Resident Hours and Supervision


Purpose
It is the policy of the Emergency Medicine Residency Training Program that there should be adequate staffing in all clinical situations to prevent excessive patient loads, excessive new patient work-ups, inappropriate intensity of service or case mix, and excessive length and frequency of clinical work contributing to excessive fatigue.
Background
References
Responsibilities
Schedule and Call

Residents are scheduled for all required residency-related activities. The schedule for the Emergency Department is developed by the chief residents and overseen by the Assistant Residency Director. Once the schedule is completed, it is disseminated to all residents for review and comment. The final schedule is approved by the Assistant Residency Director.

Residents are to be available for their assigned activities as listed on the ED schedule, and by pager for back-up call in the ED. Back up call is listed in the weekly schedule.

Residents will have one day off a week on average in the ED. Schedule and call for off-service rotations are described in the memorandum of understanding between Emergency Medicine and each department. Specific schedule is made out by the off-service department

Patient Care Responsibilities

Resident patient care activities will always be supervised by faculty (EM or off-service). The resident will be given patient care responsibilities commensurate with level of training and demonstrated skills and experience. Faculty will be available at all times for consultation and guidance. Adequate back-up will be available at all times in case of sudden and unexpected patient or resident needs which jeopardize patient care.

Oversight

It is the responsibility of the Program Director to review all rotations and resident schedules to assure that hours and responsibilities are appropriately assigned. The Program Director shall immediately take whatever corrective action is needed to assure compliance with these policies and procedures.

Rotation Coordinators

It is the responsibility of the Rotation Coordinator to assure that an appropriate training experience is offered to the resident consistent with the learning objectives and the resident duties of the rotation as set forth in the Rotation Description. This includes assistance with scheduling of activities, provision of adequate resources, and appropriate teaching and oversight.

Policy
Procedures
Date Last Updated
June 10, 2003
 
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Department of Emergency Medicine
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