- Clinical and educational work hours must be limited to no more than 80 hours per week, averaged over a four-week period, inclusive of all in-house clinical and educational activities, clinical work done from home and all *moonlighting.
- Preparing for following day’s cases, studying and research do not count toward the 80 hours.
- Residents should have eight hours off between scheduled clinical work and education periods.
- Residents must have at least 14 hours free of clinical work and education after 24 hours of in-house call.
- Residents must be scheduled for a minimum of one day in seven that is free of clinical work and required education when averaged over four weeks.
- At-home call cannot be assigned on these free days.
- Clinical and educational work periods for residents must not exceed 24 hours of continuous scheduled clinical assignments.
- Up to four hours of additional time may be used for activities related to patient safety — such as providing effective transitions of care — and/or resident education.
- Additional patient care responsibilities must not be assigned to a resident during this time.
- In rare circumstances — after handing off all other responsibilities — a resident, on their own initiative, may elect to remain or return to the clinical site in the following circumstances:
- To provide care to a single severely ill or unstable patient.
- To give humanistic attention to the needs of a patient or family.
- To attend unique educational events.
- These additional hours of care or education will be counted toward the 80-hour weekly limit
- Night float must occur within the context of the 80-hour and one day-off-in-seven requirements.
- Night float rotations must not exceed two months in duration, four months of night float per PGY level and 12 months for the entire program.
- Residents must be scheduled for in-house call no more frequently than every third night when averaged over a four-week period.
- Time spent on patient care activities by residents on at-home call must count toward the 80-hour maximum weekly limit. The frequency of at-home call is not subject to the every third-night limitation, but must satisfy the requirement for the one day in seven free of clinical work and education when averaged over four weeks.
- Residents are permitted to return to the hospital while on at-home call to provide direct care for new or established patients. These hours of inpatient patient care must be included in the 80-hour maximum weekly limit.
*Moonlighting Policy: Moonlighting is prohibited. No exceptions.