Dr. Kiran C. Patel College of Allopathic Medicine (NSU MD)—Doctor of Medicine (M.D.) Program 2024–2025 125 It is the supervising faculty member’s responsibility to understand and abide by NSU MD’s determination of the appropriate degree of involvement/participation by the student and the level of supervision that each student should have when providing patient care in a clinical learning environment. The student’s degree of involvement/participation in clinical care activities must be in alignment with the intended educational objectives, and the student’s participation in such activity must be judged by the supervising physician as legitimately needed to achieve said objectives. NSU MD expects that no students are unnecessarily exposed to performing clinical interventions that may represent high risk of contagion or other safety concerns. Factors that must be taken into consideration when determining the level of involvement of a student in patient care include • the curricular expectations of the course/clerkship in which the student is enrolled (learning objectives, required clinical encounters, etc.) • the developmental level of the student • the complexity of the care or procedure • the potential for adverse effects • the demonstrated competence, maturity, and responsibility of the student • the consent of the patient to have a student involved in their care Medical students are expected to acknowledge their own limitations and request assistance or decline participation in any aspect of patient care in which they do not feel comfortable or competent. Monitoring Compliance with Supervision Policies Clerkship directors, with administrative support provided by the facility, will receive periodic updated information on new faculty members or residents added to the service, and will confirm that any new physicians have been oriented to the course or clerkship and NSU MD policies, as well as being properly appointed as an NSU MD faculty member before the physician supervises any NSU MD students. The Office of Medical Education reviews syllabi and medical students’ evaluations to ensure that supervision is appropriate at all times. Among other assessment variables, students evaluate the quality of teaching of faculty members and residents and the quality of feedback they receive. As part of the standard clerkship evaluation form that students are required to complete, they are asked to state whether they were supervised during the clerkship. If a problem in supervision is apparent by either formal (course/clerkship evaluations) or informal (verbal feedback from students) mechanisms, the executive associate dean of Academic and Student Affairs will meet with the clerkship director(s) to address the issue(s).
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