I just did a month at the VA and managed to avoid any of the beauracratic vetting requirements. I had to go to a computer session to get a password for the VA computers and their CPRS software but I avoided getting a badge, taking the required compliance tests, swearing oaths, and the usual rigamarole.
They gave me a whole packet of paperwork to complete and return but I pretty much ignored it and nobody said anything about it.
Not that I was worried about any of it but it is a pain in the rear.
Duke University, on the other hand, is deadly serious about their paperwork. They generate an enormous amount of it, mostly directed towards ensuring compliance with various essentially meaningless beauracratic endeavors. As if my signing a paper admitting that I understand that hurling racial epithets at patients is bad will actually protect them legally if it came down to it.
At orientation we had to take a JAHCO complaince test. I missed two questions. On the retake I still missed one of them (because I just don't care, you understand). Subsequently, they emailed me the question requesting that I email back the correct answer. I kind of deleted the email and forgot all about it until two months later when they sent me a snotty email demanding that I answer the question or they would suspend my privaleges, essentially the same as firing me.
The old rebel in me was tempted to see if I could actually get fired for something as idiotic as that and whether my program which has a lot invested in my completing the next three years would allow them to.
Naturally I answered the question. This is the nation we have become. I know very well that some "Mini-Stalin" in the compliance office could actually get me fired.
As a footnote to this sorry story, every one of the answers to the question was correct so I replied "a,b,c,d,e." I got a snippy little email back saying that the question asked for only one of the answers to be selected and would I email them back with just one.
So I emailed back "c" which seems to have satisfied them.
To think that this is a real job description at Duke.
Oh, and while I am grateful to have recieved a free HP2700 Ipaq PDA, you should know that it was not enough for them to hand them out but I had to attend a four hour training and waiver signing class.
Those of you who think that lawsuits don't add that much to the cost of medcine are not taking into account the enormous cost in time and money of documenting compliance, often for things which used to be common sense. I don't, for instance, need JAHCO to tell me to wash my hands between patient contacts.
When you get to third year, you will see that most documentation is just a a form of CYA.