Prior to Traveling:
After Arriving at UPMC:
-The observer must not have any form of direct patient contact. Contact is defined as physically touching, performing a medical history and/or examination, counseling (patient or patient’s family/friends), assisting in surgery or any other procedure, or otherwise interacting with patients, either individually or in the presence of others.
-Touching or tampering with any ICU devices (e.g., ventilator, infusion pumps) that are located inside the patient’s room.
-Discussing about patients with anyone other than the ICU team providing care.
-Discussing about patients or patient-related information in public areas such as hospital corridors, elevators, cafeteria, lounges, or outside the hospital.
-Carrying any form of printed patient medical records (e.g., printed patient reports from PowerChart/Cerner). In particular, the observer is not allowed to take any patient related material outside of the ICU.
-Taking any pictures of patients, medical records, radiology images using cell phones, ipads, or other portable electronic devices.
-Asking for access (User ID or Password) to electronic medical records from any other care provider.
-Entering written orders into any electronic medical records or providing verbal orders to nurses on behalf of other care providers.
-The applicant is not allowed to make any hard or electronic copies or transfer any patient related material from UPMC computers to other portable electronic devices (e.g. downloading radiology images into a USB flash drive are strictly prohibited).
-The observers should not render any form of treatment or services to patients.
-The observers should not be involved in obtaining patient consent for any encounter or procedure including research.
-Dress Code: Business or business casual attire (dress pants, dress shirt and tie, close-toed shoes). Jeans and/or T-shirts are not acceptable.
-Clinical observers are required to wear white lab coats (issued by their home institution) along with their UPMC ID badges.
-Actively discuss about medical care provided to patients during rounds with the ICU team (i.e. ICU Attending and the Fellows)
-Applicants are allowed to see electronic medical records and radiology images under the supervision of the Attending or Fellows during rounds.
-Applicants are allowed to watch procedures being performed in the ICUs
-Applicants are allowed to watch patients being examined by the medical team in the ICU.
-Applicants are allowed to enquire about specific ICU protocols and other reading materials that are available.
-All applicants will be provided access to the CCM Evidence-Based Medicine library articles.
-All applicants will be provided access to select mini-lectures and podcasts that are relevant to the ICU in which they will be doing the observership.
-All applicants are advised to attend grand rounds, journal clubs, and other research conferences presented in the department.
-The observer will be able to use the CCM study lounge and computer for Internet access, literature search, and other educational activities.
Before leaving UPMC:
21.Upon completion of the program, an exit interview will be offered to obtain feedback from observers.
22.A letter indicating dates of visit and educational activities participated in will be provided. Recommendation letters for ACGME application or other reference letters will not be provided.