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Residency Program

National Resident Matching Program (NRMP) Code:

Internal Medicine: 2445140C0

Accreditation Council for Graduate
Medical Education (ACGME)

ACGME code: 1400500017

ACGME Common Program Requirements

Peer Support

 

Program Commitment to Resident Well-Being 


In accordance with the ACGME Internal Medicine Program Requirements for Graduate Medical Education, the SARH IMRP is committed to supporting and promoting resident well-being in various ways, including but not limited to: 
  • Safe learning and work environment 
  • Access to food while on duty 
  • Safe, quiet, clean, and private sleep/rest facilities 
  • Clean and private facilities for lactation that have refrigeration 
  • Security and safety measures appropriate to the participating site 
  • Reasonable accommodation  
  • Anonymous Resident suggestion boxes (multiple) 
  • Mitigating and teaching the signs of fatigue – For more information, please see the subsection titled “Fatigue Mitigation” below. 

Resident well-being and stress levels are monitored on a regular basis. Work hours and moonlighting activities are regularly monitored and are kept in compliance with the ACGME institutional standard for resident duty hours. For more information, please see the sections titled “Duty Hours” and “Moonlighting” part of this handbook. 
Residents are encouraged to voluntarily take The Physician Well-Being Index, developed by Mayo Clinic and supported by ACP.  They can review their results with their faculty mentor and look at emotional support resources on www. Acponline.org webpage. 

Residents may also voluntarily take any of the following assessments:

Fatigue Mitigation 

The SARH IMRP abides by the SARH GME institutional policies on “Well-Being” and “Clinical and Educational Work Hours” which cover fatigue mitigation. These policies can be found in the “GME Policies” folder located on your New Innovations homepage. 

  • Fatigue among residents and staff may increase the possibility of error, compromise decision- making, and therefore jeopardize safety in patient care. Providing residents with a sound academic and clinical education must be carefully planned and balanced with concerns for patient safety and resident well-being. 
  • Faculty and residents must be educated to recognize the signs of fatigue and adopt and apply policies to prevent and counteract the potential negative effects. 
  • Internal Medicine residents and faculty will undergo annual training on fatigue yearly to help residents recognize the signs of fatigue and sleep deprivation, as well as learn measures to combat fatigue and procedures to remove themselves from patient care duties if necessary. 
  • Any resident physician who believes they are too fatigued to evaluate and treat patients will take proper measures to remove themselves from service until such time as they can again safely provide patient care safely and appropriately. 
  • Residents who feel that they are not able to care for patients due to excessive fatigue must immediately contact the program coordinator or chief(s). 
If the program coordinator or chief(s) agrees that this resident should be removed from service, they will arrange for alternative coverage of duties using the established policies for absences during on-call. 
The program coordinator or chief(s) should involve the Program Director, if necessary, to help make such arrangements, and must notify the Program Coordinator. 
There will be no academic repercussions for taking time out due to fatigue; however, residents who are temporarily relieved of duty for this reason will need to plan with the Program coordinator or Chief(s) to make- up training time or return the missed coverage at a later date. 

Resources 

Residents have access to the following resources to support their well-being: 
  • OPTIWEST mental health resources at website: https://www.opti-west.com/home
  • SARH IMRP Wellness Committee Resident Lead 
  • SARH IMRP Program Wellness Committee Faculty Lead
  • SARH Employee Assistance Program (EAP)
  • Virtual Behavioral Health

Suicide Prevention & Awareness Crisis Response Plan 

The SARH IMRP abides by the OPTI WEST GME’s “Resident Impairment Communication Plan.” This document can be found in the “GME Policies” folder located on your New Innovations homepage.
The lives and wellness of our residents, faculty, and staff are greatly valued. To ensure the safety of all those who contribute to the program, the Program Coordinator will collect everyone’s home address and emergency contact information. 

The following is a list of helpful resources: 
  • 911 
  • Suicide Prevention Hotline & crisis lifeline: Call or Text to 988
  •     Spanish speakers, call 1-888-628-9454.
  • San Bernardino County Department of Behavioral Health Access Unit: 1-888-743-1478
  • San Bernardino County Substance Use Disorder 24-hour Helpline: 1-800-968-2636.
  • SARH Emergency Room 
  • The sexual assault hotline: 800-656-4673
SARH and other Specific Resources 
  • SARH Employee Assistance Program (EAP) – human resources Includes resources and confidential counseling.
  • SARH provides Wise@work App for all Care Team members including residents
  • Headspace Care – App-Based Coaching, Therapy and Psychiatry 
  • Calm app
  • HERE4U - SARH peer support program
  • CalHOPE Connect
  • Call the CalHOPE Warm Line: (833) 317-HOPE (4673)
  • Contact Aetna Insurance number on insurance card for mental health resources
Additional Resources 

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