COMDTINST 6400.1A
8 NOV 1994
affiliation agreement shall be forwarded to Commandant (G-KOM) via the MLC.
(2)
Affiliation agreements must stipulate the amount of malpractice liability or self
insurance coverage maintained by the AI or the extern. If self- insured,
documentation (proof) is required.
(3)
The health services officer serving as the preceptor for externs shall ensure that the
extern reads the Student Extern Program Orientation, enclosure (2). Preceptors shall
also ensure that each extern is oriented to local policy concerning working hours,
dress code, conduct, required courtesies, lodging and subsistence procedures, clinic
safety issues, universal precautions, equipment use, and any other information which
is pertinent to the student's stay. Each extern shall complete the Acknowledgment of
Receipt and Understanding (retain this on file at the health care facility for three
years).
c.
Clinical Responsibilities. Student extern clinical duties are outlined in enclosure (2).
ADEQUATE LEVELS OF SUPERVISION AND APPROPRIATENESS OF CARE ARE
THE RESPONSIBILITIES OF THE HEALTH SERVICES OFFICER SERVING AS
THE EXTERN'S PRECEPTOR. Senior health services officers shall function as
preceptors or designate in writing another officer to assume that role.
d.
Interaction with SEP Schools.
(1)
Commandant (G-KOM) is responsible.for all SEP interaction, including but not
limited to: initial school contact, affiliation agreements, extern rotation scheduling,
and representing the Coast Guard at school functions. Commandant (G-KOM) may
delegate any or all of the above where local field/school interaction is deemed more
expeditious. However, responsibility for affiliation agreements may be delegated
only to the MLCs.
(2)
Where applicable, at least one health services officer at each unit must have a
faculty appointment at schools for which they serve as preceptors.
6.
FORMS/REPORTS.
a.
For statistical purposes, all care provided by externs shall be reported as described in the
CLAMS User's Guide and COMDTINST 6010.18 (series) (RCN 6000-1).
b.
Status Profile (CG-5460A) may be obtained by using SN 7530-01-GF3-2529, U/I (HD).
Visit Profile (CG-5460B) may be obtained by using SN 7530-GF3-2530, U/I (PD). Both
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