Graduate Medical Education (GME)
Boston Medical Center Housestaff
Duty Hours @ BMC
As part of the 2011 CIR SEIU House Officer Union Contract, all house staff are expected to log hours on a weekly basis through New Innovations. BMC has implemented "standardized Duty Types" for logging hours, which are listed below with their debilitations.
Call from Home - Called In: A call taken from outside the assigned site that requires going into the assigned site. Time in the hospital/medical center counts against the 80 hour per week limit but does not restart the clock for time off between scheduled in-house duty periods. (Same as Pager Call)
Call from Home - Not Called In: A call taken from outside the assigned site that does not require going into the assigned site. (Same as Pager Call)
Education: Scheduled academic activities that include conferences, courses, simulations, computer training sessions, orientation days, etc.
In-House Call: Duty hours beyond the normal work day when residents are required to be immediately available in the assigned institution.
Moonlighting: Voluntary, compensated, medically-related work (not related to training requirements) performed internally or externally to the institution in which the resident is in training.
Night Float: Rotation or educational experience designed to either eliminate in-house call or to assist other residents during the night. Residents assigned to night float are assigned on-site duty during evening/night shifts and are responsible for admitting or cross-covering patients until morning and do not have daytime assignments. Rotation must have an educational focus.
Patient Care: A shift (usually 8, 10 or 12 hours in length) consisting of inpatient and/or outpatient work assignments in which the resident is responsible for a specific patient population or ward.
EM Patient Care: A shift (usually 8, 10 or 12 hours in length) consisting of inpatient and/or outpatient work assignments in which the resident is responsible for a specific patient population in the emergency room (EMD Residents)
Post-Call: The time after an in-house call duty period in which a resident may be allowed to remain on-site for up to 4 hours without accepting new patients (definition of new patient varies by program) in order to provide appropriate transition of care. 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.
EM Post-Call: The time after an ER shift in which a resident may be allowed to remain on-site to sign out (EMD Residents)
Research: Academic activities that involve bench/laboratory and bedside investigations