University of Michigan Hospitals and Health Centers
MEDICAL STAFF “CODE OF CONDUCT”

The Medical Staff Bylaws and Policies of the University of Michigan Hospitals and Health Centers provide overall standards for medical staff and trainees. A summary is as follows:

The mission of the Medical Staff is to:

• Provide compassionate, respectful, quality medical care to patients in our facility
• Provide overall supervision of that care
• Support education, research, and the creation of new knowledge

The conduct expected of Medical Staff includes:

• Medical Staff will work cooperatively and respectfully with patients, families, and all other clinicians and support personnel within UMHS. Specifically, this includes:
• Respectful communication stating essential information without verbal or physical intimidation.
• Discussion of perceived inadequate performance by another staff member with the staff member's supervisor. If there is immediate danger to a patient because of a staff member's action, it is expected that direct discussion with UMHS personnel take place giving all facts in a clear, non-intimidating manner to immediately correct the inappropriate action. The Medical Staff member must then promptly discuss the event and actions with the appropriate supervisor. The Disruptive Physician Policy is located at http://www.med.umich.edu/i/policies/umh/04-06-047.htm
• Medical Staff will perform all duties within stated timelines, such as, completion of medical records as soon as possible, but absolutely within 30 days according to UMHHC policy and Medical Staff Bylaws, to provide continuity of care. If for physical or mental reasons a physician is unable to perform these duties, the Service Chief, Chair, and the Office of Clinical Affairs should be notified.
• Medical Staff must voluntarily remove themselves from patient care duties if affected by physical or mental impairment, such as drug or alcohol use. Other staff members are obligated to report unsafe clinician behavior.
• Confidential patient records must not be accessed or information shared unless the staff member has specific patient care responsibilities for that patient, or is assigned quality, educational, or research role as approved by the Service Chief, Chairperson or the Institutional Review Board.
• Any potential or actual conflict of interest must be promptly disclosed to committee chairs and/or department chairs so that appropriate management can occur. Medical Staff should not directly endorse medical products to the general public. The UMHHC Conflict of Interest can be found in the Medical Staff Bylaws Supplement at http://www.med.umich.edu/i/ o ca/downloads/bylaws_supplement101701.pdf

The University of Michigan Medical School Conflict of Interest Guidelines can be found at

http://www.med.umich.edu/medschool/orgs/coi.guidelines.html

• Staff are expected to use UMHS resources in an ethical, cost effective, and efficient manner as a reflection of our responsibility to society.

Questions should be directed to the Office of Clinical Affairs to kneeland@umich.edu or at 936-3599