Vascular residents on average will be allowed no more than 80 in-house duty hours per week and will have one day off in seven free of clinical responsibility. They will be on active duty in-house for no more than 24 hours consecutively, with the exception that they may be involved with up to another 6 hours that consist of continuity of care activities. After a duty shift the vascular resident is to have at least 10 hours off before returning to work.
PGY2 and above vascular residents are on call 24/7. However, their overnight call is done from home. PGY1 residents are on call for a maximum of 16 hours.
Each year, the vascular resident and the PGY-4 chief residents on the vascular service will establish a cross-coverage approach, which allows them to be off one day in seven. The Program Director will verify that this has been done.
Duty hour periods of PGY-1 residents must not exceed 16 hours in duration. Duty hour periods of PGY-2 residents and above may be scheduled to a maximum of 24 hours of continuous duty in the hospital. 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.
Documentation of justifications for remaining beyond 16 hours (PGY1s) and 24 hours (PGY2 and above) must be summited at: http://uphsnet.uphs.upenn.edu/DutyHours.