Resident Physicians of The George Washington University Medical Center agree to fulfill the following obligations:

• Clinical and Educational Requirements. To use his/her best efforts, judgment and diligence in fulfilling the duties, tasks, responsibilities and any other clinical and educational requirements, of whatever nature, in a professional and appropriate manner, as assigned to the Resident Physician during the duration of the Program. Resident Physician acknowledges that a failure to fulfill such requirements may result in disciplinary action, including but not limited to termination, as outlined in the Manual.

• Residency Application. To provide complete, accurate and truthful information regarding his/her training, education and qualification for the appointment as a Resident Physician and his/her PGY level. The Resident Physician understands that any false statement, misrepresentation, misstatement or omission regarding his/her training, education or qualifications may result in immediate termination of his/her appointment as a resident physician and/or retroactive invalidation of credit for time completed during the term of the resident agreement.

• Essentials of Accredited Residencies of the ACGME. To accept the general responsibilities set forth in the Essentials of Accredited Residencies of the ACGME and to use his/her best efforts to fulfill all of those obligations set forth therein.

• Policies and Procedures. To comply with all policies and procedures set forth in the Manual.

• OSHA Training. To complete OSHA training provided by the Medical Center no later than July 31 of each academic year.

• Dress Code. To comply with the dress code set forth in the Manual.

• Physical Examination. To obtain a physical examination, post offer, which must be completed not more than three (3) months prior to, nor more than fifteen (15) days after the commencement of the Term. The Medical Center will attempt to reasonably accommodate any disabilities of the Resident Physician that affect his/her ability to perform the essential functions of his/her residency.

• Medical Records. To complete all discharge summaries and all other medical records related to the activities assigned to the Resident Physician in accordance with the policy outlined in the Manual. Failure to complete discharge summaries, operative reports and all other medical records related to the activities as required, may result in the Medical Center taking disciplinary action including but not limited to suspension without pay or termination. Resident Physician further agrees that he/she will not remove patient medical records from the place of his/her rotation and will comply with any and all policies and procedures of the Medical Center, teaching center or health care facility with regards to maintaining patient confidentiality and ownership of medical records. Failure to abide by this requirement is considered a material breach of the resident agreement and may result in the Medical Center taking disciplinary action.

• Cooperation/Assistance in Litigation. Resident Physician will assist and cooperate fully with the Medical Center in the defense of any and all claims and litigation brought against the University, its insurance company/representatives and attorneys, its Medical Center, teaching faculty and employees or teaching centers or health care facilities in which Resident Physician rotates and their employees, including but not limited to, the physician faculty, residents, interns, students, and agents in any way relating to or arising out of Resident Physician’s activities in the Program. Resident Physician agrees to make himself/herself available in the District of Columbia for litigation preparation, meetings, depositions and trial testimony. This obligation shall survive the termination or expiration of the resident agreement and appointment in the Program.

Other Essential Requirements. In addition, the Resident Physicians must comply with the following standards:

• Develop a personal program of self-study and professional growth with the guidance of teaching staff.

• Participate in and provide safe, effective and compassionate patient care under supervision commensurate with their level of advancement and responsibility.

• Participate fully in the educational activities of the Program and, as required, assume responsibility for teaching and supervising of other residents and students.

• Participate in activities and programs of the Medical Center, or those of its teaching centers or health care facilities, involving Medical Staff and adhere to their respective established practices, procedures and policies.

• Participate in activities of the Medical Center, or those of its teaching centers and health care facilities, committees and councils, especially those that relate to patient care review.

• Constantly strive to improve the quality of care provided to patients. Quality care requires that at all times, the Resident Physician must be aware of the risks, discomforts and expenses as well as the benefits to which a particular test or procedure subjects a patient. The Resident Physician should perform or order only those tests, procedures or medications that would benefit the patient based upon the patient’s medical history and current condition. Alternative treatments should be reviewed and considered to select the best plan of action for each patient’s circumstances.

• Comply with the published principles of the medical/dental and the rules of the Judicial Council of the American Medical Association and, if applicable, the American Dental Association.

• Comply with all applicable policies, bylaws and rules and regulations of the Medical and Dental Staff of The George Washington University Hospital, the Medical Center and any other hospital or teaching center to which the Resident Physician may be assigned for clinical rotation.

• Return all Medical Center property and settle all outstanding financial obligations with the Medical Center prior to the expiration or termination of the resident agreement or completion of the Program.

• Promote and uphold the mission of the Medical Center as found in the Manual.

• Submit confidential written evaluations of faculty and educational experiences and make recommendations, where appropriate, for improvement of processes to continuously increase the quality of service and delivery.

• Continue to develop expertise within the field through attendance at conferences, seminars, academic course work and other appropriate methods.