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AOA INTERNSHIP
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AOA RESIDENCY
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The intern shall not be assigned to work
physically on duty in excess of eighty hours (80)
per week averaged over a four (4) week period,
inclusive of in-house night call.
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The resident shall not be assigned to work
physically on duty in excess of eighty hours (80)
per week averaged over a four (4) week period,
inclusive of in-house night call.
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The intern shall not work in excess of
twenty-four (24) consecutive hours inclusive of
morning and noon educational programs. Allowance
for, but not to exceed up to six (6) hours for
inpatient and outpatient continuity, transfer of
care, educational debriefing and formal didactic
activities may occur. Interns may not assume
responsibility for a new patient after twenty-four
(24) hours.
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The resident shall not work in excess of
twenty-four (24) consecutive hours inclusive of
morning and noon educational programs. Allowance
for, but not to exceed up to six (6) hours for
inpatient and outpatient continuity, transfer of
care, educational debriefing and formal didactic
activities may occur. Residents may not assume
responsibility for a new patient after twenty-four
(24) hours.
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Moonlighting is not permitted by interns.
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If moonlighting is permitted, all moonlighting
will be inclusive of the eighty (80) hour per week
maximum work limit and must be reported. (See
Moonlighting Policy)
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The intern shall have alternate week forty-eight
(48) hour periods off or at least one (1)
twenty-four (24) hour period off each week.
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The resident shall have alternate week
forty-eight (48) hour periods off or at least one
(1) twenty-four (24) hour period off each week.
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Upon conclusion of a twenty-four (24) hour duty
shift, interns shall have a minimum of twelve (12)
hours off before being required to be on duty
again. Upon completing a lesser hour duty period,
adequate time for rest and personal activity must
be provided.
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Upon conclusion of a twenty-four (24) hour duty
shift, residents shall have a minimum of twelve
(12) hours off before being required to be on duty
again. Upon completing a lesser hour duty period,
adequate time for rest and personal activity must
be provided.
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All off-duty time must be totally free from
assignment to clinical or educational activity.
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All off-duty time must be totally free from
assignment to clinical or educational activity.
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Those rotations requiring the intern to be
assigned to Emergency Department duty shall not be
assigned longer than twelve (12) hour shifts.
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Those rotations requiring the resident to be
assigned to Emergency Department duty shall not be
assigned longer than twelve (12) hour shifts
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The intern and training institution must always
remember the patient care responsibility is not
precluded by this policy. In the case where an
intern is engaged in patient responsibility, which
cannot be interrupted, additional coverage should
be provided to relieve the intern involved as soon
as possible.
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The resident and training institution must
always remember the patient care responsibility is
not precluded by this policy. In the case where a
resident is engaged in patient responsibility which
cannot be interrupted, additional coverage should
be provided to relieve the resident involved as
soon as possible.
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The intern may not be assigned to call more
often than every third night averaged over any
consecutive four (4) week period.
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The resident may not be assigned to call more
often than every third night averaged over any
consecutive four (4) week period.
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The training institution shall provide an
on-call room for interns, which is clean, quiet,
safe and comfortable, so to permit rest during
call. A telephone shall be present in the on-call
room. Toilet and shower facilities should be
present in or convenient to the room. Nourishment
shall be available during the on-call hours of the
night.
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The training institution shall provide an
on-call room for residents, which is clean, quiet,
safe and comfortable, so to permit rest during
call. A telephone shall be present in the on-call
room. Toilet and shower facilities should be
present in or convenient to the room. Nourishment
shall be available during the on-call hours of the
night.
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Any professional clinical activity
(moonlighting) performed outside of the official
residency program may only be conducted with the
permission of the program administration
(DME/Program Director). A written request by the
resident must be approved or disapproved by the
Program Director and DME and be filed in the
institution's resident file. All approved hours are
included in the total allowed work hours under AOA
policy and are monitored by the institution's
graduate medical education committee. This policy
must be published in the institution's housestaff
manual. Failure to report and receive approval by
the program may be grounds for terminating a
resident's contract.
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