Medical College of Wisconsin Affiliated Hospitals, Inc.
VISITING HOUSESTAFF ROTATIONS
MCWAH PROGRAM RESPONSIBILITIES
1. Visiting housestaff rotating to a MCWAH Program must first be accepted by the MCWAH Program Director who has reviewed the housestaff's educational background and experience and who has accepted or assigned responsibility for supervision and evaluation of the visiting housestaff.
2. Programs accepting visiting housestaff from non-MCWAH Programs are responsible for:
a. Assuring that visiting housestaff are qualified and competent to fulfill duties assigned to them during their time at a MCWAH institution.
b. Informing visiting housestaff and his/her Program Director of MCWAH's requirements (See Visiting Housestaff Responsibilities) for visiting housestaff.
c. If applicable, assuring that there is a proper visa in place.
d. Assuring that there is or will be a Program Agreement in place.
e. Compiling the required documentation sent by the visiting housestaff and submitting it to MCWAH at least 4 weeks prior to the start of the rotation.
f. Notify the visiting housestaff of how to find and review MCWAH's Policies and Procedures and inform him/her that s/he must comply with all MCWAH Policies.
g. Provide an orientation to the visiting housestaff on the Program and the affiliated hospital where they are to work.
VISITING HOUSESTAFF RESPONSIBILITIES
1. The visiting housestaff or his/her Program Director must complete and submit the following required documents to the MCWAH Program at least 6 weeks prior to the start of the rotation.
a. Non-MCWAH Housestaff Assignment Form
b. Background Information Disclosure Form
c. Consumer Authorization Form
d. A Certificate of Insurance or letter stating that the housestaff has professional liability insurance that will cover him/her for their activity while at MCWAH. The professional liability insurance must have, at minimum, primary coverage of $1,000,000 per occurrence/$3,000,000 in aggregate, with additional excess insurance coverage available.
e. Documentation of Healthcare
i. TB testing within Last 11 Months
ii. Measles Antibody Titer or Two MMR Vaccinations
iii. Rubella Antibody Titer or One MMR Vaccination
iv. History of Chicken Pox or Positive Antibody Titer or Two Documented Varicella Vaccinations
v. Hepatitis B Vaccine Series or Positive HBSAB Titer
f. Documentation of OSHA Bloodborne Pathogen Training Within Last 11 Months
g. Signed MCWAH Confidentiality/HIPAA Form
h. Documentation of Proper Visa
2. Compile all required forms and documents and submit packet to the MCWAH office at least 4 weeks prior to the start date of the rotation.
1. Once all forms and documentation are submitted, the MCWAH staff will conduct a criminal background check and verify the visiting resident's credentials (health status, licensure).
2. MCWAH will submit all health and OSHA testing documentation to the Medical College of Wisconsin Occupational Health Department for review and confirmation that health and OSHA requirements are met; a copy of this documentation will be kept on file in Occupational Health. If MCW Occupational Health determines the documentation is not acceptable or it is not supplied, the visiting housestaff must complete OSHA training and communicable disease screening through MCW's Occupational Health Department at the expense of the MCWAH Program.
3. Program Agreement will be reviewed and must be acceptable to all parties. Signatures are finalized. Agreements will be filed in the MCWAH Office.
4. Approval of rotation by MCWAH Executive Director is required as evidenced by signature on Program Agreement.
5. Once credentialing is complete MCWAH will notify the hospital medical staff office and the MCWAH Program that the visiting rotation is approved and credentialing has been completed.
The rotation may not commence until the rotation is approved and credentialing has been completed.
1. While on assignment, visiting housestaff must comply with all MCWAH and, as applicable, affiliated hospitals' policies and procedures.
2. The MCWAH hospital where the visiting housestaff is assigned may claim Medicare reimbursement for the visiting housestaff's rotation.
This revised policy was approved by the MCWAH Graduate Medical Education Council on June 18, 2007.