The Institutional GMEC ensures that all GME programs are in compliance with the Accreditation Council for Graduate Medical Education (ACGME) requirements to monitor and limit resident clinical and educational work hours. The GMEC recognizes that clinical and educational work hours must be carefully planned and monitored to ensure academic and clinical education, patient safety, and resident well-being. The GMEC further ensures that each GME program establishes formal written policies governing resident clinical and educational work hours.
Clinical and Educational work hours must be limited to 80 hours per week, averaged over a four week period, inclusive of all in-house call activities and all moonlighting.
Resident physicians should have eight (8) hours off between scheduled clinical work and education periods. They must have at least 14 hours free of duty after 24 hours of the in-house call.
Resident physicians must be scheduled for a minimum of one day in seven free of duty every week (when averaged over four weeks). At-home call cannot be assigned on these free days.
Resident physicians must be scheduled for in-house call no more frequently than every third-night (when averaged over a four-week period).
Resident physicians must not be scheduled for more than six consecutive nights of night float. (The maximum number of consecutive weeks of night float, and maximum number of months of night float per year may be further specified by the Review Committee).
The GMEC will require all programs to assess compliance to their clinical and educational work hours policy on a weekly basis. Quarterly, each program will report to the Institutional GMEC documenting compliance to the clinical and educational work hours policy.
PCOM, the Sponsoring Institution, takes the ACGME’s policies very seriously since
infractions could jeopardize patient safety, the institution’s accreditation status,
and ultimately the accreditation status of all their programs. Therefore, any resident
who knowingly violates the clinical and educational work hours policy will be dealt
with by the respective Program Director.
If a resident knowingly continues to violate the Clinical and Educational Work Hours Policy, the Program Director/DIO can invoke other departmental sanctions and at any time may bring the issue before the GMEC for review and possible subsequent disciplinary action up to and including the resident’s dismissal from the program.
All Residents are required to document their clinical and educational work hours each week in the E-Value system.
Outside employment is not allowed during the PGY-1 training year. PGY-1 Residents may participate in private, professional, or clinical practice as it relates to the structured educational experience to which they are assigned. They shall not receive compensation for such activities.
Residents may engage in moonlighting opportunities beginning in the PGY-2 year, but only after the successful completion of their PGY-1 year, which includes the submission of all paperwork and with permission from their program director.
PCOM will not provide professional liability insurance to residents for any moonlighting activities.
Residents may practice medicine only within the scope of their specialty training, education, and experience.
It is also strongly recommended that an attending physician be present on the premises at all times while the resident is moonlighting.
If you have any questions regarding this policy, please contact Isaiah Lopez, Risk Management at 215-871-6609.