UCSF Dermatology Residency Handbook, Study notes of Dermatology

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UCSF

Dermatology

Residency

Handbook

provide the results from one TB skin test within 1 year of their start date, which is usually July 1 of the year of their appointment, and also provide the results of a TB skin test completed after March 1 of the year of appointment. In lieu of 2 PPD tests, one negative QuantiFERON test result within 1 year of the start date is also acceptable. For new trainees with a history of positive TB skin tests, a copy of the written interpretation of a chest x-ray taken within 12 months prior to start date is required. Continuing trainees with a history of negative PPDs must provide the results from a TB skin completed after March 1 of the year of appointment. Continuing trainees that have a history of positive TB skin tests only need to submit the sign and symptom review.

3. California Licensure Requirements, DEA, PECOS and CURES California PTL and Medical License (a) After January 1, 2020 California will require 36 months of Board- approved training to obtain a California Medical License, 24 consecutive months of which must be in the same program. (b) All residents will apply for and obtain a PTL until they are eligible for licensure. A trainee must obtain a PTL within 180 days after enrollment in a Board-approved postgraduate program in the state of California and it will be valid until 90 days after the trainee has completed their required 36 months of training.  First year dermatology residents completing one year of postdoctoral training in any state but California will have 180 days to obtain a PTL.  First year dermatology residents completing one year of postdoctoral training in California will have a PTL and it will be transferred to UCSF by your previous program to UCSF. (c) Residents having already completed 3 or more years of postgraduate training when entering dermatology residency must obtain their California medical license before beginning dermatology residency. (d) Any resident not obtaining a California License by the deadlines above will not be allowed further patient contact or access to patient information including medical records, laboratory values, radiographic studies, etc. during the period of non-licensure, the appointment, including salary, may be suspended. Resumption of training, once a PTL has been obtained, will be at the discretion of the Program Director and/or Department Chair. (e) The California Medical Board requires that all physicians complete 12 hours of CME specifically related to Pain Management and the Appropriate Treatment of the Terminally Ill before the date of their second license renewal. DEA, PECOS and CURES (f) Dermatology residents are required to obtain narcotic registrations with the DEA once licensed. A DEA may be issued with a PTL. All residents qualify for the no-cost fee-exempt DEA number based on their work at our three sites (all public institutions). Dr. Bruce Wintroub is the institutional approver for this exemption. These fee-exempt DEA licenses shall not be used outside of UCSF training sites. For example, it is a violation of

DEA regulations to use a fee-exempt DEA license while moonlighting at a private office or private hospital. (g) Residents are also required to signup for PECOS and CURES after receiving their DEA and inform the program coordinators with this information..

4. Attestations: Residents are required to complete attestation statements regarding malpractice claims, drug and alcohol abuse, disciplinary action, and criminal activity as a condition of appointment. Any “yes” response to these statements demands a detailed answer. After review of a resident’s explanation of “yes” statements, an offer of a contract for training may be revoked or the conditions of the offer revised.
5. Background Screening: All offers of admission and appointment to UCSF- sponsored GME programs are specifically conditioned upon a criminal background investigation. Details are available in the UCSF GME Housestaff Handbook.
6. Additional information on Duties and Operational Standards, HIPAA, General Educational Responsibilities, Identifiers, IDs, Library Access, Salary, Benefits, Resident Services, Financial Aid, and other items are available in the UCSF GME Housestaff Information Booklet. Dermatology residents are also bound by the policies in the UCSF GME handbook.

III) Program Curriculum

A) Written Statement of Goals and Objectives for Clinical rotations

1. There are competency-based, PGY-specific goals and objectives for each rotation.
2. These goals and objectives, reviewed and revised annually, are available on the UCSF Collaborative Learning Environment website (My Access is required to access the site). https://courses.ucsf.edu/enrol/index.php?id=
3. Residents should review the goals and objectives before starting every rotation, and are expected to read the assigned readings during that rotation. The faculty supervising each rotation teach to these goals and objectives as well as other topics as the clinical experience dictates. Additional readings may be assigned for any rotation.

B) Teaching Methods

1. Teaching methods include lectures, conferences, seminars, demonstrations, on-line modules, simulations, individual and group study of histologic slides, clinical rounds, instruction in the patient care setting, chart and record reviews, faculty-trainee sessions in small groups and one-on-one settings,

DUE TO THE CURRENT PANDEMIC AND SOCIAL DISTANCING POLICIES OF

THE UNIVERSITY ALL RESIDENT MEETINGS, LECTURES, DERMPATH

CURRICULUM, AND GRAND ROUNDS AND PATIENT VIEWING ARE BEING

CONDUCTED ON ZOOM until further notice. Attendance is recorded by Doodle Poll and residents are expected to attend and participate.

lecturer. Failure to regularly attend didactic sessions may result in academic probation and/or failure to fulfill the professionalism competency. Attendance at 90% of eligible lectures is expected. Residents are not expected to attend lecture when they are on vacation, sick leave or elective time. Residents are also excused for inpatient and assigned special clinics.

• Please refer to the curriculum on the CLE for the most updated schedule ♦ One day a week early in the month there will be a Site Orientation at each site. This will replace a clinical lecture. ♦ Mondays: 2 mornings a month there is a 30 min small-group didactic prior to continuity clinic (CC) at the CC site. Start times: 8:00 am at Mt. Zion, Benioff Children’s Hospital; 8:30 am at VAMC and ZSFG. ♦ Tuesdays: Dermatopathology Scope session and Clinical Lectures or Journal Club - 7:30 - 8:00 am Dermatopathology microscope session at Mt. Zion - 8:00 – 9:00 am Didactic session at Mt. Zion ♦ Wednesdays: Grand Rounds, Staff Conference, and Dermatopathology - 8 – 8:30 am Patient viewing, 3rd^ fl Mt. Zion - 8:40 – 9:40 am Grand Rounds Lecture at Herbst Hall, Mt. Zion - 9:40 -10:15 am Staff Conference (patient presentations) - 10:30 – 12:00 pm Dermatopathology teaching and slide review at Mt. Zion ♦ Thursdays, Fridays: Clinical Lectures, Derm Surgery, or Journal Club - 8:00 – 9:00 am at Mt. Zion - Check the lecture schedule regularly to confirm.
• Prior to the lectures, residents are expected to have read any pertainent material or assigned readings.
• For dermatopathology scope sessions at 7:30 am (Tuesdays all year for 2nd^ and 3rd^ year residents and Thursdays in July and August when 1st year residents have separate introductory sessions before joining the Tuesday morning sessions in September), the residents should review slides ahead of time and come prepared to describe the findings and differential diagnoses. As this is a short session, please do not attend the session if you are not there on time; it is disrespectful and disruptive to the dermatopathologist and your colleagues to arrive late. (ii) Grand Rounds and Wednesday Staff Conferences
• Attendance, punctuality and proper dress are required (no scrubs allowed for lecture or patient viewing).

• The Grand Rounds viewing begins at 8:00 am on Wednesday mornings on the 3rd^ floor at Mt. Zion.
• Residents direct the selection of patients presented at the Wednesday Staff Conference (prior to the Grand Rounds lecture); this role is supervised by the Grand Rounds Chief Resident(s).
• The full-time attendings and the senior resident(s) will help to identify good cases for staff conference.
• All residents are expected to present patients; some patient presentations may be assigned by the Grand Rounds Chief Residents.
• Presenting a patient includes writing a concise protocol (typically limited to one page), as well as sometimes reviewing the literature on the patient’s condition. Formal PowerPoint presentations on diseases during staff conference are discouraged.
• If you are presenting a patient, please make sure to coordinate in advance with dermatopathology (via the resident director of grand rounds) to ensure that pertinent biopsy slides are photographed for presentation at Staff Conference.
• While residents other than the person presenting the case will not be called on to publicly describe the morphology and differential diagnosis, residents are expected to carefully examine all of the presented patients and be able to describe the physical findings and give a clinical differential diagnosis.
• The Grand Rounds Chief Residents (3rd^ year residents) are responsible for assuring there are appropriate numbers of patients each week (typically 3-4).
  • Only the one person assigned to photograph patients should take clinical photographs during Staff Conference and upload them using the Haiku app only.

(d) Didactic General Topics

(i) Clinical Dermatology & Basic Science Sessions

• Lectures on clinical dermatology and basic science complement the clinical learning and take place as described above.
• There are monthly dermatology journal clubs. Although only selected articles may be discussed at journal clubs, residents are expected to read JAMA Dermatology and The Journal of the American Academy of Dermatology in their entirety. The CME articles (one monthly in the JAAD) are commonly utilized to generate questions for the board certification exam.
• The residents are responsible for reading a complete textbook of dermatology each year. For the first year residents, this is typically Bolognia’s Dermatology. For the second year residents this is typically Andrews’ Diseases of the Skin. The department provides these two textbooks to first year residents upon arrival to the program. Third years may read the appropriate chapters from either text and should supplement from the literature. Additional recommended reading includes McKee dermatopathology, Wolverton pharmacology, Neonatal and Infant Dermatology,

1. Outstanding quality of care is expected for all patients seen at all clinical sites. Clinical dermatology is learned by examining and treating patients, and by additional reading directed by recent patient encounters.

2) Residents are expected to show initiative in following through on patient care issues. This means timely completion of notes and consult letters, direct communication with referring physicians when appropriate, notifying attendings of test results, following through on patient communications and acting on test findings, and personally keeping track of outstanding or unresolved issues. As physicians and professionals, residents are expected to actively engage in follow-up beyond clinic visits, communicate effectively with colleagues, seek help when needed, and to be vigilant in ensuring that patient matters do not fall through the cracks.

3. Residents will present all cases to attendings, but are expected to take on increasing responsibility for generating differential diagnoses, formulating treatment plans, educating patients, and teaching their colleagues in clinic as they progress through residency. (a) All new patients at Mt Zion and patients undergoing procedure or start/ stop of systemic therapy should be presented to a UC attending. Other cases can be presented to volunteer attendings.

4. Clear, concise notes are expected. (a) The subjective and objective sections of medical records should be complete, including the HPI, ROS, relevant PMH, Medications and Allergies when necessary, physical exam, and relevant laboratory or other studies. Previous data or diagnoses should be confirmed (and not just copied), particularly when the patient is new to the resident. (b) The assessment should include a numbered list of diagnoses or problems, and the plan should be clearly described immediately following each numbered problem, including a follow-up time frame or plan. Any workup ordered and treatments initiated or changed should be clearly described. (c) At all sites, residents must accurately document adequate information in the EMR to comply with insurer, University, and legal requirements. If the resident has a question, the attending should be consulted.

5. Pathology requisitions must be filled out legibly with a concise but accurate description of the lesion and its location. The measured size of the lesion biopsied and its exact location must be noted on the visit form. Photographs are mandatory for all biopsies, especially for small lesions, to assist with future localization.

6. All of the residents in a clinic share the responsibility of ensuring that all patients are seen, even though each resident may have his/her own patient schedule. Do not leave the clinic until all patients are seen or you have checked out with the attending.

7. Appropriate and professional clinic attire is described in the UCSF GME Handbook.

8. Residents must complete EMR and other trainings in a timely fashion as required by the UCSF GME office and the other clinical sites. Training for inpatient APeX must be completed in the month prior to the residents first inpatient call rotation or call weekend, usually in the fall of the 1 st^ year.

C) Clinic Attendance

1. Residents must strictly adhere to the Resident Leave Policy outlined in this handbook. Be sure to verify your vacations with appropriate clinic staff or checking the clinic schedule using the EMR at least four weeks prior to any anticipated absences (educational leave or vacation).
2. Residents must be available to see patients at the start of the scheduled clinic. If you are going to be late, notify the attending.
3. Most rotations include four half days of academic time (free from direct patient care duties) per month. These half days may need to be irregularly scheduled (not necessarily the same half day each week or even spread out one per week), depending on the needs of the clinic. The program provides this academic time for residents to perform self-directed academic work (reading, research projects, mentorship meetings, presentation preparation, etc.). Residents may not depart the San Francisco area or leave for vacations during academic time – leaving town during paid employment (without declaring vacation) is a violation of both residency program rules and of the rules governing the agencies which support some of our residency positions (Medicare, Veterans Affairs, and the City and County of San Francisco).

D) On-Call

1. A resident at each training location will be assigned to take call for inpatient consultations at that institution during weekdays and during M-Th weeknights (For UCSF/MB, this consists of the resident on the inpatient consult rotation [for adults] and the resident on the Bw rotation [for children]. For VAMC and ZSFG, this is one of the residents rotating at that site.).
2. Two or more residents will be assigned call covering all institutions for weekends or holidays. During regular weekends, one resident will cover ZSFG and the VAMC and a second resident will cover Parnassus and Mission Bay. The residency leadership including chief resident(s) prepares the weekend/holiday schedule prior to the beginning of the academic year. (a) Weekend and holiday call may be traded among residents with prior notification and approval of the division chiefs affected, chief resident(s) and the program coordinator. Trades that divide a weekend among multiple residents are not permitted. Residents on the inpatient rotation or Bw rotation are not permitted to take weekend call. It is preferred that residents do not take call two weekends in a row. (b) Weekend call begins at 5pm on Friday until 8am Monday morning (with the exception of 3 day holiday weekends). 3) Any evening, weekend, or holiday on-call resident must be within pager range of their assigned on-call location, and must be available to come in to the hospital within one hour to see patients. Do not make plans during on-call periods that would preclude you from being available to come in to the hospital within one hour. WEEKDAYS (a) The UCSF/MZ on-call adult resident pager is (415) 443- (b) The UCSF/MZ on-call pediatric resident pager is (415) 443-

(a) An additional resident responsibility, when assigned to Mt Zion clinics, is to participate in handling urgent or same-day matters related to patient care, as well as other issues in the APeX queue, also known as taking APeX messaging call. This responsibility is shared amongst the residents who are located at Mount Zion, and common responsibilities include prescription-related requests, returning patient calls regarding medical matters, and responding to calls from referring physicians. When handling APeX messaging, a resident is supervised by faculty who are present in the clinic; any patient-related matter that the resident does not feel comfortable or knowledgeable handling independently should be performed only after consulting with a faculty member. There is an on-call outpatient resident MD, who the clinic staff can page with any urgent issues - this resident is on call for 1 week during normal business hours (8am-5pm). The pager number is: 415-443-8669.

2. Managed Care and Prior Authorization for Procedures (a) Residents must check with insurance/billing staff before proceeding with any procedures to ensure that insurance will cover the procedure and to obtain preapproval when required. Information on common procedures (biopsy, cryosurgery, and lab testing) is usually available in the comments section of the clinic schedule for each patient. In the event that staff cannot confirm coverage, the patient should be notified before proceeding and given the opportunity to reschedule (if medically appropriate).

G) Teaching and Evaluations of Medical Students

1. Selected residents are assigned a medical student “partner” during that student’s rotation on the basic 2-week dermatology elective (140.01). This resident partner is assigned to the same clinic as that student and should work with them in every clinic they both attend. They are a resident-student team. The assigned resident will be asked to evaluate the student’s professionalism.
2. These evaluations are used by the faculty preceptor to write each student’s final evaluation, which is used for the student’s Dean’s Letter.
3. Residents are expected to be prompt, complete, honest and fair in completing these evaluations, especially on those students who have expressed an interest in dermatology as a potential career.
4. Senior Residents also lecture medical students on the dermatology rotation on basic dermatologic topics on Wednesday mornings from 7:15 am – 8: am prior to Grand Rounds. The resident preceptor will be asked to evaluate the student’s performance during the morning teaching sessions.

H) Chief Resident

1. Resident(s) may be selected by the program director and the Program Evaluation Committee to serve as chief resident.
2. Other senior residents will be asked by the chief resident and program director to assist in selected other duties. Other roles include: the grand rounds chief, curriculum chief, medical student education chief, cosmetic curriculum chief.

3. The chief resident and other senior residents are involved with various duties, including (but not limited to): didactic curriculum planning, rotation schedule planning, resident vacation planning, distribution of articles for all conference and journal clubs, medical student teaching, primary care resident teaching, management of staff conference / grand rounds, planning of the resident retreat or other residency social events, service on the UCSF Resident- Fellow, dermatology admissions committee and program evaluation committee, planning of resident orientation, quality improvement and assurance projects, and related other duties as required.
4. The chief resident’s schedule is created to meet his/her educational needs, career development goals, programmatic service needs, and also to protect time for administrative duties.
5. The chief resident is granted one extra meeting per year (up to three days with travel time) to be paid for by the Department. This meeting must be pre- approved by the resident’s mentor and the residency director.

I) Skin Cancer Screening

1. May has been designated Melanoma Month. Skin cancer screening is a primary public outreach/civic activity of dermatologists throughout the US.
2. Resident participation in the annual UCSF departmental free skin cancer screening day is mandatory. (a) Each physician works for about four hours performing basic skin screenings. (b) Only residents on vacation during the skin cancer screening will be excused.

J) Audiovisual Support

1. First year residents will be assigned to make sure the audiovisual support required for daily resident lectures and Wednesday conferences is present and operational. Residents are expected to have the equipment set up no less than 5 minutes before the lecture is scheduled to start and should help the faculty member load and launch their presentation.
2. The academic year will be divided up among the first year residents by the Chief Resident.

K) Grand Rounds Photography

1. Second year residents will be assigned months to be responsible for photographing patients who are presented at Grand Rounds. After confirming that a signed photo consent is available, photographs are to be taken using the secure Haiku or Perceptive app and uploaded to APeX.
2. Only the one individual assigned to photograph patients should take clinical photographs during Staff Conference. Residents are not permitted to take additional photos with personal cameras during staff conference.

L) Photography, Sensitive information & Patient Privacy

1. Patient photographs may not be taken on personal cameras, or on the native camera apps on cell phones, or PDAs. Personal PDAs may only be used for

P) American Board of Dermatology Annual In-Training Exam (NKA Exam of the Future)

1. The PGY2 class will take a BASIC exam designed for first-year residents. This exam is given in the spring and proctored by the department at a UCSF location.

2) The PGY3 and PGY4 classes will take CORE exam modules testing more

advanced knowledge of senior residents about dermatology’s major clinical areas. Graduates will take the APPLIED exam after residency. In order to be certified to take the APPLIED exam, residents must pass all 4 CORE exam modules. These modules may be taken as many times as needed in order to pass, but are only offered on selected dates. In order to ensure that residents have adequate time to study for and pass all modules prior to graduation, we have adopted the following policy: PGY-3 residents take 2 modules of their choosing in late winter. PGY-4 residents take their remaining 2 modules in July. Residents may delay exam modules or modify this schedule only with permission from the program directors. [Please see Appendix 4 for detailed information].

3) These exams can be taken either at an approved exam center or at a location

of your choosing.

4. Residents must submit requests for preferred testing dates with schedule requests for the year.
5. If more than 4 hours of tests are taken, residents are not expected to return to clinic that day.
6. While some curricular time is set aside for review, residents are expected to devote significant outside time to preparation and self-study.
7. These exams serve as one important measure of the fund of medical knowledge each resident has acquired. The comparison pool of dermatology residents in the US is a highly selective group, so residents should not be surprised if their percentile rank scores are lower than they might have experienced during college or medical school. However, poor performance on the exam (below the 20 th^ percentile) is usually symptomatic of medical knowledge gaps and/or failure to prepare for the exam, and may serve as a indicator that a trainee is at risk of poor performance on actual Board certifying examinations. If the program believes that there is a true deficit in medical knowledge, we will work with the trainee to improve their fund of knowledge.

Q) ACGME Case Log

1. Every resident is required to log all listed surgical procedures that he/she performs or observes each academic year using the ACGME online case log system. (a) These procedures include those performed/observed during his/her surgery rotation and also during surgery clinics at all training sites. There is no longer an “acceptable threshold” above which resident no longer need to log excisions or repairs – ALL surgical procedures reflected in a category within the log program should be entered. (b) Punch and shave biopsies done on a routine basis in general dermatology clinics do not need to be logged. (c) The electronic log must be kept up to date with procedures entered in a timely manner.

(d) The log will be reviewed at the beginning and end of the surgery rotation by the Dermatologic Surgery faculty to plan for optimal exposure to the breadth of dermatologic surgery and ensure that residents are gaining sufficient exposure. (e) The log will also be reviewed during semi-annual evaluation sessions with the program director to ensure that the log is up to date and that the resident is demonstrating adequate exposure and experience. (f) Residents should be aware that licensing and credentialing agencies are now asking some physicians to provide these logs as evidence of proficiency and may grant hospital privileges accordingly. In addition, the American Board of Dermatology and the ACGME have access to the logs, and may declare a resident ineligible for board certification if his/her log shows inadequate experience, particularly in the categories of benign excisions, malignant excisions, intermediate repairs, complex repairs, and Mohs procedures. (g) A guide to expected procedure frequencies is included in this handbook. Because of the importance of these logs, the department has set the required number of cases for each procedure at the national median.

R) Quality Improvement and Patient Safety Projects

1. In conjunction with the department and the medical center, mentored by the program director and others, residents participate in a variety of quality and safety projects in order to improve patient care and learn skills necessary to take on similar types of projects in future practice.

V) Resident Leave

A) Vacation

1. Residents are granted 20 days of vacation per academic year.
2. Vacation leave must be taken in blocks of 5 consecutive days over a calendar one- week period.
3. When schedules permit, residents may also opt to take vacation leave in a block of 10 consecutive days. First year residents are required to take their vacations during two weeks that span two different months so that only one week is missed from any given rotation activity.
4. If vacation occurs during a week that contains a university holiday, then the extra day of vacation must occur either the Friday before the week or the Monday after.
5. With the exception of a 10 day consecutive vacation, residents must take 5 days of vacation per three-month quarter. Unused days will not carry over into the next quarter.
6. Exceptions to the consecutive days rule and the days per quarter/semester rules are granted only for extraordinary circumstances, with prior approval from the program director, site director, and chief resident.

Please refer to the University Travel Policy that is in place during the Corona Virus

Crisis: https://coronavirus.ucsf.edu/travel

• Trades should be worked out directly by the resident who is interviewing. It should still be reported to Laura Harrison and Chris Walker for administrative purposes and for determination of impact on schedules and education.
• If educational or vacation days are used, residents are not responsible for finding coverage and are also not responsible for "paying back" those who are assigned to cover their absence. The Chief Residents and Laura Harrison will assist in finding coverage.
• If a resident is assigned to a rotation with call where they will be absent for an interview, pager/call coverage must be arranged by the resident in discussion with the chief residents and PDs.
• Regarding continuity clinic, up to 2 clinics may be cancelled without requiring coverage or taking a vacation/educational half-day. When canceling continuity clinics for interview purposes, residents are personally responsible for rescheduling any patients scheduled on a cancelled continuity clinic day for appropriate follow-up.
• If an interview falls on a Grand Rounds or Dermatopathology teaching date, this absence will count as an educational or vacation half day.
• Residents may use academic or admin time for interviewing and do not need to use vacation or educational time for these time periods, but will still be responsible for their usual clinical duties if interviewing during admin time.
• Residents should let the program directors know about all interview plans and notify PDs about interviews a minimum of 2 weeks and preferably 4 weeks in advance.

C) Education Leave and Travel Stipend

1. Residents are given 15 education leave days for their three-year residency ( days over the first 2 years if in the 2+2 program).
2. These days are loosely divided as follows: (a) 3 days per year for the American Academy of Dermatology Annual Meeting. Two to three first year residents do not attend the AAD meeting, but those residents usually attend the SPD or SID instead. The remaining first years split the AAD meeting (half go Thursday-Sunday, half go Saturday- Tuesday). (b) One additional 2-day meeting per year (though extra days do carry over, and many first year residents do choose to reserve days for 2 nd^ or 3rd^ year)
3. If substantial travel is required to attend a meeting (i.e. on the East coast or international), residents may request a “travel day” from the PEC which will not count against the educational leave limit.
4. All meetings must be discussed with and approved first by the resident’s mentor and then the Program Evaluation Committee, with the exceptions of the AAD Annual Meeting, SID (for physician-scientists), SPD (for Pediatric Dermatology dedicated residents), PDA, and CalDerm Meetings. Additional PEC-approved meetings include: ASDP, ASDS, Mohs College, SOCS, Med Derm Society, Tropical Dermatology/ ASTMH, Practice Management course meetings. Meetings should be approved by the mentor and PEC before residents apply for outside travel support or other funding, and before any travel arrangements are made. The PEC must also approve any additional travel days beyond the meeting dates. It is the resident’s responsibility to request being placed on the PEC agenda

for consideration of a meeting request in time for approval and adjustment of clinic schedules (at least 4 months in advance of the meeting).

5. Residents are allotted a maximum travel stipend of $1,000 per academic year, which may be used towards PEC-approved educational meetings (and to cover expenses for the AAD annual meeting over and above those paid for by the AAD resident travel program). The $1,000 travel stipend can only be used within that academic year and may not be forwarded or borrowed from another year. Extra approved meetings will not lead to an increase in the travel stipend, and expenses beyond the stipend are to be paid by the resident. The chief resident is funded for one additional meeting beyond the annual stipend.
6. First year residents are allocated an additional $500 stipend for the purchase of a dermatoscope.
7. All expenses and reimbursement must be in accordance with both the University’s travel policy and IRS regulations governing non-taxable reimbursement of business expenses. The University limits all meals to the per diem maximum rate of $ when on travel status and $81 for University business meetings. The revised University policy limits meal reimbursement to only those meals that are an integral part of a business meeting (not social dinners). The IRS does not permit reimbursement of meals for meetings unless the employee is away from home for more than 24 hours AND attending a meeting that takes place at least 25 miles from home. More information on the travel policy (including details of allowable expenses, receipts required, and other information) can be found at http://www.ucop.edu/ucophome/policies/bfb/g28.html
8. Airfare should be coach-class, advanced purchase. Hotel accommodations should be at the lowest rate available at the conference hotel.

9) After completing your trip, fill out the travel reimbursement form, attach all original

receipts. Please provide itemized receipts for meals, and submit to Christina Walker within 21 days of your return. She will obtain the signature of the program director, whose approval is required before the request will be processed.

10) All reimbursements submitted later than 45 days after the completion of your trip or

the date of an expense, i.e., breakfast for the monthly Resident meeting, will be reported as taxable income. This includes the printable receipt from the CA Medical Board for your license application if a renewal, or a copy of your cashed check front and back or other documentation of payment for your initial license.

11. In years when there is extra money in the account after travel has been reimbursed, the following items ONLY may be purchased with excess funds:

1. Dermatoscopes; 2. Medical books; 3. Memberships to derm societies (while a resident); and 4. Board Review Courses. The purchase of iPhones, iPads and computers is not permitted. Expense reports and original receipts should be submitted to Chris by June 1st for processing and payment.

12. If you have a question about the status of your reimbursement or the balance in your fund please contact Gypsy Yap in the Academic Office.

D) Other Leave

1. The department complies with the University’s policies regarding sick leave, personal leave, new parent leave, family and medical leave, leave for military service, and leave for jury duty as outlined in the GME Housestaff Information