MedNet File Link
Reason for Policy
Last Updated: 04/27/2017
Responsible University Office:
Medical Student Education
Responsible University Administrator
Senior Associate Dean for Medical Student Education
Phase 2 and 3 Assist. Deans
|RESPONSIBLE||Educational Policy Sub-committee Chair, firstname.lastname@example.org|
|ACCOUNTABLE||Curriculum Council Steering Committee Chair, email@example.com|
|SUPPORT||Educational Policy Sub-committee members
Colleen O’Brien, firstname.lastname@example.org
|CONSULT||Joseph Scodro, Deputy General Counsel, (317) 274-5277, email@example.com
Educational Policy Sub-committee members
Curriculum Council Steering Committee Chair, firstname.lastname@example.org
|INFORM||Educational Policy Sub-committee members
Andy Foster, IUSM Website, email@example.com
9.3 Clinical Supervision of Medical Students
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.
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.
Approved by CCSC on 11/29/2016
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|
|Foley catheter insertion (male and female)|
|Nasogastric tube insertion|
|Suture simple laceration|
|Suture or staple removal|
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.
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.
|Policy; Compliance||Phase 2 Dean||(317) firstname.lastname@example.org|
|Phase 3 Dean||(317) email@example.com|
|Changes/Updates||Neelum Safdar||(317) firstname.lastname@example.org|
|Technical Assistance||Joel Smith||(317) email@example.com|
Required Clinical Skills Policy
Approved by CCSC: 11/29/2016