24- Hour Call Policy

Please read the following page regarding logging cases in ACGME and procedures in Medhub.

Please read the following page regarding ABS requirements.

Please read the following page regarding ACGME requirements.

Seniors, when we start a new block,  please check in with the jr residents regarding their duty hours and note the following:

The team should have the appropriate number of days off for all level residents (4 days off averaged over the rotation period and NOT calendar month).  The weekend coverage and trauma shifts can sometimes require alternative days off during the weekdays.

If a resident is on vacation, they must get 3 days off.

If you do NOT have vacation during the next block, please check your schedule and confirm you are scheduled to have 4 full 24-hr periods off.

If you DO have vacation next block, please check the schedule and confirm that in addition to your 7 days of vacation, you have an additional 3 full 24-hr periods off.

If you do not have the required number of days off, please get in touch with Admin Chiefs and/or notify your service Chief Resident to identify a solution for a mid-week day off to ensure you all have the required days off.

This should be a habit for every rotation for the rest of your residency- please check your schedule, and if you ever do not have the required 4 days off (or 3 days + 7 days in the case of a vacation week), please notify your service Chief Residents or service attendings so it can be corrected before the end of the block.

• Resources:
  

• Policies and procedures for resident duty hours and work environment
• Protocol for episodes when residents remain on duty beyond scheduled hours
• Policies to ensure that residents have adequate rest between daily duty periods and after in-house call
• ACGME Common Program Requirements

A handoff,  also known as “sign-out”, is a real time, active process of passing patient-specific information from one caregiver to another or from one team of caregivers to another for the purpose of ensuring the continuity and safety of the patient’s care.

A transfer is a real time, active process of conveying the responsibility for the care of a patient from one entity to another. It may involve the discharge from one entity and the admission to another along with the patient’s medical records or copies.

Resource:

Policy and step-by-step instructions

All QI must be logged on our Google tracking sheet

The ACGME requires that we track your QI participation and projects.  Please complete the following with your current QI participation.  

Note: 

• attending  M&M counts as quality improvement; you can list this as "Weekly M&M at Stanford"
• presenting cases at M&M counts; you can list this as "presented M&M case"
• Your 10-case log review at bi-annual counts as QI; you can list this as " 10-case review at Bi-annual." 
• QI Self-Assessment Form

Resources:

Stanford GME Weblink regarding QI

External moonlighting is forbidden during the five clinical years (PGY1-PGY5). If there is any indication of moonlighting, the situation will be investigated thoroughly. Should a resident who indicated that he/she is not moonlighting be found to be engaging in this activity, this will be grounds for dismissal from the program without mitigating circumstances.

Internal Moonlighting The GME approved internal moonlighting/call shifts in June 2022, and the program policy took effect on August 1, 2023. Professional Development residents are approved to internal moonlight and must be pre-approved by the Program. Clinical residents not in their PD years are not allowed to internal moonlight.

The following is the on-call/internal moonlighting policy: Policy

All business-related travel needs PRIOR approval from the residency office before making travel arrangements. Once approved, the residents or admins can proceed with making travel arrangements.  

• Please read our policy on continuing education and conferences
• Residents are allowed to use seven continuing education days to attend conferences/courses. After that, you are required to use vacation days.
  • Exceptions: see policy 
• residents must give a 30-day notice
• residents must complete the Google online request form
• must notify the gen surg residency office team
  
•  

• Professional Development Policy
• Stanford Surgery Parental Leave Policy in PD Years
• Professional Development Webpage & Current Residents

Please schedule a meeting with Anita Hagan to plan and discuss your PD time. 

Residents should meet with their advisors twice a year.

Meeting 1 should be completed by October 31

Meeting 2 should be completed by March 30.