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Duty Hours

The health and wellness of our residents is very important to our program.  We will monitor their call and work hours so that:

• They will not work on average more than eighty hours per week averaged over four weeks.  
• They will have one full day off out of seven when averaged over four weeks.  
• They will have call not more frequently than every third night.  
• They will have at least ten hours off between non call shifts.  
• They will leave the hospital no later than six hours after a twenty four hour call cycle and not accept new patient assignments during that six hours.  The six hours will only be used for continuity and transfer of care, educational debriefing and didactic activities.  
• The program director will monitor moonlighting.   When moonlighting occurs in-house, that time will be added to the eighty hour total mentioned above. When moonlighting occurs out-of-house, the program director will know when and where the resident is moonlighting, following DHMC Institutional Policy and will watch carefully for signs that this activity may be affecting house staff performance in the training program.

Documentation will be retained in house staff files regarding moonlighting.