Attending Responsibilities

Attending are strongly encouraged to structure rounds such that teaching is done each day(1:30-2:00PM) prior to discussing new consultation or reviewing the service. Rounding in the team room should be of limited duration and every effort should be made to present cases at the bedside.

The attending physician is ultimately responsible for the recommendations made by the team, although much of the day-to-day responsibility is delegated to the fellow. The attending should make rounds daily, generally in the afternoon, and see all new consults and clinically active old consults as appropriate. The attending physician should review the progress of each consult daily with the team. The attending must examine the patient (or be present when the fellow/resident performs the exam) for all new consults and write an attending note (typically an addendum to the fellow’s or resident’s note) in the EMR consistent with UWP billing compliance regulations. Attendings should be mindful of the regulation that only the PMH, FH, SH and ROS components of a student’s note can be counted and that if the fellow’s or resident’s addendum does not include the HPI or exam components then the attending’s addendum should include them. Attendings are also strongly encouraged to leave follow-up notes on those patients seen subsequent to their initial visit. The attending is responsible for teaching during Attending Rounds and should alternate this responsibility with HIV Attending every other day.

The attending will evaluate the students’ performances at the end of the month in conjunction with the fellow(s), and will also evaluate the resident and the fellow(s). Evaluations should be discussed with each of these individuals.

In addition to the general fellow evaluation for the rotation, the attending is responsible for completing the following three additional evaluation forms found on Verinform at https://medeval.som.washington.edu:

  1. ID Attending Evaluation of ID Fellow Oral Presentation: The attending should evaluate the fellow’s case presentations at the Wednesday Clinical Infectious Disease Conference.
  2. Mini Clinical Exercise (MINI-CEX) Form: Once per month the attending should observe the fellow work up a patient and present a formulated plan.
  3. Review of Infectious Diseases Fellows’ Competency in Medical Literature: The attending should evaluate the fellow’s presentation of a literature summary of a problem encountered on service at least once per rotation.

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