UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Department of Medicine
ASSOCIATE CHAIR for EDUCATION MEMORANDUM
March 19, 2004
Policy on Resident Duty Hours
PURPOSE: To specify the duty hour policy of the Department of Medicine
Internal Medicine Training Program.
1. Duty Hours: All clinical and academic activities related to the residency
program, i.e. patient care (both inpatient and outpatient), administrative
duties related to patient care, the provision for transfer of patient care, time
spent in the hospital during call activities and scheduled academic
activities such as conferences are considered duty hours. Duty hours do
not include reading and preparation time spent away from the duty site.
2. On Call Activities: In house call occurs after normal duty hours when
residents are required to be immediately available in the assigned
institution. At home call (pager call) occurs when calls are taken from
outside the assigned institution.
Duty hours are limited by the following restrictions.
1. Duty hours will be limited to 80 hours per week, averaged over a four
week period, inclusive of all in-house call activities
2. Residents will be provided with 1 day in 7 free from all educational and
clinical responsibilities, averaged over a 4 week period, inclusive of call.
One day is defined as one continuous 24 hour period free from all clinical,
educational and administrative activities.
3. A 10 hour period of time must be provided for rest and personal activities
between all daily duty periods and after in-house call.
4. In house call will occur no more frequently than every third night,
averaged over a 4 week period.
5. Continuous on site duty, including in-house call, will not exceed 24
consecutive hours. Residents may remain on duty for up to 6 additional
hours to participate in didactic activities, maintain continuity of medical
care, transfer care of patients or conduct outpatient continuity clinics. No
new patients may be