On-site hours must be limited to 80 hours per week, averaged over a two-week period, inclusive of all in-house call activities. Students must be provided with one day in seven free from all educational and clinical responsibilities, averaged over a two-week period. One day is defined as one continuous 24-hour period free from all clinical, educational, and administrative activities.
In-house call must occur no more frequently than every third night, as averaged over a two-week period. Continuous on-site duty, including in house call, must not exceed 24 consecutive hours. Students may remain on duty for up to 6 additional hours to participate in didactic activities and transfer care of patients, and maintain continuity of care.
Any violation of the work hours policy should be reported by students. Such violations might be created during course, clerkship, or elective rotations, by attending physicians, residents, or other course or hospital staff members. Students can report concerns about work hours directly to the course or clerkship director or to an Associate Dean (Academic Affairs, or Student Affairs). If the violation is not rectified, students must report the concern to an Associate Dean who will address the issue with the course or clerkship director, who will then investigate and report back in writing to the Associate Dean as to how the situation has been rectified.
In addition, course and clerkship specific evaluation forms requested by the Office of Medical Education will have a question regarding adherence to work hours policy. Students who report work hours violations via this method remain anonymous, but the evaluation results are reviewed by the Director of the Office of Medical Education and course directors. This allows course leaders to rectify any violations in their course or clerkship.