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*** VI.D.3.b).(2) with direct supervision available – the supervising physician is not physically present within the hospital or other site of patient care, but is immediately available by means of telephonic and/or electronic modalities, and is available to provide Direct Supervision. |
*** VI.D.3.b).(2) with direct supervision available – the supervising physician is not physically present within the hospital or other site of patient care, but is immediately available by means of telephonic and/or electronic modalities, and is available to provide Direct Supervision. |
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** '''''For pathology, there would need to be a definition of who specifically could supervise, i.e. a pathology assistant, senior resident, fellow, etc… Also how many procedures ect..would be needed in order for the specified person need to be adequately trained in order to supervise.'''''''''' |
** '''''For pathology, there would need to be a definition of who specifically could supervise, i.e. a pathology assistant, senior resident, fellow, etc… Also how many procedures ect..would be needed in order for the specified person need to be adequately trained in order to supervise.'''''''''' |
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| + | ==Duty Hours== |
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*VI.G.4.a) Duty periods of PGY-1 residents must not exceed 16 hours in duration. |
*VI.G.4.a) Duty periods of PGY-1 residents must not exceed 16 hours in duration. |
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*'''''The main issue with this rule is that presently there is no exception made for our specialty who takes home call. So essentially it would be up to individual programs to decide how to make this rule work for them. If a first year resident is on call they will not be able to come back in the hospital if needed at night if they have exceeded their hours. Some options are have 1<sup>st</sup> years come in at noon and stay till 4 am, or the first years won’t take call at all. Problem with 1<sup>st</sup> years not taking call is that they wouldn’t be exposed to various call situations, especially on CP call or in programs with busy apheresis services. It would back up call onto 3<sup>rd</sup> and 4<sup>th</sup> years. ACGME reference committee for pathology is looking to petition to counter this amendment for the specialty of pathology, however earliest ruling would be in February and the latest would be April, but wouldn’t be finalized till June''''' |
*'''''The main issue with this rule is that presently there is no exception made for our specialty who takes home call. So essentially it would be up to individual programs to decide how to make this rule work for them. If a first year resident is on call they will not be able to come back in the hospital if needed at night if they have exceeded their hours. Some options are have 1<sup>st</sup> years come in at noon and stay till 4 am, or the first years won’t take call at all. Problem with 1<sup>st</sup> years not taking call is that they wouldn’t be exposed to various call situations, especially on CP call or in programs with busy apheresis services. It would back up call onto 3<sup>rd</sup> and 4<sup>th</sup> years. ACGME reference committee for pathology is looking to petition to counter this amendment for the specialty of pathology, however earliest ruling would be in February and the latest would be April, but wouldn’t be finalized till June''''' |
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| − | ==Home Call== |
+ | ===Home Call=== |
*'''''Just to be clear, home call does NOT count towards duty hours unless you have to come in to the hospital.''''' |
*'''''Just to be clear, home call does NOT count towards duty hours unless you have to come in to the hospital.''''' |
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Revision as of 04:17, 5 February 2011
New ACGME Work Hour Regulations 2011
- To view the new proposed guidelines (which will take effect July 1, 2011) you can visit the ACGME website
- There have been questions raised as to how this will impact pathology. The bottom line is we aren't sure yet. The ACGME Reference Committee for pathology is appealing several proposals by the ACGME committee because pathology is so different from other specialties. Here are a few examples.
Levels of Supervision
- VI.D.3. Levels of Supervision. To ensure oversight of resident supervision and graded authority and responsibility, the program must use the following classification of supervision:
- VI.D.3.a) Direct Supervision – the supervising physician is physically
- present with the resident and patient.
- VI.D.3.b) Indirect Supervision:
- VI.D.3.b).(1) with direct supervision immediately available – the supervising physician is physically within the hospital or other site of patient care, and is immediately available to provide Direct Supervision.
- VI.D.3.b).(2) with direct supervision available – the supervising physician is not physically present within the hospital or other site of patient care, but is immediately available by means of telephonic and/or electronic modalities, and is available to provide Direct Supervision.
- For pathology, there would need to be a definition of who specifically could supervise, i.e. a pathology assistant, senior resident, fellow, etc… Also how many procedures ect..would be needed in order for the specified person need to be adequately trained in order to supervise.'''''
Duty Hours
- VI.G.4.a) Duty periods of PGY-1 residents must not exceed 16 hours in duration.
- The main issue with this rule is that presently there is no exception made for our specialty who takes home call. So essentially it would be up to individual programs to decide how to make this rule work for them. If a first year resident is on call they will not be able to come back in the hospital if needed at night if they have exceeded their hours. Some options are have 1st years come in at noon and stay till 4 am, or the first years won’t take call at all. Problem with 1st years not taking call is that they wouldn’t be exposed to various call situations, especially on CP call or in programs with busy apheresis services. It would back up call onto 3rd and 4th years. ACGME reference committee for pathology is looking to petition to counter this amendment for the specialty of pathology, however earliest ruling would be in February and the latest would be April, but wouldn’t be finalized till June
Home Call
- Just to be clear, home call does NOT count towards duty hours unless you have to come in to the hospital.