ANESTHESIOLOGY CORE PROGRAM DUTY HOURS POLICIES
CRITICAL CARE - ANESTHESIOLOGY FELLOWSHIP PROGRAM DUTY HOURS POLICIES
The Department of Anesthesiology is currently and always has been in full compliance with proposed 80-hour work week policies of the ACGME.
All residents rotating at Shands Hospital must utilize the Sign-in / Sign-out computer in the clinical office on arrival and on departure from work each day. Beginning in July 2004, residents failing to comply with this regulation will receive administrative sanctions from the chief residents.
UNIVERSITY OF FLORIDA DEPARTMENT OF ANESTHESIOLOGY SPECIFIC ROTATION DUTY HOURS POLICIES
For all rotations, the work week is considered Monday through Sunday.
Mole
Shift (2 week night duty rotation)
Potential hours: Note - these hours would apply only if you
had to be in-house for all hours of every mole shift. This situation almost
never occurs.
Week
one: Sunday - 24 hours; Monday - Friday - 6pm to 8am (= 14 hours per day);
Saturday - no duties;
Week two: Sunday - 24 hours; Monday - Friday - 6pm to 8am (= 14 hours
per day); shift finishes at 8am on Saturday.
Week 1 hours = 94
Week 2 hours = 94
Please note: A significant portion of this time will be call from home, but the resident must expect to be called back to the hospital at any time. Only one more resident than the number of ORs running is expected to be in-house. A minimum of two residents must be immediately available in house. You must badge-in on arrival for your mole shift. If you leave for home, please badge-out at that time. Hours spent on call at home are NOT counted in the total hours. If you are called back to the hospital, please again badge-in on arrival and badge-out on departure. Based on aggregate data, mole shift hours per week are significantly less than 80.
All Shands, VA, and FSC OR
rotations; Pain Clinic rotations (Shands and VA)
Duty hours are considered 6:30 am to 5 pm, five days per week.
Conference and OR setup times are included in duty hours. On one day per
week, you will participate in a late stay team to relieve your colleagues.
On one Saturday per month, you will participate in a 24 hour call coverage team
- at least half of which will be call from home. Considering all possible
hours as "in house" working time, this will give a maximum of 76.5 hours.
In fact, according to an audit taken last year, the average working time in
house was 55 hours for Shands rotations, 50 hours for VA rotations, and 50 hours
for FSC rotations with 3 weekends free at Shands and 2 weekends free at the VA.
Please note that you should badge-in for all time spent in the hospital on
Saturdays and badge-out when you leave the hospital. Home call is not
counted in this system.
Shands OR Late Stay Resident Policies
Residents assigned to late stay duties on a given day remain in the hospital available to do cases until the night float team is able to handle all remaining cases with one resident free for incoming trauma. Sometimes, late stay duties may cause the resident to stay past 10pm in the evening. Should this happen, you should not report for work the next day until 10 hours after completing your duties at the hospital. Should this be applicable to you on a given night, please do the following:
1. Notify your attending on call of the time you are leaving and the time you will be returning to duty the next day.
2. Write this same information on the board in the clinical office.
3. Notify the #1 mole resident in house of the same information and request that he / she set up your room prior to 7 am the next day.
4. This #1 mole resident is responsible for personally notifying the AOD the following morning prior to morning conference. Also, this resident needs to make sure that this information is still prominently written on the board in the clinical office in the morning.
Shands OB Rotation: Monday through Thursday: 7am (conference time) through 4pm on 2 days, and 7am to 8pm on two days. Each OB resident will take a total of four 24 hour calls during the month (2 Fridays and 2 Sundays). All Saturdays are free of clinical duties. Total hours - on call weeks, 92 hours; off call weeks - 44 hours giving an average 68 hour work week in OB with all Saturdays and every other complete weekend off. OB residents should badge-in on arrival and badge-out on departure in the same fashion as residents in the Shands OR.
Shands
SICU Rotation: Call will average
every 3rd night (2 teams of 3 residents each). On the day after call,
the resident will be free of clinical duties by 9 a.m. each day. Duty
day is considered 6:30 am to 5pm on non-call days, although residents will frequently
be able to go home earlier each afternoon. Each resident will on average
have one full day per week free of any clinical duties and one complete weekend
per month off. Duty hours (total) will average around 80 hours per week.
Residents rotating in the SICU should badge-in and badge-out on arrival and
departure from the hospital each day.
Non-Programmatic Moonlighting:
See separate policy for requirements. In addition, these moonlighting
hours must be recorded carefully, reported to the program director, and their
addition may not cause the resident to average more than 80 work hours per week.
Summary:
Core Program Policy:
Maximum work hours: 80 hours averaged over 4 weeks.
Days off: At least 1 day off per week.
On call schedules are found at: http://msquared.anest.ufl.edu/call
Maximum call time: SICU rotation: 30 hours, no new patients or clinical procedures
after 24 hours.
OR rotation: 24 hours
Mole Rotation: 24hours
Hours between consecutive duty periods: 10 or more
Moonlighting: Hours ARE counted in the 80 hour total per week.
Critical Care - Anesthesiology Fellowship Program
The following hours policy applies to the Critical Care- Anesthesiology Fellowship Program:
Maximum work hours: 80 hours averaged over 4 weeks
Days off: At least one day off per week, averaged over 4 weeks
On call schedule: Published and posted in the ICU area and in Anesthesia offices
(2283-8 Shands)
Maximum call time: 30 hours, no new patients or clinical procedures / decisions after
24 hours consecutive duty. Hours past 24 hours are for
continuity activities, turnover of patient care and education only.
Hours between consecutive duty periods: 10 or more
Moonlighting: Moonlighting is NOT PERMITTED in the Critical Care - Anesthesiology
Fellowship Program
Revised 5/2006