San Diego House Staff Association: Proposals 2018-2021 Page | 0 TABLE OF CONTENTS Contents INTRODUCTION / BACKGROUND ................................................................................................................. 1 A. 2018 Negotiating Committee ........................................................................................................... 1 B. Procedure ......................................................................................................................................... 1 C. Definitions ........................................................................................................................................ 1 D. Overview / Background ................................................................................................................... 1 E. The Cost of Living & The Dilemma for House Staff ......................................................................... 4 PROPOSALS ................................................................................................................................................... 6 FELLOWS ....................................................................................................................................................... 6 A. Background ....................................................................................................................................... 6 B. The Fellows’ Representatives .......................................................................................................... 7 C. Specific Issues ................................................................................................................................... 8 1. Joining Bonus for Fellows (2017/18 academic year). ................................................................... 8 2. Coordination of Benefits ............................................................................................................... 8 3. Licensing Reimbursement ............................................................................................................. 8 4. Reimbursement for Required Equipment ..................................................................................... 9 5. Addition of an “off-hours triage” system ...................................................................................... 9 D. Proposals ........................................................................................................................................ 10 COMPENSATION ......................................................................................................................................... 11 A. Background ..................................................................................................................................... 11 B. Comparative Salaries ...................................................................................................................... 13 C. Classification of Postgraduate Year Level ...................................................................... 15 D. Proposals ........................................................................................................................................ 15 HOUSING STIPEND ..................................................................................................................................... 16 A. Background ..................................................................................................................................... 16 B. Proposals ........................................................................................................................................ 17 PARKING & TRANSPORTATION .................................................................................................................. 19 A. Background ..................................................................................................................................... 19 B. Scope of the Problem ..................................................................................................................... 20 C. The Effect on Staff .......................................................................................................................... 21 1 | Page D. Parking Availability .................................................................................................................. 23 E. The Effect on Patient Care ............................................................................................................. 25 F. Options ........................................................................................................................................... 26 G. Proposals ........................................................................................................................................ 27 RELOCATION EXPENSES.............................................................................................................................. 29 A. Background ..................................................................................................................................... 29 B. Proposal: Relocation Allowance .................................................................................................... 30 MEDICAL INSURANCE ................................................................................................................................. 31 A. Background ..................................................................................................................................... 31 B. Proposals ........................................................................................................................................ 31 MEAL ALLOWANCE & ACCESS TO FOOD .................................................................................................... 33 A. Background ..................................................................................................................................... 33 B. Current MOU .................................................................................................................................. 33 C. Meal Issues ..................................................................................................................................... 34 1. Administration of Meal Benefits ................................................................................................. 34 2. Kiosks are Not Working ............................................................................................................... 35 D. Proposals ........................................................................................................................................ 35 EDUCATIONAL EXPENSES ........................................................................................................................... 37 A. Background ..................................................................................................................................... 37 B. Other Institutions ........................................................................................................................... 38 C. Proposals ........................................................................................................................................ 39 HOUSE OFFICER LICENSURE FEES ............................................................................................................... 40 A. Background ..................................................................................................................................... 40 B. Proposals ........................................................................................................................................ 40 WELLNESS & EXERCISE FACILITIES ............................................................................................................. 41 A. Issues............................................................................................................................................... 41 B. Discussion ....................................................................................................................................... 41 C. Proposals ........................................................................................................................................ 42 HOLIDAYS / LEAVE ...................................................................................................................................... 43 A. Background ..................................................................................................................................... 43 B. Law .................................................................................................................................................. 43 C. Proposal .......................................................................................................................................... 43 2 | Page COMMUNICATION REIMBURSEMENT ....................................................................................................... 44 & PRIVACY ISSUES ...................................................................................................................................... 44 A. Background ..................................................................................................................................... 44 B. Law .................................................................................................................................................