UTMB Administrative Residency ~ Rotations

Objectives

A fundamental component of an administrative residency at UTMB is rotations through key departments. However, rotations are beneficial to the resident only if a reasonable number of departments are selected that represent an adequate cross-section of UTMB hospital-related functions. The preceptor's role is to assure that the proposed departments are reviewed with the resident and a rotation schedule tentatively established. The preceptor will also assure that the director of each department is aware of the resident’s schedule and educational objectives. These objectives include:

To acquire understanding of the departmental organizational structure
To ascertain what key services are provided by the department
To gain a sense of how the department is staffed and the various types of credentials of the personnel
To review the department business/strategic plan and/or goals and objectives, identifying key issues facing the department and the plans that exist to address these issues
To learn of accrediting bodies/regulatory agencies that govern the department’s operations

Structure

The rotation will be structured to allow the resident to become exposed to departments within the Hospital (Support, Ancillary), Faculty Group Practice (Clinics, Physician Billing Services, etc.), UTMB Support Services (Human Resources, Facilities Planning, etc.) and optional patient care departments as time permits. Rotation activities should be completed by the fifth month of the twelve-month residency (either May or November). The appropriate amount of time spent in each department should be negotiated with the resident, preceptor, and the department manager. Many departments’ operations may be learned in a few hours (e.g., Medical Staff Office, CCPI) while others require more extended visits (e.g., Financial Management, Nursing Service).

Departmental Preparation

A critical success factor of the resident’s rotation is the extent to which the departments understand the goals of the rotation. Simply observing in a department has little value; instead, department managers should allow the resident the opportunity to discuss different functions with department staff, attend key operational and strategic meetings, and participate in substantial projects. The preceptor’s role in the rotation is to ensure that the resident's experience is positive and meaningful.

Faculty Group Practice	Support Services	Hospital Support	Hospital Ancillary
Physician Billing	Human Resources	Medical Records	Pharmacy
Ambulatory Services	Facilities Planning	Medical Staff Office	Laboratory Medicine
Health Services Contracting	Legal Affairs	Hospital Financial Services	Pulmonary Care Services
Health Program Development	Materials Management	Healthcare Financial Management	Emergency Department
		Social Work	Nursing Service
		Admissions	Radiology/Nuclear Medicine
		Healthcare Information Services	Rehabilitation Services
		CCPI & Quality Management

* Other departments which the resident may want to consider include, but are not limited to: Volunteer Services, Community Health Services, Laundry and Linen Services, Risk Management, Environmental Services, Food & Nutrition Services, Purchasing, Hospital Transportation, and Patient Services.

Faculty Group Practice

Support Services

Hospital Support

Hospital Ancillary