Maximum Duty Period Length. Duty periods for PGY-1 residents (interns) must not exceed 16 hours in duration. Duty periods of PGY-2 residents and above may be scheduled to a maximum of 24 hours of continuous duty in the hospital. Programs must encourage residents to use alertness management strategies in the context of patient care responsibilities. Strategic napping, especially after 16 hours of continuous duty and between the hours of 10:00 p.m. and 8:00 a.m., is strongly suggested. Residents may be allowed to remain on-site in order to accomplish transitions in care and to participate in didactic activities; however, this period of time must be no longer than an additional four hours. Residents must not be assigned any additional clinical responsibilities after 24 hours of continuous in-house duty. Each program must consult with their individual RRC because further limitations may be imposed. In unusual circumstances, residents, on their own initiative, may remain beyond their scheduled period of duty to continue to provide care to a single patient. Justifications for such extensions of duty are limited to reasons of required continuity for a severely ill or unstable patient, academic importance of the events transpiring, or humanistic attention to the needs of a patient or family. Under those circumstances, the resident must: Appropriately hand over the care of all other patients to the team responsible for their continuing care; and, Document the reasons for remaining to care for the patient in question and submit that documentation in every circumstance to the program director. The program director must review each submission of additional service, and track both individual resident and program-wide episodes of additional duty.
Maximum Duty Period Length. Duty periods of PGY-1 residents must not exceed sixteen (16) hours in duration. Duty periods of PGY-2 residents and above may be scheduled to a maximum of twenty-four (24) hours of continuous duty in the Hospital. Programs must encourage residents to use alertness management strategies in the context of patient care responsibilities. Strategic napping, especially after sixteen (16) hours of continuous duty and between the hours of 10:00 p.m. and 8:00 a.m., is strongly suggested.
Maximum Duty Period Length. Duty periods must not exceed 24 hours in duration. Residents may work up to 24 hours of continuous duty with four additional hours to wrap- up responsibilities.
