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ACGME Duty Hour

ACGME Duty Hour Policy

QuestionAnswer
Duty hours must be limited to __________, averaged over a four week period, inclusive of all in-house call activities and all moonlighting. A) 80 hours per week VI.G.1.
Time spent by residents in Internal and External Moonlighting (as defined in the ACGME Glossary of Terms) must ___________________________. A) be counted towards the 80-hour Maximum Weekly Hour Limit VI.G.2.b)
______ residents are not permitted to moonlight. A) PGY-1 VI.G.2.c)
Residents must be scheduled for a __________ every week (when averaged over four weeks). A) minimum of one day free of duty VI.G.3.
________ cannot be assigned on Mandatory day free of Duty. A) At-home call VI.G.3.
Duty periods of PGY-1 residents must not exceed _______ in duration. A) 16 hours VI.G.4.a)
Duty periods of PGY-2 residents and above may be scheduled to a maximum of _______ of continuous duty in the hospital. A) 24 hours VI.G.4.b)
PGY-2 residents and above may be allowed to remain on-site in order to allow effective transitions in care; however, this period of time must be no longer than _____________ A) an additional four hours. VI.G.4.b).(1)
Residents must _______________ after 24 hours of continuous in-house duty. A) not be assigned additional clinical responsibilities VI.G.4.b).(2)
In unusual circumstances, residents, on their own initiative, may remain beyond their scheduled period of duty to __________ A) continue to provide care to a single patient. VI.G.4.b).(3)
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 Under those circumstances, the resident must: 1) Appropriately hand over the care of all other patients 2) submit documentation in every circumstance to the program director. VI.G.4.b).(3).(a)
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 Under those circumstances, the program director must: 3) The program director must review each submission, and track both individual resident and program-wide episodes of additional duty. VI.G.4.b).(3).(a)
PGY-1 residents should have ______ Minimum Time Off between Scheduled Duty Periods, and must have _________, free of duty between scheduled duty periods. A) 10 hours A) 8 hours VI.G.5.a)
Intermediate-level residents [as defined by the Review Committee] should have _________ free of duty, and must have _________ between scheduled duty periods. They must have at least _________ free of duty after 24 hours of in-house duty. A) 10 hours A) 8 hours A) 14 hours VI.G.5.b)
Residents in the final years of education must prepare to enter unsupervised practice .This preparation must occur within the context of the _________ maximum duty period length, and _________ standards. A) 80- hour A) one-day-off-in-seven VI.G.5.c).(1)
While it is desirable that residents in their final years of education have _____, there may be circumstances when these residents must stay on duty to care for their patients or return to the hospital with ______. A) eight hours free of duty between scheduled duty periods A) fewer than eight hours free of duty. VI.G.5.c).(1)
Circumstances of return-to-hospital activities with fewer than eight hours away from the hospital by residents in their final years of education must _________ A) be monitored by the program director. VI.G.5.c).(1).(a)
Maximum Frequency of In-House Night Float Residents must not be scheduled for more than ________ of night float. A) six consecutive nights VI.G.6.
PGY-2 residents and above must be scheduled for in-house call no more frequently than ______________ (when averaged over a four-week period). A) every-third-night VI.G.7.
Time spent in the hospital by residents on at-home call must count towards the ________________. The frequency of at-home call is not subject to __________, but must satisfy the requirement for ________________, when averaged over four weeks. A) 80-hour maximum weekly hour limit A) the every-third-night limitation A) one-day-in-seven free of duty VI.G.8.a)
Residents are permitted to return to the hospital while on at-home call to care for new or established patients. Each episode of this type of care, while it must be included in the 80-hour weekly maximum, will ______________ A) not initiate a new “off-duty period”. (VI.G.8.b)
Created by: nmgmeit