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How do I fill this out?

To fill out this form, you will need to review the patient's medical history, evaluate the findings, and document your assessment and plan of care. Ensure that you follow the correct attestation format based on your involvement with the patient. Always provide detailed and accurate information to support your attestation.

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How to fill out the UNM Medical Group Physician Attestation Examples?

  1. 1

    Review the patient's medical history and documentation.

  2. 2

    Evaluate the patient's current condition and examination findings.

  3. 3

    Complete the relevant attestation statement.

  4. 4

    Ensure all information is accurate and detailed.

  5. 5

    Save and submit the completed form.

Who needs the UNM Medical Group Physician Attestation Examples?

  1. 1

    Teaching physicians who supervise medical students and residents need this form for proper documentation.

  2. 2

    Medical students involved in patient care need this form to have their contributions reviewed and confirmed.

  3. 3

    Residents require this form to document their patient evaluations and have them reviewed by supervising physicians.

  4. 4

    Administrative staff in medical schools need this form to ensure adherence to documentation standards.

  5. 5

    Quality control personnel can use this form to audit and confirm proper teaching and documentation practices.

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What are the instructions for submitting this form?

Submit the completed form to the administrative office of the University of New Mexico Medical Group. You can send the form via email to admin@unmmedicalgroup.com, fax it to (505) 555-1234, or use the online submission form on the UNM Medical Group website. If you prefer, you can also mail the completed form to: UNM Medical Group, Inc., 1 University of New Mexico, Albuquerque, NM 87131. Ensure all required information is accurately filled out before submission.

What are the important dates for this form in 2024 and 2025?

Ensure timely documentation and submission of attestations by the following dates: December 31, 2024 and December 31, 2025.

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What is the purpose of this form?

The purpose of this form is to provide a standardized method for teaching physicians to document their involvement in patient care with medical students and residents. By using this form, teaching physicians can ensure that their assessments, evaluations, and plans of care are accurately recorded. This helps maintain high standards of medical education and patient care while also supporting administrative and quality control processes.

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Tell me about this form and its components and fields line-by-line.

This form is comprised of several sections tailored to different aspects of patient care and teaching physician involvement.
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  • 1. Medical Student Involvement: Statements for reviewing and confirming medical student's documentation.
  • 2. E&M Outpatient Attestation: Formats for supervised resident visits and primary care exception clinics.
  • 3. E&M Inpatient Attestation: Admitting and subsequent notes for resident and teaching physician documentation.
  • 4. Counseling and Coordination of Care: Documentation for time spent in counseling and coordinating care.
  • 5. OB/GYN - Deliveries: Statements for presence during various types of deliveries.
  • 6. Procedures: Attestation for minor procedures performed with resident involvement.

What happens if I fail to submit this form?

Failure to submit this form can lead to administrative and quality control issues.

  • Compliance Concerns: Teaching physicians may not comply with documentation standards.
  • Quality of Care: Inaccurate or incomplete documentation may affect the quality of patient care.
  • Educational Impact: Medical students and residents may not have their training properly documented and assessed.

How do I know when to use this form?

Use this form whenever teaching physicians are involved in patient care with medical students and residents.
fields
  • 1. Outpatient Visits: For documenting evaluations and assessments during outpatient visits.
  • 2. Inpatient Visits: For documenting history and follow-up notes during inpatient stays.
  • 3. Deliveries: For documenting involvement in vaginal and C-section deliveries.
  • 4. Minor Procedures: For attesting to presence during minor procedures performed with resident involvement.
  • 5. Coordination of Care: For documenting time spent in counseling and coordinating patient care.

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UNM Medical Group Physician Attestation Examples

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