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Institute for Patient Care Clinical Affilations Program

 

Entry Level of Practice 

The recognition process at the Entry level occurs at the unit or department. The director together with the clinician assesses the clinician’s practice, determines goals for continuing professional development and celebrates achievements.

Clinicians at the Entry level are fairly new to the profession and are generally beginning their career at MGH. In orientation, they are welcomed into the organization and become acquainted with MGH and PCS’s values, practices and policies. The length of time for orientation is department specific. Within that time frame the needs and abilities of the individual clinician are assessed and the length of orientation is individualized. Throughout orientation, the clinician meets with the director and others involved in orientation to acknowledge achievement of competencies, to discuss practice and to review the levels within the Clinical Recognition Program. Following the completion of orientation, the director meets with the clinician and, through the use of the narrative, initiates a discussion of practice across the themes of practice. If at that time, the clinician demonstrates Entry level behaviors, the director recognizes the clinician at this level of practice. If more time is needed, the manager/director acknowledges the achievement of competencies and with the clinician, determines goals for further development.

At the time the clinician achieves Entry level of practice, the director acknowledges this accomplishment in writing; the clinician receives the original and a copy is placed in his/her personnel file.

It is generally expected that the new clinician will, within 3 to 12 months of hire, demonstrate practice at the Entry level . The manager/director is responsible for ensuring that the clinician consistently meets entry level behaviors generally within 1 year from time of hire.

Clinician Level of Practice 

The recognition process at the Clinician level occurs at the unit or department. The director together with the clinician assesses the clinician’s practice, determines goals for continuing professional development and celebrates achievements.

With broad experience, Entry level clinicians develop a sound understanding about the care of a particular patient population, readily collaborate, and are resources to colleagues. Practice at the Clinician level becomes consistently evident. At that time, the director together with the clinician, through the use of a recent narrative, discusses, recognizes and celebrates the clinician’s development of Clinician level of practice across all themes and determines goals for continuing professional development. The director acknowledges this accomplishment in writing; the clinician receives the original and a copy is placed in his/her personnel file.

The director is responsible for ensuring that the clinician consistently demonstrates clinician level of practice within 2 years from the time of hire.

Advanced Clinician Level of Practice 

Recognition at the Advanced Clinician level is voluntary and is initiated by the clinician. To begin the process, it is recommended that the clinician use the self-reflective guide to determine his/her appropriate level of practice. The clinician should then meet with his/her director to gain endorsement. Endorsement is necessary to move forward in the recognition process. Next the clinician initiates an application by assembling a professional portfolio. The portfolio includes the director’s endorsement, a cover letter, a resume, letters of support, and a clinical narrative that describes his/her practice.

A clinician may seek recognition at the Advanced Clinician level after six months of employment at MGH.

Review Process:

A fifteen-member interdisciplinary Review Board that has representation from the six disciplines in Patient Care Services reviews the clinician’s portfolio. Review Board discussions are confidential. Three of the 15 members lead a more in-depth portfolio review and interview the clinician. One of the three members is from the applicant’s discipline. Members may also consult with an expert from the clinician’s specialty to better assess clinical knowledge. The three members summarize and bring recommendations to the full Review Board. The Board determines by consensus whether the clinician should or should not be recognized at the level for which he/she has applied.

Notification:

The Review Board notifies the clinician of their decision within three months of the application date. If the Board has decided to recognize the clinician, the clinician receives a congratulatory letter. If not recognized, the Board notifies the clinician in writing. The letter provides the name of the lead interviewer who can provide a more thorough understanding of the Review Board’s decision. The Board will also notify the director of their decision, but does not provide details about the decision-making process and/or recommendations made to the clinician.

Rewards:

Clinicians recognized at the Advanced Clinician level receive a 3% salary adjustment.

Clinical Scholar Level of Practice 

Recognition at the Clinical Scholar level is voluntary and is initiated by the clinician. To begin the process, it is recommended that the clinician use the self-reflective guide to determine his/her appropriate level of practice. The clinician should then meet with his/her director to gain endorsement. Endorsement is necessary to move forward in the recognition process. Next the clinician initiates an application by assembling a professional portfolio. The portfolio includes the director’s endorsement, a cover letter, a resume, letters of support, and a clinical narrative that describes his/her practice.

A clinician may seek recognition at the Clinical Scholar level after six months of employment at MGH.

Review Process:

A fifteen-member interdisciplinary Review Board that has representation from the six disciplines in Patient Care Services reviews the clinician’s portfolio. Review Board discussions are confidential. Three of the 15 members lead a more in-depth portfolio review and interview the clinician. One of the three members is from the applicant’s discipline. Members may also consult with an expert from the clinician’s specialty to better assess clinical knowledge. The three members summarize and bring recommendations to the full Review Board. The Board determines by consensus whether the clinician should or should not be recognized at the level for which he/she has applied.

Notification:

The Review Board notifies the clinician of their decision within three months of the application date. If the Board has decided to recognize the clinician, the clinician receives a congratulatory letter. If not recognized, the Board notifies the clinician in writing. The letter provides the name of the lead interviewer who can provide a more thorough understanding of the Review Board’s decision. The Board will also notify the director of their decision, but does not provide details about the decision-making process and/or recommendations made to the clinician.

Rewards:

Clinicians recognized at the Clinical Scholar level receive a 6% salary adjustment.

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