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ACGME Duty Hour
ACGME Duty Hour Policy
| Question | Answer |
|---|---|
| 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) |
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