Policy
ACGME has established a number of policies in regards to duty hours.
These can be reviewed at the ACGME web site www.acgme.org. UCLA fully
subscribes and is in compliance with all components of the duty hours,
including total weekly hours, 24-hour limits (with six hours for education
and transfer of care), frequency of call, days off, recognition of fatigue
and need to relieve house officers of duty and/or modify schedules. The ACGME
allows for programs to request and be granted up to a 10% increase in the total
weekly maximum of 80 hours per week averaged over a 4-week period (rotation or block).
Even with approval of extension beyond the 80 hours, the 3-night call maximum, 24-hour
limit and one day off per week, must still be preserved. Additionally, it is assumed
that extensions beyond the 80 hours per week will be infrequent, rotation specific,
closely monitored for fatigue and based on educational needs. Approval of exemptions
to policy will require the following:
Procedures
Approval of exemptions to policy will require the following:
- Application to the GMEC
- Approval of GMEC with dual request of Program and GMEC for Program's RRC.
- Approval of Program RRC in writing.
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