Deanship of Postgraduate Education King Saud bin Abdul-Aziz University for Health Sciences ...

119 Pages·2016·5.36 MB·English

Deanship of Postgraduate Education
King Saud bin Abdul-Aziz University for Health Sciences
Ministry of National Guard Health Affairs
King AbdulAziz Medical City- Jeddah

Page 1 of 119 | Postgraduate Medical Education Resident Handbook 2016
TTAABBLLEE OOFF CCOONNTTEENNTTSS

Welcome Address …………………………………………………………………………………………………………………….. 3

Resident Handbook …………………………………………………………………………………………………………………. 6

Policies for Residency Training Programs …………………………………………………………………………… 8
Supervision of Residents and Fellows …………………………………………………………………………………. 16
Center Transfer …………………………………………………………………………………………………………………………. 29
Postponing Training ………………………………………………………………………………………………………………… 32
Specialty Change ……………………………………………………………………………………………………………………… 34
Trainee Vacations and Holidays …………………………………………………………………………………………… 36
Training Interruption ……………………………………………………………………………………………………………… 38
Withdrawal From Training Program ………………………………………………………………………………….. 41
CanMEDS Competencies ……………………………………………………………………………………………………….. 43
Eligibility and Selection of Residents …………………………………………………………………………………… 47

Program Organization and Responsibilities ………………………………………………………………………. 47
Reappointment and Promotion …………………………………………………………………………………………….. 50

Evaluations ………………………………………………………………………………………………………………………………… 52
Appeal Process ………………………………………………………………………………………………………………………….. 52

Residency Training Program Committee ……………………………………………………………………………. 53
Leave ……………………………………………………………………………………………………………………………………………. 54

Disciplinary Action and Due Process ………………………………………………....................................... 55
Saudi Board Examination Process ………………………………………………………………………………………… 55
 Residency Training Programs
1. Anesthesia ………………………………………………………………………………………………… 56
2. Anatomic Pathology ……………………………………………..................................... 62
3. Community Medicine ………………………………………………………………………………. 63
4. Critical Care Medicine ………………………………………………………………………….. 67
 Dental Services Department ……………………………………………………………………………………… 70
5. Advanced Restorative Dentistry …………………………………………………………… 70
6. Endodontic ………………………………………………………………………………………………. 71
7. Oral & Maxillofacial …………………………………………....................................... 72

8. Orthodontics …………………………………………………………………………………………… 73
9. Pediatric Dentistry …………………………………………………………………………………. 79

10. Periodontics. …………………………………………………….......................................... 82
11. Prosthodontics ………………………………………………………………………………………… 83

12. Emergency Medicine ……………………………………………………………………………… 84
13. Family Medicine ……………………………………………………………………………………… 90

 Department of Medicine ……………………………………………………………………………………………. 93
14. Dermatology …………………………………………………………………………………………….. 93
15. Internal Medicine …………………………………………………………………………………… 96
16. Neurology ………………………………………………………............................................. 102
17. Psychiatry …………………………………………………………………………………………………. 102
18. Medical Imaging ……………………………………………………………………………………… 102
19. Obstetrics & Gynecology ……………………………………………………………………… 103
20. Pediatrics ……………………………………………………….............................................. 103
21. Pharmaceutical Care ………………………………………………………………………………. 111
 Department of Surgery ……………………………………………………............................................. 113
22. General Surgery ………………………………………………………………………………………. 113

23. Orthopedic ………………………………………………………………………………………………. 113
24. Urology ……………………………………………………………………………………………………… 113

25. Neurosurgery …………………………………………………………………………………………… 113
26. Ophthalmology ……………………………………………………………………………………….. 114

27. Otolaryngology Head & Neck Surgery ……………………………………………… 115
28. Pediatric Surgery ………………………………………………........................................ 115

29. Plastic Surgery ………………………………………………………………………………………… 115
TELEPHONE NUMBERS: POSTGRADUATE EDUCATION …………………....................... 116
Page 2 of 119 | Postgraduate Medical Education Resident Handbook 2016
WWEELLCCOOMMEE AADDDDRREESSSS

Welcome to King Abdulaziz Medical City, Ministry of National Guard Health Affairs –
Western Region.

Residency Training Programs at the Ministry of National Guard Health Affairs are
designed to provide high quality clinical and academic education and training, and
provide an environment for Residents to learn the basic standards of their specialty.

This booklet is designed to provide a clearer overview and sets out a range of ways that
you can get involved in shaping the direction and quality of service delivered by King
Abdulaziz Medical City – Jeddah.

I hope that this booklet provides a useful guide into the mainstream of activities within
your areas of responsibility.

We look forward to working with you to continuously improve the service we offer, by
giving you opportunities to be involved in providing excellent care at King Abdulaziz
Medical City – Jeddah.

Kind regards

DR MANSOUR AL-QURASHI, DCH, ABP, MD
Associate Dean, Postgraduate Education
King Saud bin Abdulaziz University for Health Sciences, Jeddah

September 2016
Page 3 of 119 | Postgraduate Medical Education Resident Handbook 2016
WWEELLCCOOMMEE AADDDDRREESSSS

Welcome to the Office of Postgraduate Medical Education at KSAU-HS Jeddah!

The Office of Postgraduate Medical Education (PGME) operates within the Deanship
of Postgraduate Education. We represent postgraduate medical education at King Saud
Bin Abdulaziz University for Health Sciences (KSAU-HS) through residency and
fellowship programs. In addition to this, we supervise the various medical schools’
dental graduates during their internship training period.

PGME oversees 29 residency training programs and 22 fellowship training programs
within the University. We have approximately 358 residents and 102 fellows. Each of
our high-quality residency training programs is accredited by the Saudi Commission for
Health Specialties (SCHS).

We work with programs to ensure compliance with standards of accreditation, and seek
to further improve the quality of our training programs through conducting periodic
internal peer reviews of all residency training programs.

PGME is committed to working with residents to ensure that their educational
experience during the time they spend at KSAU-HS will provide them with the best
possible educational experience to meet their needs in relation to their future career
goals.

PGME is also committed to ensuring all educational programs prepare our learners for
evidence-based practice, critical reflection, lifelong learning and an ability to deliver
service in a highly professional manner.

Kind regards

DR. YASER FADEN
Director of Medical Education, Deanship of Postgraduate Education
Assistant Professor, Department of Obstetrics and Gynecology
Consultant, Maternal-Fetal Medicine & OB/GYN
King Saud bin Abdulaziz University for Health Sciences
King Abdulaziz Medical City – Jeddah
[phone] (ext. 21372 - 21373)
Mail Code 6133; [email protected]

September 2016
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Page 5 of 119 | Postgraduate Medical Education Resident Handbook 2016
RESIDENT HANDBOOK

Important Policies

All information contained within the Resident Handbook is determined by the rules of the
training programs regulated by the Saudi Commission for Health Specialties (SCFHS) and
the Arab Board for Medical Specialisation, and in accordance with the policies of Ministry
of National Guard Health Affairs.
In the following pages is a comprehensive manual of important policies and guidelines
regulated by SCHFS relevant to Postgraduate Medical Education.
Please note that updates to the policies and procedures manual may occur throughout the
academic year. The most current version of the manual can always be found at
http://portal.ngha.med/sites/Jeddah/aa/pgradmededu/Pages/residencypolicies.aspx
Page 6 of 119 | Postgraduate Medical Education Resident Handbook 2016
Deanship of Postgraduate Education
King Saud Bin Abdulaziz University for Health Science
POLICIES FOR RESIDENCY TRAINING PROGRAMS

I. GENERAL

The Residency Training Programs at King Abdulaziz Medical City are designed to
provide high quality clinical and academic education and training. The training
programs provide an environment for Residents to learn the basic standards of their
specialty. Patient care is of prime importance in providing high quality postgraduate
training. As Residents progress through the training program, their competence and
responsibilities in the care of patients will increase.

Training programs provide the opportunity for the acquisition of increased knowledge,
skills and responsibilities. Successful completion of annual training requirements will
result in promotion.

In consultation with department chairmen, residency training program (RTP)
directors, and teaching and administration staff, PGME will establish procedures,
policies and a system for educational resource allocation and quality control.

The Office of PGME shall, in conjunction with Saudi Commission regulations:

(a) establish the general objectives of postgraduate medical education.
(b) apportion residency positions among the programs offered.
(c) review and monitor instructional plans for each residency program.
(d) develop criteria for selection of candidates.
(e) develop methods for a periodical evaluation of program effectiveness and the
competency of residents in training.

II. RESPONSIBILITY OF THE INSTITUTION

1. As part of the commitment of this institution to fully implement an exemplary
program in postgraduate medical education, the Office of PGME has been
established. The Director of Medical Education takes the immediate
responsibility for ensuring the implementation of residency training and other
postgraduate medical education programs.

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2. The administrative and teaching staffs have a strong commitment to medical and
dental education. As an indication of this commitment, the following policy
statements have been adopted:

2.1 With the objective that the healthcare delivery system and the medical and
dental education programs be conducted by citizens of the Kingdom of Saudi
Arabia, the King Abdulaziz Medical City staff, in collaboration with the medical
and dental schools in the Kingdom, shall assist in the training of manpower for
these important critical needs.

2.2 An operational system based on policies defined in this document is established
which provides for the following:

2.2.1 Residents will be appointed, based on recommendations of the
Department Chairman, RTP Director and Director of PGME. and
having successfully completed the Saudi Commission selection
requirements in the chosen discipline, and in accordance with policies
established by the MNGHA and PGME.
2.2.2 Resident’s positions will be apportioned among the programs available
in accordance with Saudi Commission/Arab Board regulations on
accreditation, taking into consideration the service needs of the
Department, the availability of teaching staff and other educational
resources needed to provide a balanced academic and clinical teaching
program.
2.2.3 Residents will be supervised by the members of the medical and dental
staff in the training program where they are assigned. To ensure
adequate supervision, a RTP Director is appointed in each Department,
responsible to the Department Chairman and Director of PGME. Areas
of supervision include the inter-relationship between residents and
their patients, their medical colleagues, nursing, paramedical and other
staff, adherence to the institution’s policies, and professional behavior
and competence.
2.2.4 Resident evaluation and advancement will be the responsibility of the
staff of the training program involved in conjunction with the Director
of PGME and the rules and regulations of the Saudi Commission.
Residents will be evaluated every 3 months, and at the end of each
rotation. These evaluations are sent to the Saudi Commission.
Advancement and promotion in the training program is subject to
satisfactory evaluations as judged by the Saudi Commission. An annual
evaluation is also completed, based on the 3-month evaluations and a
structured written examination. This is used to recommend re-
contracting and promotion in the training program, if this is
appropriate.
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2.2.5 Similarly, training supervisors and rotations will be evaluated by the
Residents. Residents have a responsibility to ensure that they complete
the appropriate form, and that these are returned to their program
directors. Information is used to evaluate the quantity and quality of
the teaching provided by the department.
2.2.6 Residents are required to attend all departmental educational activities
including clinical teaching sessions, grand rounds, lectures, conferences
and journal clubs. The department is responsible for maintaining
attendance records and these will be submitted to PGME. Residents
must be in attendance at 75% of departmental meetings to qualify for
promotion and advancement in the program. Residents are also
required to attend the hospital lunchtime Grand Round.
2.2.7 Residents are required to perform on-call duty. On-call duty shall be an
average of one every three to four nights (minimum of 7 calls per month,
24 hours per call except when working in emergency room). Residents
are expected to perform regular duty the day after call to ensure
continuity of care for their patients, unless otherwise specified by the
specific department.
2.2.8 Residents will be required to sit a specialty end-of-year examination to
assess the level of knowledge and the expertise gained during the
preceding year.
2.2.9 Residents who fail to meet the required standards of the training
program and MNGHA may be dismissed from the program. Reasons
for dismissal are noted in Section VII and VIII.

3. Each program will be periodically reviewed by representatives of the Saudi
Commission for Health Specialties who will assess the quality of training and
resources available in the institution for accreditation purposes.

4. The PGME is responsible for coordinating all accreditation visits and for ensuring
that the relevant information is made available to representatives of accrediting
bodies when required.

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 RIGHTS AND RESPONSIBILITIES OF PATIENTS & FAMILIES

Patients have a right to a full explanation of the treatment they can expect while in this
institution, duration of stay, etc. It is the physician’s and dentist’s responsibility to
ensure this information is communicated to patients. APP 912.02 gives full information
on this subject and should be referred to.

GUIDELINES FOR DOCUMENTATION IN THE MEDICAL RECORD

1. Introduction
The medical record should chronologically document the care of the patient and is
an important element contributing to the quality of care.

2. Documentation Standards
General Policy: It is critical for the medical staff to understand the documentation
requirements because of their direct involvement and ultimate responsibility in the
provision of quality patient care. Medical record documentation should be
completed immediately following patient services or within sufficient time for the
physician to recollect the key portions of the services provided. In no
circumstances should that time be longer than 24 hours after the service(s) were
rendered. Whoever dictates a note or report, or any other medical record entry,
shall sign the note, report, or entry. No modification or addendum’s shall be made
in the medical record that does not include the date modification or addendum was
made, and the signature and physician number of the physician. In no instance will
any documentation in medical record be erased, marked over, or otherwise removed
or altered.

The S.O.A.P. guidelines are used for documentation:
S = Patient’s History (objective)
O = Physical Exam, Investigations (objective)
A = Decision Making (assessment)
P = Plan (care treatment plan)
3. Daily Progress Notes
The medical record should be complete, accurate, legible, and timely. The
documentation for each patient encounter should include:
 reason for the encounter and  assessment, clinical impression or
relevant history diagnosis
 date / time and the legible  physical examination findings
identity of the care provider
 signature and physician stamp or  diagnostic test results
number
 plan of care

4. H & P
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