Duty Hours

1.) Resident duty hours must not be excessive and will be consistent with ACGME’s Residency Review Committee (RRC) policy and program requirements.

2.) Duty hours are defined as all clinical and academic activities related to the fellowship program, such as patient care (inpatient and outpatient), administrative duties related to patient care, time related to transfer of patient care, time spent in-house during on-call activities, and scheduled academic activities such as conference.

3.) Duty hours and on-call responsibilities will be consistent with the educational needs of the fellow. The training program in Pediatric Hematology/Oncology is not designed to maintain resident coverage of all institution service obligations.

4.) Duty hours will be limited to 80 hours per week, averaged over a four-week period. Fellows in  Pediatric Hematology/Oncology are not required to take in-house call.

5.) Fellow’s are provided with a minimum of 1 day in 7, averaged over a four-week period, totally free from all clinical, educations, and administrative activities.

6.) As noted above, Pediatric Hematology/Oncology fellow’s are not required to take in-house call, but are required to participate in at-home (beeper) call. The frequency of beeper call will be no more frequent than every third night during the week. When called in, time spent in-house in patient care activities will be counted toward the 80-hour limit, and will be required to be logged in New Innovations.

7.) On the rare occasion that the fellow spends such time in-house related to beeper call that this would impact upon duty hour requirements (total weekly hours, 24 hour rule, 10-hour time block between duty periods), the Fellowship Director will make appropriate changes in the fellow’s schedule in keeping with the spirit and guidelines of the ACGME regulations

8.) All outside activity (moonlighting) must comply with all of the above duty hour restrictions, and must first be approved by the Fellowship Director.

9. Compliance with duty hour rules will be monitored by fellow interviews, monthly fellow questionnaires, duty hour logs, and Program Director questionnaires and a review of duty hour logs.