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Vascular Residency Home Page
 
 
 

Training Program
VASCULAR SURGERY and
ENDOVASUCLAR THERAPY

Duty Hour Policy

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.

Schedules

Goals
  • Full unequivocal compliance with all resident work rules – all SURGERY housestaff will comply regardless of clinical rotation or hospital.
  • Fair open equitable system to maximize changes for outside personal and academic conflicts and avoid any changes without one’s concurrence.
  • Systematic approach with clear rules and expectations – with the benefits of the work rules, also came a great decrease in flexibility.
  • Insure adequate patient care.
Process
  • SCHEDULES are posted on the intranet and kept current.
  • Templated call schedules were developed by resident group with concurrence of service chiefs. All changes will be documented with email and will not be approved without the concurrence of all stakeholders, compliance residents and the service chief.

Vascular Residency year runs from July 1 to June 30 inclusive.

Evening/Night/Weekend Call Guidelines

The Vascular Division must employ a coverage call system to meet the ever increasing workload and prevent further deterioration of resident working conditions. The coverage plan will require considerable communication and cooperation between residents and programs.

 

Moonlighting Policy

Moonlighting is permitted on a limited basis suring the first year's research component as approved by the Program Director. Compliance will be monitored via New Innovations.

 

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