Duty Hours & Call
The Institutional Policy adopted by the Graduate Medical Education Council (GMEC) on 2/21/2005 states that “Each program will conduct a review of the work hours over 4 weeks at least twice a year by monitoring duty hours for all the residents/fellows. The data will be reported to MCWAH.” This is performed via New Innovations.
Additionally, residents may report duty hour violations anonymously on the resident survey. Any deviations of duty hours from ACGME guidelines will be investigated by the program director, and remediation instituted.
In accordance with the duty hour requirements, first year residents do not take call; they are assigned shifts. When a first year resident is scheduled for a night shift, it counts against their duty hours and they are given the appropriate amount of time off.
Second through fourth year residents take call. This is at-home, beeper call for both Anatomic and Clinical Pathology. To the degree possible, residents handle calls independently, although obviously their ability to provide independent consultation is tied closely to their stage of training and progress in achieving competence and autonomy in the various content domains.
A detailed weekly discussion of CP calls in the context of CP conference helps to establish the proper responses to various common types of CP calls, essentially building a collective memory amongst the residents for how to handle various situations. At all times, faculty covering each of the lab areas are available for phone consultation or, as necessary, for on-site assistance handling difficult situations.