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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: 04/10/2018

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 Phase 2 Assistant Dean and Phase 3 Assistant Dean jeschwar@iu.edu
heritter@iupui.edu
ACCOUNTABLE Curriculum Council Steering Committee Chair aladd@iupui.edu
SUPPORT Medical Student Education
CONSULT Joseph Scodro, Deputy General Counsel, (317) 274-5277,
Educational Policy Sub-committee members

Clinical Component Committee
Clerkship Working Group
Curriculum Council Steering Committee

jscodro@iu.edu
aladd@iupui.edu
INFORM Phase 2 and Phase 3 Statewide Clerkship Directors

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 in Phase 2 or Phase 3.


Policy Statement

All medical students participating in required procedural educational experiences are engaged in clinical learning environments where they are supervised by members of the faculty, and/or where present, residents and healthcare professionals. 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.

All Phase 2 medical students must be directly supervised by a healthcare professional for whom said procedure is within their scope of practice. In the Phase 3 of medical school, 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 04/10/2018


Procedures

In addition to all components of the history and physical examination, medical students in Phase 3 may perform any of the following, while indirectly supervised per policy, with the knowledge and authorization of the supervising physician.

Airway Management / Bag-Mask Ventilation
Fetal Heart Tone Assessment
Incision and Drainage
12-lead EKG Placement
Foley catheter insertion (male and female)
Monitoring Device Placement
Nasogastric tube insertion
Local Anesthesia Administration
Suture or Staple Placement / Removal
Venipuncture: Including Blood Draw OR Peripheral IV placement
Wound Care

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. MedHub) with sign-off verification by the supervising physician.

Adherence to this policy and its utilization is monitored by CCC and CCSC. 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

Direct Supervision requires that the supervising healthcare professional be present during the procedure.

Indirect Supervision requires that the supervising health professional be immediately available but not necessarily present.

A qualified resident is one who is enrolled in an ACGME-accredited training program.


Additional Contacts

Subject Contact Phone Email
Phase 2 Assistant Dean Jennifer Schwartz, MD (317) 948-7576 jeschwar@iu.edu
Phase 3 Assistant Dean Hadley Ritter, MD (317) 688-2790 heritter@iupui.edu
Clinical Sciences Curriculum Specialist Neelum Safdar (317) 274-4742 nsafdar@iu.edu
Curriculum Data Coordinator 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
Revised proposal in CWG: 3/21/2018
Revised and approved by CCC: 04/03/2018
Approved by CCSC: 04/10/2018