Updated 2005-06 Academic Year) 4. INFECTION CONTROL GUIDELINES for UNIVERSITY OF ROCHESTER MEDICAL STUDENTS Universal Precautions:Universal precautions apply to all exposure to blood, body fluids, tissues and secretions. WASH hands before and after all contact with patients. Consider all blood, visibly bloody secretions and fluids and genital secretions from ALL PATIENTS to be infectious. GLOVES are required for all anticipated contact with human blood, body fluids, or mucous membranes. Double glove for surgical procedures. CHANGE GLOVES and wash your hands after each procedure and before contact with another patient. WEAR MASK OR GOGGLES when blood or body fluids may splash into your face. WEAR WATERPROOF GOWN when blood or body fluids may soak through a cloth gown. YOU ARE RESPONSIBLE for properly disposing of any sharps or infectious materials you have used in designated containers. For Tuberculosis: N95 respirator masks are required for potential tuberculosis exposures. Definition of blood and body fluids (for blood borne pathogens): Human blood and blood products Semen and vaginal secretions Cerebrospinal fluid (CSF), synovial fluid, peritoneal fluid, pericardial fluid, amniotic fluid Saliva in dental procedures (assume blood contamination) Any body fluid visibly contaminated with blood Any unfixed human tissue or organ HIV-containing cell, tissue, or organ cultures or solutions, and blood, organs, or other tissues from experimental animals infected with HIV or hepatitis B virus (HBV) Notice that other body excretions such as saliva, urine, stool, vomitus, and respiratory secretions are not included on this list (unless visibly contaminated with blood). However, many of these excretions present other infectious hazards. PROCEDURE FOR NEEDLE STICKS, CUTS, AND BLOOD/BODY FLUID EXPOSURE:
Intact skin: wash with soap and water. Non-intact skin, needle stick or cut: wash with soap and water. Mouth: rinse well with water. Eyes: rinse with sterile water, saline or tap water.
Call UHS Occupational Health Exposure Hotline at 275-1164 ASAP including nights/weekends/holidays Leave the following information on voicemail when prompted: Your name & social security number Phone number Hospital where exposure occurred & name of source patient Date of exposure Type of exposure (ex: needle stick, scalpel cut, splash in eyes, etc.) Weekdays: The UHS Occupational Health Nurses (Bonnie Smith & Susan Antenozzi) will give you further instructions for follow-up care. The OH Nurse is available Monday-Friday, 8:00 AM to 5:00 PM. Nights/weekends/holidays: Voicemail will give you further instructions. A UHS on-call physician is available for consultation and coordination of ongoing treatment as needed.
See instructions in #2
Students must notify the UHS exposure hotline (275-1164) ASAP to coordinate proper follow-up and to make sure the bills will be paid. Initial treatment & counseling may be done at the affiliated site. Students should discuss any exposure with the hospital’s employee health office, their instructor, and the infection control office in the institution where the incident occurred. Employee Health at Local Hospitals: Highland Hospital Monroe Community Hospital Employee Health: 341-8017 Employee Health: 760-6208 After hours: contact nurse supervisor After hours: contact nurse supervisor Rochester General Hospital Unity Health System Employee Health: 338-4026 Employee Health: 723-7880 After hours: contact nurse supervisor After hours: contact nurse supervisor If you think you have been exposed to any of the following diseases, please contact the UHS Occupational Health Nurse for follow-up investigation: Chickenpox/zoster Meningococcal disease Pertussis Scabies Tuberculosis If you are ill, there are certain conditions that may limit your contact with patients. If you think you have any of the following conditions, please contact the UHS Occupational Health Exposure Hotline at 275-1164 about the advisability of working with patients: Chickenpox or shingles Conjunctivitis Diarrheal illness Measles Skin infections Upper respiratory illness with fever Source: OHG8 med new 04-05(bbp brochure) Revised: June 2004 |
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