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WESTCHESTER MEDICAL CENTER RESIDENT / FELLOW TERMS OF EMPLOYMENT, POLICIES AND
PROCEDURES
2014
WESTCHESTER COUNTY HEALTH CARE CORPORATION I, XXX, accept appointment as a Resident/Fellow, Training Level XX, in the Department of XXXXX at the Westchester County Health Care Corporation (hereinafter the “WCHCC”), commencing July 1, XXX and ending June 30, XXX at PGY Salary Level X at an annual rate of pay of $XXXX. This salary is subject to modification predicated on a new collective bargaining agreement between the WCHCC and the Committee of Interns and Residents (hereinafter the “CIR”). The appointment may be renewed by mutual agreement. I understand that this contract is contingent upon receipt of all required documents, credentials, valid employment authorization, and completion of all pre-employment and post-employment requirements and the results of a satisfactory background check performed by Westchester Medical Center. Also that amongst other things, the scope of my responsibilities as a member of the house staff of WCHCC, work schedules and practices as well as wages and financial support, leave policies (including vacation time and pay), professional liability insurance, other hospital and health insurance benefits, professional, parental and sick leave benefits, availability of housing, meals and laundry services, counseling, medical, psychological and other support services, policies relating to sexual and other categories of harassment, my ability to engage in professional activities outside of the educational program and grievance procedures are addressed in the collective bargaining agreement (hereinafter “CIR Agreement”) between WCHCC and CIR, the House Staff Benefits Plan, the Human Resources New Employee Manual, the Westchester Medical Center Administrative Policy and Procedure Manual, and the Westchester Medical Center Code of Conduct. I also acknowledge and understand that the terms and conditions of my employment as contained in the CIR Agreement are subject to modification predicated on a new collective bargaining agreement between the WCHCC and the CIR. Financial Support CIR Contract--Article III, Section 5 Attachment A Sick Leave, Extended CIR Contract--Article IV, Section 2, Attachment B Sick Leave, Parental 3,4,5,6,7,8 And Professional Leave CIR Contract--Article IV, Section 1 Vacation Policies Professional Liability CIR Contract--Article XV, Section 1,2 Attachment C Insurance Hospital and health insurance CIR Contract--Article VIII, Section 1,2,3,4 Attachment D benefits for the Residents and their families Conditions under which living CIR Contract--Article X, Section 1 Attachment E quarters and laundry Articles XII & XIX or their equivalents are to be House Staff Manual provided Counseling, medical, Westchester Medical Center Attachment F Psychological, Support services Institutional policies Westchester Medical Center covering sexual and other Human Resources Policy and Procedure(s) Attachment G forms of harassment
Westchester County Health Care Corporation Page 2 Resident/ Fellow Contract Duration of appointment CIR Contract--Article V, Section 1-6 Attachment H and process of reappointment
Moonlighting Policy Westchester Medical Center Attachment I Administrative Policy and Procedure R-9
Grievance Procedures CIR Contract--Article XVI, Section 1-9 Attachment J Remediation and Probation Westchester Medical Center Administrative Policy and Procedure(s)
Resident's responsibilities Duty Hours Policy Attachment K Administrative Policy and Procedure(s) R-10 Delineation of Privileges, per Department USMLE Step 3 Requirement
Physician Impairment Policy on Physician Impairment & Attachment L Substance Abuse Credentialing Requirements WMC – Credentialing Checklist Attachment M Post Offer Pre-Employment Westchester Medical Center Attachment N Requirements / Drug Testing Human Resources Policy I-C-4,5
Access to information related to ABMS Board Requirements Attachment O Eligibility for specialty boards Effect of leaves on satisfying Westchester Medical Center Attachment P Program completion and Board Eligibility
I have read and understand the attachments, A through P, and have been given the opportunity to have any questions I may have satisfactorily addressed. I understand that the summaries contained herein are not a substitute for the source documents.
I agree to comply faithfully with all applicable laws, rules and regulations of the Westchester County Health Care Corporation, the Joint Commission on Accreditation of Healthcare Organizations, New York State Health Department, and other affiliated hospitals of the New York Medical College, the CIR agreement, the House Staff Benefits Plan, the Human Resources New Employee Manual, the Westchester Medical Center Administrative Policy and Procedure Manual, and the Westchester Medical Center Code of Conduct, and to strictly adhere to the instructions and directions of my Director of Service.
Further, the WCHCC agrees to provide a suitable environment for medical education experience and a training program that meets the standards of the Essentials of Accredited Residencies in Graduate Medical Education: Institutional and Program Requirements, prepared by the Accreditation Council for Graduate Medical Education of the American Medical Association. Date______________ ______________________________________ xxxxxx
Date______________ ______________________________________ President & CEO Reviewed by: Edward C. Nash - Assistant Director – Clinical and Academic Affairs
WESTCHESTER MEDICAL CENTER RESIDENT / FELLOW CONTRACT
ATTACHMENTS A – P
2013 - 2014
WESTCHESTER COUNTY HEALTH CARE CORPORATION Attachment A
Resident Contract Financial Support
Determination of Pay Level
PGY wage levels are determined by previous years of training. All verifications of previous training must be submitted by the program director of your previous training program to the WMC Office of Medical Education within one month of your start date in order to be compensated at the correct PGY level
PGY 1 $ 56,279
PGY 2 $ 61,277
PGY 3 $ 66,953
PGY 4 $ 69,000
PGY 5 $ 71,178
PGY 6 $ 73,105
PGY 7 $ 76,588
PGY 8 $ 78,418 CHIEF DIFF. $ 3,350
ATTACHMENT D
Summary of Benefits*
Interns and Residents
Effective April 2013
Contact Information: E-mail [email protected]
Mary Chopyack, Benefits Assistant (914) 493-7144 Phone
(914) 493–2062 Fax
Judith Shaw, Administrator, Benefits (914) 493-5955 Phone
(914) 493–2062 Fax
Cindy Acker, Director of Benefits (914) 493-5696 Phone
(914) 493–2062 Fax
This document is intended to serve as an Executive Summary of the benefits available to CIR members of staff at the Westchester Medical Center (hereinafter referred to as “WMC”). In the event there is a discrepancy between this summary and any Plan Document, or policy and procedure of WMC, then the respective Plan Document, or policy and procedure of WMC shall prevail. Westchester Medical Center reserves the right to add/delete/modify these benefits at any time with or without notice to staff impacted by any such change. Revised: April 2013
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HEALTHCARE DEPENDENT ELIGIBILITY VERFICATION: Westchester Medical Center verifies the eligibility of all dependents prior to enrollment in our health insurance plans. If you are enrolling dependents, you are required to confirm that your dependent(s) are eligible for coverage under the plan(s) by providing supporting documentation. The types of documentation you will be required to provide will include copies of documents such as: marriage and birth certificates. Please note that dependents will not be enrolled in the plans until documentation is received by the Benefits Office. All required documentation must be received within 31-days of effective date of coverage (incomplete documentation will not be accepted). If the required documentation is received after 31-days, your dependent will be enrolled the 1st of the third month following receipt of the required documentation.
MEDICAL & RX COVERAGE: Employee medical and prescription coverage is provided by the WMC self-insured plan
administered by Aetna. The plan includes hospitalization, major medical, in-patient and out-patient (retail and mail order) prescription drug coverage.
DENTAL & VISION BENEFITS: All Interns and Residents have dental and vision coverage through the Committee of Interns and Residents (CIR). The office can be reached at (212) 356-8180. FLEXIBLE SPENDING ACCOUNTS (Section 125 Plan): Spending accounts allow you to set aside a portion of your income as pre-tax dollars to pay for medical care, dependent care, transit and parking expenses. Health Care & Dependent Care Flexible Spending Accounts (Section 125 Plan)
Health Care provides reimbursement for medical, dental, vision, and prescription drug expenses not covered under any plan. The annual maximum contribution is $2,500.
Dependent Care provides reimbursement for nursery school, day care, babysitting and summer day camp for children under 13 years of age so you and/ if applicable your spouse can work. The annual maximum contribution is $5,000: if married and filing separately.
Enroll in the flex plan as a new employee, or sign up every year during open enrollment period.
The flex plan year is January 1 to December 31st. There is a 2 ½ month grace period through March 15th of the following year during which time you can incur expenses for the previous year. Any balances remaining after April 30, 2014 will be forfeited.
Once you enroll, you can not change or terminate your election unless there is a life event change which is determined by Federal guidelines.
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PARKING EXPENSE SPENDING ACCOUNT: Up to $245 per month ($2,940 per calendar year) can be set aside as pre-tax dollars to pay for parking incurred at or near WMC or to a location from which employees commute to work by carpool, vanpool or mass transit. Ineligible parking expenses include bridge tolls, gasoline; parking at employee’s residence or spouse’s and dependent’s parking expenses. If you participate in this account, the monthly fee to park at WMC will be deducted pre-tax from your payroll check. You will not need to submit claim forms for reimbursement. TRANSIT EXPENSE SPENDING ACCOUNT: Up to $245 per month ($2,940 per calendar year) can be set aside as pre-tax dollars to pay for transit or vanpool expenses. NEW YORK STATE RETIREMENT PLAN (Tier 6) OPTIONAL Enrollment in the New York State Retirement Plan is optional for Interns and Residents.
After ten (10) full years you are vested in the retirement plan. Eligible for retirement between age 55 and 63 with an increased reduction for early
retirement. Tier 6 members as of April 1, 2013 contribute a percentage that is based on annual salary. Per NY State regulations, WMC contributes monies available once employee is vested Eligible to borrow up to 75% of your contributions from the retirement system. You
must have a balance of at least $1,334 and be enrolled for one year. Details on the plan can be located on the Web Site www.osc.state.ny.us/retire/members/index NEW YORK STATE DEFERRED COMPENSATION PLAN 457(b): Allows you to save for retirement without having your savings subject to current Federal and New York State income tax. Contributions are made via payroll deduction each pay period. You have a choice of several investment options, including a fixed interest option, and a number of mutual funds. During 2013, employees can contribute up to $17,500. If age 50 and over, you may contribute an additional $5,500. (There is also a special catch-up provision for those who are within 3 years of retirement). You may transfer funds from previous 401(k) or 403(b) plans. A representative is available on most Mondays in the employee’s cafeteria (lower level) of the main hospital. Details on the plan can be located on the Web site: www.nysdcp.com. EDUCATIONAL & GOVERMENTAL EMPLOYEES FEDERAL CREDIT UNION: Members of the credit union can take advantage of low interest rates for loans, savings and money market accounts, no check charges, direct deposit and payroll deductions options.
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DIRECT DEPOSIT: The Westchester Medical Center has direct deposit arrangements with TD Bank.The closest TD Bank branch is at: 241 Marble Avenue, Thornwood, NY 10594. Phone: (914) 747-0938 PAID TIME OFF:
Vacation: Hired July 1st to June 30th – four (4) weeks Personal: None Holidays: 12 days per year Sick: 12 days, 12 days annually thereafter
For additional information refer to iCare/Human Resources/ Benefits or e-mail BenefitsHelp (or [email protected] if e-mailing externally). Summary BenefitsCIR_April 2013
WESTCHESTER HEALTH CARE CORPORATION Attachment K Resident Contract
WESTCHESTER MEDICAL CENTER DEPARTMENT OF CLINICAL AND ACADEMIC AFFAIRS
OFFICE OF MEDICAL EDUCATION
Manual Code: Page: 1 of 2
SUBJECT: ADVANCEMENT IN TRAINING LEVEL; USMLE OR COMLEX STEP 3 REQUIREMENT EFFECTIVE DATE:
REVIEWED DATE:
REVISED DATE:
POLICY It is the policy of the Westchester Medical Center (WMC) that every WMC-based categorical residency training program at WMC require trainees to pass Step 3 of the USMLE or COMLEX examination sequence prior to the end of their second year of training. Every WMC residency program must have a policy that stipulates a deadline by which its residents must take and/or pass the USMLE or COMLEX step 3 exam and that policy must be consistent with WMC and New York Medical College (NYMC) policy. Residents must fulfill this requirement in order to be considered in good academic standing and as an essential element of completing a residency program.
PURPOSE To ensure that 1) residents are adequately prepared for certification by the American Board of Medical Specialties and 2) Step 3 has been passed prior to the start of the third year of training, so that residents can focus on studying for specialty board certification. SCOPE
WMC Categorical Residency Training Program Directors and Coordinators WMC Categorical Residents in Residency Training Programs DEFINITIONS The following definitions are applicable to this policy: WMC Residency Training Programs: Anesthesiology, Internal Medicine, Neurology, Neurosurgery, Ob/Gyn, Ophthalmology, Orthopedic Surgery, Pathology, Pediatrics, Psychiatry, Radiology, General Surgery, Urology POLICY AUTHOR Office of Medical Education RELATED POLICIES None
WESTCHESTER HEALTH CARE CORPORATION Attachment K Resident Contract
WESTCHESTER MEDICAL CENTER DEPARTMENT OF CLINICAL AND ACADEMIC AFFAIRS
OFFICE OF MEDICAL EDUCATION
PROCEDURE Each residency program shall develop a policy that specifies the dates by which categorical residents must take and/or pass the USMLE or COMLEX Step 3 examination. The program may require that it be passed at any time, but not later the end of their second year of residency training in order to be promoted to the third year of training. WMC Program Directors shall inform residents and applicants to the program of their policy at the time of interview and reinforce the information regularly. WMC Program Coordinators shall track the USMLE or COMLEX status of each resident and in conjunction with the Program Director, enforce compliance with policy. The Department of Clinical and Academic Affairs – Office of Medical Education shall review the USMLE or COMLEX status of all residents with Program Coordinators on at least a semi-annual basis. Residents will schedule USMLE Step 3 examinations or COMLEX Step 3 in order to comply with policy. Residents who have not passed USMLE Step 3 or COMLEX Step 3 by seven and one-half (71/2) months prior to the start of their third year of training will receive a letter of non-renewal.
______________________________ Renee Garrick, MD Chief Medical Officer ______________________
Linda Glickman VP – Clinical and Academic Affairs
______________________ Paul Woolf, MD Chairman –Graduate Medical Education
Manual Code: Page: 2 of 2
SUBJECT: ADVANCEMENT IN TRAINING LEVEL; USMLE OR COMLEX STEP 3 REQUIREMENT EFFECTIVEDATE: REVIEWEDDATE: REVIEWED
DATE:
WESTCHESTER COUNTY HEALTH CARE CORPORATION Attachment M Resident Contract
CREDENTIALING REQUIREMENTS Please Note: The following items will be required before you are employed by WMC. Although you may have been accepted into the program based on ERAS or another online application service, original or notarized documents will have to be submitted to your program director at least one month prior to the start of your training. ______ Pre-employment Physical (to be scheduled through WMC – Occupational Health Center; ______ Delineation of Privileges (to be completed soon after arrival at WMC, via Residency Program Coordinator) Completed updated NYMC Application including original photograph
Medical School Diploma/Medical School Attended: __________________________________________
(Original or notarized true copy of original with translation if needed)
Letter of recommendation from Dean of Medical School
Two (2) letters of recommendation from physicians dated no more than one year before start of training at WMC.
______ Verification of all previous PGY’s in U.S. (must be a verification letter from each previous program director. If
a recommendation is included, may be used as one of the letters of recommendation as well.
Final transcript from Medical School (original or notarized true copy of original with translation if needed)
______ NYS License or Limited Permit # (Necessary for all fellows in non-accredited programs )
______ Copy of Government issued identification (Passport, Driver’s License)
Y / N
Valid IAP-66 (J1 Visa) Copy of valid Employment Authorization
US Citizen? If no, check appropriate line and attach copy of
Copy of valid Resident Alien Card Copy of valid H1-B Visa
Naturalization Date _______ Other
INTERNATIONAL MEDICAL SCHOOL GRADUATES
(Excluding Puerto Rico and Canada):
VALID ECFMG CERTIFICATE - If certificate is dated after March 31, 1986, the applicant must have passed FMGEMS within three (3) attempts. If not, applicant must have taken an additional year of education before taking examination again. (true, original or notarized true copy of original)
OR FIFTH PATHWAY PROGRAM - Certificate of completion. (True, Original or Notarized Copy)
TABLE 2 ABMS MEMBER BOARDS GENERAL CERTIFICATES ISSUED 1998-2007
BEFOREAMERICAN BOARD OF 1998 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 10 Year Total
Allergy & Immunology 4,460 0 205 0 194 0 251 0 271 140 129 1,190Anesthesiology 30,065 1,491 1,379 961 703 822 1,037 1,278 1,259 1,532 1,594 12,056Colon & Rectal Surgery 1,389 39 46 49 53 57 61 61 61 62 53 542Dermatology 10,452 294 286 283 305 309 307 329 352 319 341 3,125Emergency Medicine 15,863 895 901 1,124 1,133 1,139 1,140 1,238 1,233 1,205 1,341 11,349
Family Medicine 62,445 3,619 3,336 3,602 3,339 3,253 3,371 3,194 3,193 3,061 2,646 32,614Internal Medicine 150,154 7,019 7,263 6,944 6,774 6,977 7,167 7,026 7,066 6,774 7,309 70,319Medical Genetics 1,990 0 201 0 0 158 0 0 233 0 180 772Neurological Surgery 4,292 137 128 124 120 143 152 139 145 128 121 1,337Nuclear Medicine 4,385 70 66 62 61 63 74 87 73 76 80 712
Obstetrics & Gynecology 35,738 1,220 1,291 803 1,174 1,106 1,203 1,107 1,128 1,105 1,080 11,217Ophthalmology 21,272 469 491 513 442 475 406 403 434 469 437 4,539Orthopaedic Surgery 21,146 645 623 639 621 631 563 594 645 593 596 6,150Otolaryngology 14,156 282 305 321 303 310 250 274 281 259 249 2,834Pathology 24,739 589 503 443 466 477 482 440 608 613 535 5,156
Pediatrics 63,454 2,760 2,877 2,586 2,876 2,736 2,656 2,852 2,556 2,688 2,791 27,378Physical Medicine & Rehabilitation 5,567 317 335 294 354 325 266 357 293 359 349 3,249Plastic Surgery 5,334 205 358 227 182 192 173 169 162 198 180 2,046Preventive Medicine 7,437 192 211 277 213 193 236 242 207 200 200 2,171Psychiatry & Neurology 44,375 1,475 1,552 1,570 1,441 1,451 1,520 1,658 1,669 1,696 1,695 15,727
Radiology 39,983 1,325 1,218 1,174 1,002 1,113 1,201 1,192 1,336 1,410 1,433 12,404Surgery (General) 44,059 1,001 976 1,043 994 995 920 1,069 1,026 1,266 838 10,128
Vascular Surgery * 1,706 79 94 106 70 99 105 106 98 101 112 970Thoracic Surgery 6,024 168 135 126 120 162 118 152 112 134 116 1,343Urology 10,470 261 247 289 295 262 245 256 249 211 257 2,572
TOTALS 630,955 24,552 25,027 23,560 23,235 23,448 23,904 24,223 24,690 24,599 24,662 241,900
*Beginning in 2006, the American Board of Surgery designated Vascular Surgery as a primary pathway certificate. Counts shown here include all surgeons holding Vascular Surgerycertification.
TABLE 3 ABMS MEMBER BOARD REQUIREMENTS FOR GENERAL CERTIFICATION
YEARS OF TRAINING ANDEXPERIENCE REQUIRED
TIME LIMITS FORINITIAL CERTIFICATION
TRAINING CREDITACCEPTED
OTHER REQUIREMENTS
ACGME Approved1 FULL LICENSE REQUIRED BY ALL BOARDS
AMERICANBOARD OF
PREREQUISITETRAINING
SPECIALTYTRAINING
CLINICALEXPERIENCEREQUIREMENT
MAXIMUMYEARS TOAPPLY AFTERTRAINING3
MAXIMUM YEARSTO COMPLETECERTIFICATIONAFTERAPPLICATION3
NONACGME1,3
ACCREDITEDTRAINING
RCPSC2,3
YEARS
WRITTEN/CBTEXAM
APPLICATION/EXAM FEES 5
ORALEXAM
APPLICATION/EXAM FEES5
Allergy & Immunology 3 2 — No Limit No Limit NO YES YES $2,700 NO —
Anesthesiology 1 3 — 12 6 NO YES YES $400 YES $1,850
Colon/Rectal Surgery 5 1 — 5 7 NO NO YES $400/500 YES $700 (exam)
Dermatology 1 3 — No Limit 2 Renewable NO YES YES $2,200 NO —
Emergency Medicine — 3 — No Limit No Limit NO YES YES $2,330 YES No additional fee
Family Medicine — 3 — No Limit No Limit YES YES YES $1,150 NO —
Internal Medicine — 3 — No Limit No Limit YES YES YES $1,170 NO —
Medical Genetics 2 2 — 5 4 YES NO* YES $2,300 NO —
Neurological Surgery 1 5 15 mos. 5 Must completewithin original5 years
YES NO YES $450 YES $3,000/5,000
Nuclear Medicine 1 3 — 7 3 YES YES YES $2,250 NO —
Obstetrics/Gynecology — 4 2 No Limit 6 NO YES YES $1,400 YES $1,740
Ophthalmology 1 3 — No Limit No Limit NO YES YES $1,650 YES $1,650
Orthopaedic Surgery — 5 2 No Limit 5 NO YES YES $875 YES $1,875
Otolaryngology — 5 — No Limit 1-3 yrs NO NO YES $3,250 YES No additional fee
Pathology — 3-4 — 5 5 NO YES YES $1,800/2,200 NO —
Pediatrics — 3 — No Limit No Limit YES YES YES $1,460 NO —
Physical Med & Rehab 1 3 0 No Limit No Limit YES YES YES $600/775 YES $600/1,270
Plastic Surgery 3 2 0 2 No Limit NO YES YES $525/1,300 YES $625/1,100
Preventive Medicine 1 2 — No Limit 3 Renewable YES YES YES $410/1,950 NO —
Psychiatry/Neurology — 4 — No Limit No Limit NO YES YESYES
Psychiatry $1,650Neurology $1,350
YESNO
Psychiatry $1,350Neurology —
Radiology 6 — 4 1 No Limit 10 YES YES YES $2,885 YES No additional fee
Surgery — 5 — 3 5 (written)5 (oral)
YES YES YES $300/700 YES $900
Thoracic Surgery (4) — — — 5 8 NO NO YES $1,575 YES $1,225
Urology 1-2 3 or 4 16 mos. 4 5 NO YES YES $1,250 YES $1,300
1. Accreditation Council for Graduate Medical Education.2. Royal College of Physicians and Surgeons of Canada.3. Contact Member Board for application deadlines and specifics.4. The board offers two pathways for certification. Candidates either complete five
years of prerequisite training (General Surgery) and two years of Thoracic Surgeryor six years of Thoracic Surgery and no prerequisite training.
5. Amount may not include all processing or application fees. Contact theMember Board for confirmation.
6. Fees shown are for the area of Diagnostic Radiology. For general certificationin Radiation Oncology and Radiologic Physics, different fees apply. Pleasecontact the board.
*Accepted by Canadian College of Medical Genetics
TO CONFIRM CURRENT OFFICIAL POLICY OF INDIVIDUAL SPECIALTY BOARDS, CONTACT THE RESPECTIVE BOARD.
Tables 2-3
Copyright© 2009 Elsevier Inc. and the American Board of Medical Specialties. All Rights Reserved.
WESTCHESTER HEALTH CARE CORPORATION Attachment P Resident Contract Effect of Leaves of Absence on Board Eligibility Residents shall be entitled to reasonable leaves of absence upon demonstrated need if approved by the Program Director and in compliance with relevant Hospital policies. Residents understand and agree that, depending on the duration of a leave of absence and of other missed training time, they may be required to repeat certain rotations; may be required to complete a year and/or may be held back from advancing to the next PGY level; and may be required to extend their training beyond the normal completion date. The Program Director will make the determination of the required rotations, clinical experiences, and period of training necessary to make-up for leaves of absence. The Program Director will be guided by the overall requirements of the ACGME and the program-specific requirements of the relevant RRC, and the board eligibility requirements of the relevant American Board of Medical Specialties. The Program Director may exercise discretion to the extent that it is permitted by the ACGME and the ABMS requirements. Residents should also be aware of these same program completion and board eligibility requirements and should consult the relevant portions of the websites of the ACGME.ORG and the ABMS.ORG for the most current information.
