IX. Summary of Benefits for All BMC Residents and Fellows
Salary, effective October 1st
All incoming residents are paid for orientation or work performed prior to July 1 of their first year.
In the event a House Officer is required to work extra on-call due to the illness, disability, death, approved leaves of absence, temporary reassignment by the department, emergency absences, vacation (if the coverage required is every other night call), removal from the payroll, jury duty, departmental scheduling error (defined as a House Officer scheduled to be on-call back to back on different rotations), bereavement leave and/or resignation/termination of another House Officer, or volunteers to work said extra on-call and is accepted as a volunteer, then, the House Officer will be paid according to the following schedule: Tier 1: $250/call for the following rotations: Night Float, Emergency Room (evening, night or weekend only), Radiology night shift, Medicine Ward Long Call, and Home Call for interns and residents, as well as any other scheduled evening, night or weekend shift of 12 hours or more. Tier 2: $400/call for rotations scheduled for 24+ hours.
Medical insurance premium increases during the life of the Agreement will be paid for by the Hospital based on the following percentages of the average weekly premium of all medical insurance plans (excluding the highest and the lowest costing plans):
Individual + 1
The Hospital will extend domestic partnership coverage (same sex only) to all House Officers, consistent with the Hospital’s current practice regarding domestic partner coverage for other employees.
The Hospital provides all eligible House Officers with life insurance and accidental death and dismemberment insurance (AD&D) at no cost to the House Officer equal to one (1) times their base annual salary. House Officers may also purchase additional life insurance at one (1), two (2) or three (3) times their annual salary and additional AD&D insurance at one (1), two (2) or three (3) times their annual salary.
Committee of Intern and Residents (CIR) Membership Dues (or Agency Fee)
House Officers and fellows are represented by the Committee of Interns and Residents (CIR) for the purpose of negotiating their salaries, hours, and work conditions with the Hospital, and enforcing the negotiated contract. Members of CIR pay dues of 1.5% of their gross salary, deducted weekly. House officers and fellows who choose not to be members are required by the Hospital’s contract with the union to contribute 1.5% of their gross salary as an “agency fee” (also deducted weekly), which contributes to the cost of negotiating and enforcing the contract. These dues/fees are tax deductible.
Tax Sheltered Annuity
House Officers may voluntarily open a tax-sheltered annuity at up to IRS 402g limit each year. In 2007 the limit was $15,500.
Flex Spending Account
The Hospital makes available to eligible House Officers , at no cost to the Hospital, a Flexible Spending Account not to exceed $5,000 per House Officer for child and dependant care and not to exceed $2,000 per House Officer for out-of-pocket medical expenses.
The Hospital purchases, at its own expense, disability coverage for House Officers which is portable and is provided by the Voluntary Hospitals House Staff Benefits Plan of the Committee of Interns and Residents.
The Hospital provides all eligible House Officers with two hundred thousand dollars ($200,000) HIV occupational exposure coverage at no cost to the House Officer. In addition, any House Officer can purchase up to an additional two hundred fifty dollars ($250,000) at a cost of seventy-five cents ($.75) per week for each fifty thousand dollars ($50,000) of coverage.
The Hospital’s monthly dental insurance plan premium contribution shall be $4.00 per month for any House Officer who elects to participate in a Hospital dental insurance plan.
The Hospital provides malpractice insurance at its expense in the amount of $1,000,000/$3,000,000.
The Hospital provides four (4) weeks vacation leave with pay except in the Departments of Surgery, Urology, Thoracic Surgery, Oral Surgery, Ear, Nose and Throat (ENT), Ophthalmology, Dermatology, and Anesthesia where the respective Chief of Service, with the approval of the Office of Medical Affairs, may require that the fourth week of vacation leave be in the form of one (1) week of additional compensation in lieu of time off.
Vacation time is accrued at the rate of 1 2/3 days for every month of service. If a House Officer uses vacation time prior to accruing it, their vacation bank may reflect a negative balance until such time as their vacation time is accrued.
Sick leave accrues at the rate of one and one-fourth (1 1/4) days for each month of actual service, not to exceed fifteen (15) working days in any calendar year. New employees are credited in advance with seven and one-half (7 1/2) sick leave days as of July of their first year, in advance of such year having been worked. Sick leave not used in the year in which it accrues, together with any accumulated sick leave standing to the employee’s credit and not used in the current year, may be accumulated for use in the subsequent year. Sick leave not used prior to the termination of an employee’s service shall lapse, and the employee shall not be entitled to any compensation in lieu thereof.
A House Officer may take up to two (2) personal days in any one academic year (July 1 – June 30) to be paid out of his/her accrued sick leave. Any use of personal days is subject to the approval of the House Officer’s department. Departments may grant personal days in ½ day increments at the department’s discretion.
House Officers are entitled to up to twelve (12) weeks of unpaid family leave for the birth or care of a child, for adoption of a child under age eighteen or foster care placement of a child under age eighteen. Unused sick and vacation time can be used for this twelve (12) week leave.
House Officers are entitled to two (2) weeks parental leave in order to attend to the birth, adoption, or care of a new child in the employee’s immediate household. Unused sick and vacation time may be used for this leave.
Family and Medical Leave
Eligible persons may be entitled to up to twelve (12) weeks of unpaid medical leave for serious illness or serious illness of said person’s spouse, parent or child pursuant to the Family and Medical Leave Act of 1993. All applications for FMLA must comply with the law and the Hospital’s policies and procedures governing such leave.
In the event of death of a House Officer’s mother, father, spouse, significant other, parents of spouse or significant other, brother, sister, child, grandparent, grandchild, or other members of the House Officer’s immediate household (for a period of six (6) months or more), the House Officer is entitled to receive up to three (3) working days leave without loss of pay for the purpose of attending funeral services or arranging for burial, provided that the House Officer is in active service at the time of such death. Leave without loss of pay under this section shall not be deducted from sick leave or vacation leave.
All House Officers are permitted one (1) day’s leave without pay in order to attend the funeral of a relative not included above. A House Officer may choose to use accumulated sick leave for this purpose. If a House Officer requires additional leave for bereavement purposes due to the death of someone specified above, authorized leave for such purposes shall be deducted from sick leave allowance.
Professional Education Allowance
Each PGY 1 and 2 House Officer will receive a three hundred-fifty dollar ($450) professional education allowance. Each PGY 3, 4, 5, 6, 7 and 8 House Officer will receive a four hundred-fifty dollar ($550) professional education allowance.
Effective the second pay period in October of 2008, each PGY 1 and 2 House Officer shall receive a $550 annual professional education allowance and each PGY 3, 4, 5, 6, 7 and 8 House Officer shall receive a $650 annual professional education allowance.
The Hospital will provide each House Officer with three (3) white coats in their first year of residency, and two (2) for each successive year of their residency.
Limited Licensing Fee
The Hospital pays for the limited license for all House Officers.
Effective January 1, 2007, the Hospital will provide a credit of $70 per month to all House Officers participating in the monthly parking program. Payroll deduction on a pre-tax basis is available.
Occasional parking is available. House Officers may purchase a packet of twelve (12) stickers. House Officers shall pay 50% of the rate set for these packets by the Office of Parking and Transportation Services, but in no event shall the cost of such packet be less than monthly parking cost to the House Officers. House Officers shall be limited to the purchase of four (4) subsidized parking packets per year.
House Officers who elect not to participate in the BMC parking program may be eligible for an MBTA pass subsidy offered by the Office of Parking and Transportation Services (limit of 1 pass per person per month).
(a) In-House call is defined as those duty hours beyond the normal workday when residents are required to be immediately available. House Officers shall not be scheduled to be on-call more often than every third night averaged over a four (4) week period or as required.
(b) At-home call is defined as call taken from outside the Hospital. It can be scheduled more frequently than every third night, but must not be so frequent as to preclude rest and reasonable personal time for each House Officer. When House Officers are called into the Hospital from home, the hours spent in the Hospital shall count toward the eighty (80) hour limit.
Maximum Work Week. No House Officer shall be scheduled to work more than eighty (80) hours averaged over a four (4) week period.
Limit on Consecutive House Worked
(a) Continuous on-site duty, including in-house call, must not exceed twenty-four (24) consecutive hours. Residents may remain on duty for up to six (6) additional hours to participate in didactic activities, transfer care of patients, conduct outpatient clinics, maintain continuity of medical and surgical care as defined in Specialty and Subspecialty Program requirements. No new patients, as defined in Specialty and Subspecialty Program Requirements may be accepted after twenty-four (24) hours of continuous duty.
Time Off Between Shifts
House Officers shall have a minimum of ten (10) hours between all periods of work.
House Officers shall be allowed at least one twenty-four (24) hour period in seven (7) days away from the Hospital, averaged over a four (4) week period.
Emergency Room Shifts
House Officers shall work no more than 12 consecutive hours in the Adult or Pediatric Emergency Rooms.
The Hospital provides all House Officers who are on-call at BMC with one (1) free dinner (limited to a cost of not more than $8.00 and one free post-call breakfast (limited to a cost of not more than $5.00) in the main BMC cafeterias. The Hospital provides fresh pre-packaged salads and/or sandwiches for on-call residents who cannot leave their patient care duties to get dinner in the cafeteria prior to closing. All House Officers and fellows are eligible at all times for the Hospital’s employee discount upon presentation of their BMC identification badge. House Officers assigned to at-home call will be eligible to receive: a) the free on-call dinner if their duties require them to remain in the Hospital past 5:00 pm, and b) the on-call breakfast if they are called into the Hospital in the middle of the night and remain there until the next morning.