AULTMAN HOSPITAL
INTERN AGREEMENT
AULTMAN HOSPITAL and, ("Intern") enter into this Internship Position Agreement ("Agreement") in Canton, Ohio, on Date.
IN CONSIDERATION OF THE FOLLOWING PROMISES, THE PARTIES AGREE THAT:
1. POSITION: The Intern is accepted into the Rotating Internship Training Program as post-graduate year OGME 1.
2. QUALIFICATIONS: Graduate of a college of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA) before the beginning of their employment contract. They must have passed COMLEX II, and maintain membership in the AOA.
3. TERM: This Agreement begins July 1, 200_ and ends June 30, 200_.
4. INTERN'S RESPONSIBILITIES: The Intern shall devote full-time effort in performing satisfactorily in all areas of the internship program including, without limitation, demonstrating didactic and clinical competency and displaying appropriate, professional behavior. General responsibilities are outlined in the Resident/Intern Physician Manual, which is attached as Exhibit A and incorporated in this Agreement by reference. The Intern must also abide by the then-current Human Resources and Hospital policies of each institution to which the Resident may rotate. This will include employee health requirements including drug testing and criminal background checks. To the extent that these policies are in conflict with and/or inconsistent with Exhibits A and/or A-1, the latter Exhibits shall be controlling. Aultman Hospital reserves the right to amend Exhibit A from time to time at its sole discretion. The position of housestaff physician entails provision of care commensurate with the housestaff physician's level of advancement and competence, under the general supervision of appropriately privileged attending teaching staff. This includes:
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Participation in safe, effective and compassionate patient care;
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Developing an understanding of ethical, socioeconomic and medical legal issues that affect graduate medical education and how to apply cost containment measures in the provision of patient care;
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Participation in the educational activities of the training program and, as appropriate, assumption of responsibility for teaching and supervising other interns and students, and participation in institutional orientation and education programs and other activities involving the clinical staff;
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Participation in institutional committees and councils to which the housestaff physician is appointed or invited;
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Performance of these duties in accordance with the established practices, procedures and policies of the institution, and those of its programs, clinical departments and other institutions to which the housestaff physician is assigned, including, among others, state licensing requirements for physicians in training, where these exist;
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Participation in the evaluation of the quality of education provided by the hospital; and
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Assistance in recruiting new interns to the institution.
The Intern may not assign or delegate any of these responsibilities.
5. PROGRAM RESPONSIBILITIES: Aultman Hospital shall offer the Intern a postgraduate training opportunity in a community hospital setting. Aultman Hospital agrees to provide the Intern the following support, benefits and conditions of employment.
A.) Financial Support: See Exhibit A-1 incorporated in this Agreement by reference.
The Intern shall receive an annual stipend in the amount of $Stipend payable biweekly and an annual Education Allowance in accordance with the post-graduate year.
B.) Benefits: See Exhibit A.
1. Sick Time, Bereavement Pay, Jury Duty Pay
2. Healthcare Insurance, Life Insurance, Short-Term Disability
3. Professional Liability Insurance
4. Vacation Time
5. Leave of Absence
6. On-Call Rooms, Meal Allowances, and Lab Coats
C.) Other Responsibilities and Policies: See Exhibit A.
1. Duty Hours
2. Supervision
3. Harassment Policy
4. Physician Impairment
5. Promotion and Reappointment
6. Dismissal and Other Forms of Corrective Action
7. Grievance
8. Moonlighting
9. Reduction/Closure
10. Medical Services
11. Counseling/Psychological Service
H.) Intern Evaluations: As the position of housestaff physician involves a combination of supervised, progressively more complex and independent patient evaluation and management functions and formal educational activities, the competence of the housestaff physician is evaluated on a regular basis. The program maintains a confidential record of evaluations.
6. CANCELLATION: Continuation and/or renewal of this Agreement are expressly conditioned on satisfactory performance and behavior at all times. Failure by the intern to perform or behave satisfactorily at all times during the term of this Agreement shall be just cause for dismissal of the intern from Aultman Hospital Rotating Internship Training Program as provided for in the Dismissal, Suspension, and Other Corrective Action Policy in Exhibit A.
Employment is contingent upon an acceptable pre-employment physical examination including a test for substance abuse. Consistent with the provisions in Exhibit A, an intern may be immediately suspended if he or she is adversely influenced or impaired by alcohol or substance abuse. By signing this Agreement, the intern agrees that he or she will not, at any time while expected to perform duties prescribed by this Agreement, be under the influence of or be impaired by alcohol and/or substances of abuse. The intern agrees to comply with the provisions of the Physician Impairment Policy found in Exhibit A.
The intern, upon reasonable notice, may cancel this Agreement at anytime. There shall be no liability for either party in the event of cancellation.
7. ENTIRE AGREEMENT: This Agreement, including Exhibits A and A-1, represents the entire understanding of the parties and supersedes all other agreements or representations, oral or written. It may not be changed, except in writing and signed by both parties.
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Intern Date
By signing this Agreement, the Intern acknowledges that he/she has received, read, understands and accepts all terms described in Exhibits A and A-1.
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Program Director/Director of Medical Education Date
______________________________________ ______________
Daniel E. Clark, AVP Date
Medical Education
Attachments: Exhibit A - Resident/Intern Physician Manual
Exhibit A-1 - Intern Benefits Sheet
