Providing students with a sound
academic and clinical education must be carefully planned and balanced with
concerns for patient safety and student well-being.
Supervision of students
All patient care must be supervised by qualified
residents and/or faculty.
Faculty, residents and students must be educated to
recognize the signs of fatigue, and adopt and apply policies to prevent and
counteract the potential negative effects.
Duty hours are defined as all clinical and academic
activities related to the students, i.e., patient care (both inpatient and
outpatient), administrative duties related to patient care, the provision for
transfer of patient care, time spent in-house during call activities, and
scheduled academic activities such as conferences. Duty hours do not include
reading and preparation time spent away from the duty site.
Students must have a minimum of 8-hours free of
duty between scheduled duty periods.
Duty hours must be limited to 80 hours per week,
averaged over a four-week period, inclusive of all in-house call activities.
Students must be provided with one day in seven
free from all educational and clinical responsibilities, averaged over a
four-week period, inclusive of call. One day is defined as one continuous
24-hour period free from all clinical, academic, and administrative activities.
In-house call activities
The objective of all call activities
is to provide students with continuity of patient care experiences throughout a
24-hour period. In-house call is defined as those duty hours beyond the normal
workday when students are required to be immediately available in the assigned
In-house call must occur no more frequently than
every third night, averaged over a four-week period.
Continuous on-site duty, including in-house call,
must not exceed 24 consecutive hours.
Students must have a minimum of 14-hours free of
duty after 24-hours of in-house duty.