Recruitment, selection and appointment of residents and fellows are performed by the Program Director with oversight by the Institution's GMEC and in accordance with ACGME and California Medical Board requirements.
To be eligible to be a UCLA house officer, applicants must fulfill the following selection criteria:
1. A graduate of an LCME accredited (Liaison Committee on Medical Education) medical school or Canadian accredited medical school or:
2. A graduate of a college of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA).
3. A U.S. citizen or possess a Permanent Resident Card or an appropriate educational visa.
4. If a graduate of a medical school outside the United States, they must have a valid certificate from the ECFMG and have a Letter of Evaluation from the Medical Board of California indicating that they are eligible for resident selection, or a valid California medical license.
5. Meet all State of California licensing requirements at the start of the appointment. Applicants who fail to meet State of California licensing requirements by the original contract start date of their training program will not be appointed.
6. A graduate of an ACGME accredited orthopaedic surgery, general surgery or plastic surgery residency program as applicable to the fellowship.
Examination scores from USMLE Part I, II, and III.
4 Letters of recommendation
2x2 color photograph of the applicant
Universal application as applicable to the fellowship
4. The Program Director and appointed faculty will select applicants who will be offered an opportunity for a personal interview.
5. Each applicant will be separately interviewed by four or five sports medicine faculty members.
6.This program will not discriminate based upon age, race, sex, religion, ethnicity, national origin, sexual orientation, physical or mental disability, marital status or veteran status.
7. Group discussion and rank ordering of applicants will be performed following the final date of interviews.
The David Geffen School of Medicine at UCLA requires that the fellowship training programs foster both quality fellow education and facilitate quality patient care. Overall, fellow duty hours in all programs must be consistent with the Institutional and specific program Residency Review Committee (RRC) accreditation requirements established by the Accreditation Council for Graduate Medical Education (ACGME). The structuring of duty hours and on-call schedules focus on the needs of the patient, continuity of care and the educational needs of the fellows.
Duty hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in-house call activities. Duty hours do not include reading and preparation time spent away from the hospital.
Fellows must be provided with one day in seven free from all educational and clinical responsibilities, averaged over a four-week period. One day is defined as one continuous 24-h our period free from all clinical, educational, and administrative activities. Fellows must also be provided at least 10 hours between duty assignment periods to obtain adequate rest.
In-house call, must not exceed 24 consecutive hours. Fellow may remain on duty for up to six additional hours to participate in didactic activities, transfer care of patients, conduct outpatient clinics, and maintain continuity of medical and surgical care. No new patients may be accepted after 24 hours of continuous duty.
Fellows are required to report and log all duty hours on Verinform. Fellow must log in at least once every week. The Program Directors and coordinators will run reports on a weekly basis to review each fellow's reported duty hours to ensure compliance and address potential violations.
Compliance with Duty Hour regulations must be monitored by everyone involved with the fellowship program, including fellows, faculty and program coordinator. It is the responsibility of the program director to assure complete compliance with the duty hour regulations. The program director, faculty and fellows are charged with monitoring the demands of all on-call activities and make the necessary adjustments in scheduling to deal with excessive service demands and/or fatigue.
UCLA GME office (sponsoring institution) provides a working environment for fellows/residents which comply with ACGME policies. The residents/fellows will have an opportunity to evaluate the quality of the educational program and work environment at an annual town hall meeting. Residents/fellows who have specific concerns can address these in writing to the program director or Chairman of the Department of Orthopaedic Surgery. If the problems or concerns are not resolved at this level, these should be brought up to the GMEC for review.
SUBJECT: PROFESSIONAL ACTIVITIES OUTSIDE THE SCOPE OF TRAINING
POLICY: Professional activities outside the scope and intent of residency training detract from the education experience and may adversely affect patient care. It is the policy of the Department of Orthopaedic Surgery that no such activities or any type of outside employment may occur during assignment to clinical rotations unless approved by the Program Director and Chairman.
It is the responsibility of the residents to notify the program director if they wish to moonlight. The program director must provide a written statement of permission, and this will become part of the resident's file. The program director will monitor resident performance to ensure that moonlighting activities are not adversely effecting patient care or learning. If the program director determines that the resident performance is deficient, the resident may be subject to withdrawal of permission or disciplinary actions. The program director may require detailed information on the timing and level or activity to assure it does not cause fatigue or interfere with patient care and the goals and objectives of the program. This information will be kept by the program director. The program director should acknowledge in writing that s/he is aware that the resident is moonlighting, and this information should become part of the resident's folder.
Violation of this policy may result in immediate dismissal from the training program.
OBJECTIVE: To establish guidelines for appropriate supervision of fellows in patient care activities.
These minimal guidelines apply to all fellows enrolled in a UCLA Orthopaedic Fellowship Program, and attending surgeons of all integrated and affiliated institutions who are involved with the UCLA Orthopaedic Fellowship Programs.
POLICY: The UCLA Orthopaedic Fellowship Programs will provide all fellows with appropriate supervision that is consistent with proper patient care, the educational needs of the fellows, and all Institutional Requirements, Common Program Requirements, and specialty/subspecialty-specific Program Requirements of the Accreditation Council for Graduate Medical Education.
All patient care must be supervised by faculty, with such supervision designed to ensure safe and effective patient care as well as ensuring fellows assume progressively increasing responsibility according to their level of education, competence, and experience. Fellows must be provided with rapid, reliable systems for communicating with supervising faculty. On-call schedules for faculty must be structured to ensure that consultation and supervision is readily available to fellows on duty. The level of responsibility assigned to each fellow must be determined by the Program Director and faculty. The Program Director is responsible for ensuring, directing and documenting adequate supervision of residents at all times.
Lines of Supervision and Communication
Consistent with the philosophy of graded levels of responsibility, it is expected that the fellow will directly communicate with, and be, in turn, supervised by the assigned attending. In urgent, or emergent situations, immediate communication with the attending surgeon by the fellow on the team is expected.
a. limited experience of the fellow
b. increased acuity of the patient's condition (e.g. transfer to intensive care unit, need for higher level of clinical care, etc.)
c. higher risk of complication or mortality associated with the clinical intervention being considered
Invasive Procedures and Operations
Progressive Fellow Responsibility
Attending Staff supervise participants in professional graduate medical education programs in their patient care responsibilities in a manner commensurate with the Fellow's level of training and experience. The Chief of Service (School of Medicine Department Chair) is responsible for ensuring that the degree of professional responsibility accorded to each Fellow is progressively increased through the course of training, commensurate with his or her skill, training and experience. The respective Chief of Service makes decisions about individual fellow graded responsibility and progressive involvement and independence in specific patient care activities. The attending physician is also responsible for determining in an individual case the degree of fellow independent functioning. Structured evaluation processes for the fellowship programs are developed which may include combinations of daily attending evaluations of individual performance, regular written evaluations of each fellow and program director fellow evaluation meetings