Duty Hours

Wards

  • Daily
    • Day Team residents will cover from 6 am to 5 pm 
    • Night float will cover from 5 pm to 6 am (7 am if senior) 
    • Interns and Senior Residents will have two weekends off throughout the month (12 days on, 2 days off) 
  • Separate night float team comprised on 2 interns and 1 senior resident 

PICU

  • Resident shifts are from 7 am to 5 pm with a long call resident available until 7 pm each day 
  • Night float system in place 

NICU

  • Residents shifts are from 7 am to 5 pm daily with a long call resident available until 7 pm each day 
  • No nighttime resident coverage required 

ED and Admitting Resident Rotation

  • ED Shifts are typically 10 hours in length and range in start time 
  • Each resident has a minimum of 10 hours off between shifts 
  • Most residents will complete 14-15 ED shifts over the 4-week rotation 

Acute Clinic and Pediatric After Hours

  • Acute Clinic Shifts are from 8 am to Noon and/or 1 pm to 5 pm. 
  • Pediatric After Hours shifts are 6 pm to 10 pm Monday to Friday, 2 pm to 10 pm on Saturday and 10 am to 9 pm on Sunday. 
  • Residents will have a minimum of 10 hours off between shifts. 
  • Most residents will complete about 20 acute clinic shifts and 16 Pediatric After Hours shifts 

Elective rotations

  • If a resident is called in overnight, time spent in house will be recorded in the work hours log
  • If significant time is spent in house overnight, the resident will be given the next day off

Back-up Call

  • Residents will be on backup call during their elective/outpatient months
  • If a resident is called in for overnight coverage, he/she will be given the next day off

Work hours

  • New Innovations is used for logging work hours
  • If records are not logged by the end of the week, the resident(s) will be personally contacted
  • If work hours are violated the resident will be contacted by the Chief Resident

Moonlighting

  • Currently moonlighting opportunities include: 
    • Weekend shifts in the Pediatric After Hours clinic 
    • Weekend/Weekend Retainer 
    • Academic Half Day admission coverage 
    • Newborn Nursery 
    • Green Team 
  • Any outside moonlighting opportunities must be reviewed individually by the residency program director