Graduate Medical Education
Program Administration
Resident Duty Hours: Implementation Policy
It is necessary for all of our ACGME accredited programs to achieve compliance with the
resident duty hour rules. It is also necessary for GME to play a proper role in facilitating
this compliance and monitoring success. The following policy outlines the procedures that
will be used by the GME office.
- The GME office will collect and maintain a file containing all of the individual
program policies concerning resident duty hours.
- The GME office will distribute a form to the individual programs requesting information
concerning current compliance with resident duty hours. In addition, the individual programs
will be asked for information concerning the mechanisms utilized to assess compliance. This
information will be updated quarterly.
- The GME office will request action plans from the individual programs concerning individual
rotations, which the programs feel, are not in compliance. The GME office will encourage the
individual departments to involve residents in the preparation of these plans. The GME office
will follow-up monthly concerning progress on these action plans.
- The GME office will conduct focus group sessions with the residents participating in
various rotations to assess not only compliance with the resident duty hour regulations
but also to assess educational aspects, resident stress and quality of life issues. The
aid of the PEAR office will be enlisted in conducting these focus groups.
- The internal review committee will include questions concerning resident duty hours
during the reviews of all programs. These reports will be included in the summaries
submitted to the GMEC.
- The GME will submit a report to the Dean annually for submission to the medical
staff and the governing bodies of the various hospitals in which our GME programs
are active.