Intern & Resident Policies

LECOMT Operational Policies

LECOMT institutions are equal opportunity employers; applicants are considered for all positions without regard to race, religion, gender, national origin, age, marital status, sexual orientation, or physical disability.

Applications for internship and residency training can be obtained through the Department of Medical Education at each institution. As of July 1, 2008, the AOA Council of Postdoctoral Training (COPT) has instituted the restructuring of the osteopathic internship into three specific options. Option 1 (OGME-1R) grants residency credit for the first postdoctoral year of training; Option 2 (OGME-1P) requires a preliminary year of internship and does not grant residency credit for the year; and Option 3 (OGME-1T) represents a traditional rotating internship as a stand alone program.

All applicants beginning a LECOMT internship program must show proof of graduation from an AOA accredited college of osteopathic medicine. All applicants are hired through the Osteopathic Match Program. Intern recruitment follows the policies and procedures of the AOA Intern Registration Program.

Acceptance to a LECOMT residency training program is contingent upon satisfactory completion of an AOA approved internship program. LECOMT institutions will provide each intern/resident with a written agreement or contract outlining the terms and conditions of their appointment to an educational program. The agreement will specify the intern/resident rights and responsibilities, financial support and benefits to be provided, duration of appointment and condition for reappointment, policies regarding professional activities outside the educational program, work hours and call requirements, leave policies, procedures for discipline and redress of grievances, and policies and procedures whereby complaints of sexual harassment and exploitation may be addressed in a manner consistent with the law and due process.

Interns and residents will have representation on the LECOMT Osteopathic Graduate Medical Education Committee.

Following successful completion of postdoctoral training at a LECOMT member institution, LECOMT will confer certificates on interns who have completed their first year of postdoctoral training under Options 2 or 3, residents, and fellows that have satisfactorily completed the requirements for graduation and have been recommended for graduation by their Director of Medical Education/Program Director. Interns who have successfully completed the requirements of graduation for their OGME-1 year under Option 1 will receive a standard letter of completion from their Director of Medical Education. LECOMT, in addition, will receive a copy of this letter for their permanent files.

Interns/Residents interested in transferring to a LECOMT program must present a letter documenting the rotations satisfactorily completed at other AOA approved programs or programs approved by the ACGME. Training needs to be documented and approved by their new Director of Medical Education/Program Director

Should an emergency situation arise during an academic year rendering a member institution unable to fulfill its obligation to continue the training of its interns/residents, LECOMT will make every possible attempt to find alternative training for the interns/residents at other LECOMT institutions, to the extent allowable by law and AOA policies.

More detailed information concerning hospital-specific intern/resident policies can be obtained at the various members’ respective departments of medical education.

AOA Intern and Resident Work Hours:
Approved by the Board of Trustees 2/03
AOA Work Hour Preamble: It is recognized that excessive numbers of hours worked by the intern and resident physicians can lead to errors in judgment and clinical decision-making. These can impact on patient safety through medical errors, as well as safety of the physician trainees through increased motor vehicle accidents, stress, depression and illness related complications. The training institution, director of medical education (DME), and intern program director must maintain a high degree of sensitivity to the physical and mental well being of interns and make every attempt to avoid scheduling excessive work hours leading to sleep deprivation, fatigue, or inability to conduct personal activities.

AOA Internship:
The intern shall not be assigned to work physically on duty in excess of eighty (80) hours per week averaged over a four (4) week period, inclusive of in-house night call.

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 occure. Interns may not assume responsibility for a new patient after twenty-four (24) hours.

Moonlighting is not permitted by the interns.

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.

Upon conclusion of a twenty-four (24) hour duty shift, interns shall have a minimum of twelve (12) hours off being required to be on duty again. Upon completing a lesser hour duty period, adequate time for rest and personal activity is provided.

All off-duty time must be totally free from assignment to clinical or educational activity.

Those rotations requiring the intern to be assigned to Emergency Department duty shall not be assigned longer than twelve (12) hour shifts.

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.

The intern may not be assigned to call more often that every third night averaged over any consecutive four (4) week period.

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.

AOA Residency:
The resident shall not be assigned to work physically on duty in excess of eighty (80) hours per week averaged over a four (4) week period, inclusive of in-house night call.

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.

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)

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.

Upon conclusion of a twenty-four (24) hour duty shift, residents shall have a minimum of twelve (12) hours off being required to be on duty again. Upon completing a lesser hour duty period, adequate time for rest and personal activity must be provided.

All off-duty time must be totally free from assignment to clinical or educational activity.

Those rotations requiring the resident to be assigned to Emergency Department duty shall not be assigned longer than twelve (12) hour shifts.

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.

The resident may not be assigned to call more often than every third night averaged over any consecutive four (4) week period.

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.

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 insitution'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.

Submitting a Complaint or Concern:
LECOMT trainees,
If you have a complaint or concern, that cannot be resolved at the program or hospital DME level, please contact the LECOMT office at 814-868-8361 or email: dsanko@lecom.edu or rterry@lecom.edu.
 

For additional information about this web page, please contact:
Deborah Lee-Sanko
Executive Director, LECOMT
1858 W. Grandview Blvd.
Erie, PA 16509
Phone: 814.868.8361
Fax: 814.868.2489
Cellular: 814.397.3034
Email: dsanko@lecom.edu