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Medical Education
Medical Student Education

Providers of Sensitive Care to UCSF Medical Students

No providers of sensitive health, psychiatric, or psychological care to UCSF medical students (e.g., for substance abuse, sexually transmitted diseases, etc.) will be in a position at some present or future time to evaluate their academic performance or take part in decisions regarding their advancement and/or graduation.

Some examples of how this policy and practice have been implemented are below:

1. No clinician from the Student Well-Being program or Student Health Services is allowed to be a faculty member in a course that requires the evaluation of student performance.

2. Students and small group leaders from FPC will be asked at the beginning of the course if they have a potential conflict of interest with each other (e.g. they are related to the small group leader, are a family friend, have seen the small group leader as a clinician) in order to change small group assignments. The type of conflict of interest will not be disclosed. The administrators for FPC will be instructed to facilitate such requests without inquiring as to the nature of the conflict of interest.

3. Information about potential student-teacher confidentiality is provided to medical students on the first day of their psychiatry clerkship (110) at the Parnassus campus, which is where Langley Porter Psychiatric Institute (LPPI) is located and where medical students may have previously received health care. Students are told that if they have seen a clinician at LPPI, they should notify the course administrator and that person will modify the schedule to avoid activities with the clinician in question. The course administrator has been instructed by the site director to facilitate requests for a change in schedule without alerting the site director or any LPPI clinicians as to the purpose of the schedule change. The most common clinicians with whom a medical student patient might have educational contact are PGY-3 residents, since the acute services and clinic attending physicians tend to have small practice caseloads and PGY-2 residents on acute services have at most one long-term patient. This means that the most common switch would be from one clinic afternoon to a different clinic afternoon to avoid a case conference or mentoring experience with a PGY-3 clinician. Schedule changes happen occasionally anyway, and it would not be seen as an odd event by the site director or by the attending physician or resident if a schedule change was enacted. This practice prevents training contact between the medical student and the clinician. In the unforeseen event where the psychiatry site director has previously provided clinical care to a medical student-patient, the site director can hand-off the educational oversight of the student to a co-director.

This policy was endorsed by the CCOC on May 4, 2010, by ECCC on May 18, 2010 and by CCEC on May 19, 2010.