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Kaiser Permanente and other Teaching Hospitals GME – Graduate Medical Education Program

Kaiser Permanente is a chaim of Multidisciplinary Teaching Hospitals

Kaiser Permanente is a chain of Multidisciplinary Teaching Hospitals – All Kaiser Hospitals are Teaching Hospitals

Kaiser is a consortium of three separate but interdependent groups: the Kaiser Foundation Health Plan and Kaiser Foundation Hospitals are integrated with independent physician group practices called Permanente Medical Groups. The health plan is the insurance component of the organisation, while the hospitals and medical groups provide all clinical services. To the public these hospitals and general practitioner type facilities are seen as one organisation, commonly referred to as Kaiser. See:

http://www.lse.ac.uk/LSEHealthAndSocialCare/pdf/eurohealth/VOL13No4/Strandberg-LarsenSchiotzandFrolich.pdf

The advancement of medicine and improvement of physician skills is a good thing if the patient is informed, if the patient knowingly grants permission to be experimented and practiced on based on complete information and all persons and corporate interests involved  are in agreement just how far these medical practices will be allowed to go with each patient and in each patient group.  It is bad if the patient is not completely informed, is lied to, is selected as an experiment without their knowledge and if operations are performed solely for the purpose of a physician to gain board certification.


E. Professional Liability Insurance
Kaiser Foundation Health Plan, Inc. (KFHP) provides professional liability protection for its employees and residents and the employees of the following organizations: Kaiser Foundation Hospitals, Kaiser Foundation Health Plan, Inc. and The Permanente Medical Group, Inc. if any such employee is named as a defendant in a law suit alleging negligence arising from work performed on behalf of these organizations. It is, therefore, unnecessary for a resident to carry professional liability insurance.

KFHP will provide a defense for each employee and will pay, when appropriate or legally obligated, all sums which may be required in judgment or settlement of damages or injuries sustained by an injured third party, provided the employee was acting in good faith and within the course and scope of his/her job responsibilities when the negligent act is alleged to have taken place. KFHP is not obligated to provide a defense for or indemnify the employee if he/she is deemed to have acted wrongfully outside the scope of his or her employment, for example, in committing a crime or deliberate act which is intended to harm another person or damage property.

KFHP’s protection of the above mentioned employees is financially secured through a combination of self insurance reserves which are actuarially determined and recorded as liabilities on KFHP’s balance sheet, and excess professional liability insurance policies which are underwritten by credit worthy commercial insurers and reinsurers.

Professional Liability Insurance covers residents while they are on residency duties in Kaiser Foundation Hospitals or a designated training site in California. This coverage does not include professional work outside of the residency program or volunteer activities without prior written approval of the Director of Graduate Medical Education. Any employee is free to obtain professional liability insurance if desired, but the cost of such independently purchased must be borne by the employee.
See:  https://gme.kaiserpapers.org/pdfs/residency-training-manual-kaiser.pdf

The following from the above document located on Page 1 under the
RESIDENT ELIGIBILITY AND SELECTION
Applicants must fulfill either the Accreditation Council for Graduate Medical Education (ACGME) qualifications for appointment to ACGME-accredited programs or the Council for Podiatric Medical
Education (CPME) qualifications for appointment to CPME-accredited programs. All our ACGMEapproved residency programs participate in the National Residency Matching Program (NRMP).

The above means that these residents are from all over the world.  
“The National Resident Matching Program (NRMP) is a private, not-for-profit corporation established in 1952 to provide a uniform date of appointment to positions in graduate medical education (GME) in the United States.”
https://www.nrmp.org/