Call Schedule
Calendar
Career Pathways

Clinical Tools
Committees
Didactics
Evaluations
FAQ
Forms
Licensing
My Residency
News and Events
People
Policies
Research
Presentations
Search
Staff Resources
Syllabi
Teaching Resources

Training Sites
Useful Links

Back

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Psychiatry Residency Training Program
 
Applicants Department GME Office Home School of Medicine UW UWHA

Residency Policies & Procedures
A horizontal line.

X. GENERAL PROGRAM POLICIES

DUTY HOURS POLICY

Definition of duty hours

Duty hours are defined as all clinical and academic activities related to the residency program, i.e. patient care, administrative duties related to patient care, the provision for transfer of patient care, time spent in-house during call, and scheduled academic activities such as didactics and conferences. Duty hours do not include reading and preparation time spent away from the duty site.

Duty hours policies

The University of Washington Psychiatry Residency Program adheres to all ACGME duty hours requirements1,2. Specific duty hours policies include.

  1. Duty hours must not exceed 80 hours a week, averaged over a four-week period, inclusive of all in-house call activities and all moonlighting.
  2. Residents must have one day in seven free from all educational and clinical responsibilities, including call, averaged over a four-week period. One day is defined as one continuous 24-hour period free from all clinical, educational, and administrative activities.
  3. Adequate time for rest and personal activities must be provided. This should consist of a 10-hour time period provided between all daily duty periods and after in-house call.
  4. On Thursdays, Residents are exempt from clinical duties for didactics, T-group, and business meetings either 12-5pm (R1s, including R1s on Medicine, Pediatrics, or Neurology) or 8am-1:30pm (R2s-R4s). R2s-R4s must resume duties at their assigned clinical site by 2:00pm on Thursdays (unless they are post-call; see below).

On-Call Activities

In-house call is defined as those duty hours beyond the normal work day when residents are required to be immediately available at the assigned institution. At-home (pager) call is defined as call taken from outside the assigned institution.

  1. In-house or at-home call must occur no more frequently than every third night, averaged over a four-week period. Night float rotations are not subject to this constraint.
  2. Continuous duty, including in-house or at-home call, must not exceed 24 consecutive hours for PGY-2s-PGY-4s. Continuous duty for PGY-1s must not exceed 16 hours.
  3. When residents are called into the hospital from home, the hours residents spend in-house are counted towards the 80-hour limit.

Frequency of on-call and nightfloat rotations

Track and Year Night float Night/Weekend Call Shifts
Seattle Track PGY-1 3 weeks HMC night float One 6pm-2am call at UW/VA with senior resident; 4-6 HMC weekend shifts per year
Idaho Track PGY-1 3 weeks HMC night float One 6pm-2am call at UW/VA with senior resident; 4-6 HMC weekend shifts per year
Seattle Track PGY-2 5-6 weeks night float 10-12 weekend shifts (10-14 hours each) per 6 months
Idaho Track PGY-2 5-6 weeks night float 10-12 weekend shifts (10-14 hours each) per 6 months
Seattle Track PGY-3 None 10-12 weekend shifts per 6 months (includes training call); 2 weeks 1st and 2nd backup per 6 months
Seattle Track PGY-4 None 5-7 weekend shifts per 6 months (includes training call); 2 weeks 1st and 2nd backup per 6 months

Adjustments to Call

  • PGY-3s and PGY-4s are typically assigned one week each of first and second backup.
  • Members of the call committee each receive a reduction of two call equivalents.
  • If individuals owe you calls, you must work these out individually. The only exception to this is if a backup resident is called in by a PGY-1 or PGY-2. In this instance, the call committee should be notified and the appropriate assignment of 1 extra call to the PGY-1 or PGY-2 and call break to the PGY-3 or PGY-4 will be made in the next call cycle.

Other Call Issues

1. Backup Resident:
    • In case of illness or emergency beginning prior to the onset of call, the sick resident must attempt to trade the call if this is physically possible.
    • If the illness or emergency occurs while on call, the resident must personally call the backup resident as soon as possible.
    • The backup resident must respond PROMPTLY.
    2. The backup resident is to be called only by other residents.

Hours of Call

HMC 8:00 p.m.-8:00 a.m., weeknights
8:00 a.m.-8:00 p.m. or 8:00 p.m.-8:00 a.m., weekends and holidays

UWMC  6:00 p.m.-8:00 a.m., weeknights
8 a.m.-6 p.m. and 6 p.m.-8 a.m. weekends and holidays

VAMC 6:00 p.m. to 8:00 a.m., weeknights
8 a.m.-6 p.m. and 6 p.m.-8 a.m. weekends and holidays

Call Switch

In order to make changes to the 6-Month Call Schedule you must do each of the following:

  • Inform the Chief Resident at the appropriate site
  • Inform the call schedule coordinator at the appropriate site:
HMC Gayle Schneider 731-3443 gschneid@uw.edu
UWMC Athena Wong 543-6577 aswong@uw.edu
VA Lisa Kelly
768-5218
  • Inform Charisa Lantin for UWMC call switches within the week only.
  • Submit all changes, regardless of site by email to Athena Wong (aswong@uw.edu)
NOTE:  If the site call schedule differs from the original document on file in the Residency Program Office, it will be assumed to be incorrect until the matter can be cleared up.

Backup Call Schedule

During the week of your assigned backup call, the resident's responsibility is to be available for weeknight and weekend call in the event of illness, injury to, or sudden attrition of the assigned residents during that week. The person absent will make restitution for days covered to the backup resident.

  1. ACGME Common Requirements, 2011, pp. 12-19.
  2. ACGME Specialty Specific Requirements, pp. 38-39.

 

SOM Seal

©1998 - 2013, Psychiatry Residency Training Program. All rights reserved.

Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560
206-543-6577
email: psychres@u.washington.edu