Intern & Resident Policies
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.
For additional information, please contact:
Deborah
Lee-Sanko
Executive Director, LECOMT
1858 West Grandview Boulevard
Erie,
Pennsylvania 16509
Phone: 814. 868.8361
Fax: 814.868.2489
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