House Staff Manual - Winthrop University Hospital

As per ACGME requirements, Winthrop does not encourage residents to engage in any moonlightingactivities. Those who choose to do so must first obtain pre-approval from their Program Director foremployment outside the Hospital. They are to use the “House Staff Dual Employment” form availablethrough their Program Director or the Office of Academic Affairs. This form includes the proposed siteand proposed schedule.Housestaff who have worked the maximum number of hours permitted under the Duty Hoursprovisions of the ACGME and New York State Codes are prohibited from working additional hoursas physicians providing professional patient care services. Housestaff who have worked less than themaximum hours permitted may not exceed this maximum in their Winthrop and dual employment(moonlighting) duty hours combined. See below for "Duty Hours" provisions of the Codes. House Staffshould take note of the fact that while moonlighting they are not covered by Winthrop-UniversityHospital’s professional liability insurance and that you must be licensed for unsupervised medical practice.Residents who engage in moonlighting without advance written permission are subject to dismissal.36. DUE PROCESSWinthrop provides a fair and consistent method for review of residents’ grievances, without fear of reprisal.Residents who believe they have been unfairly dismissed or disciplined (e.g. not promoted as scheduled)may appeal to the Graduate Medical Education (GME) Committee. On receiving such an appeal, the Chairof the GME Committee will, within fifteen (15) working days, appoint an ad hoc committee of threepersons to review the case. All evidence on the basis of which the dismissal was recommended will besubmitted to the ad hoc review committee in writing. The person making the appeal will be given anopportunity to review this evidence and to rebut it in front of the ad hoc committee. Also, in considerationof due process, the person making the appeal will be allowed to present additional written evidence and/orwitnesses.The review committee will report its conclusions and recommendations in writing to the next regularlyscheduled GME Committee meeting. The written report, including relevant documentation, shall beavailable to GME Committee members for review prior to that meeting. The Chair of the Department andthe President and Chief Executive Officer of the Hospital will absent themselves from the deliberations ofthe GME Committee concerning the appeal.If the GME Committee recommends to sustain the decision for dismissal, this will be communicated to theresident within 10 working days and the resident will have 15 working days from receipt of thatcommunication to request, in writing, an appeal to the President and Chief Executive Officer of Winthrop-University Hospital, whose decision is final.If the GME Committee recommends that the resident should not be dismissed, the matter will beconsidered and decided within 15 working days by the Chief Executive Officer of the Hospital, whosedecision is final.37. DUTY HOURSResidents and subspecialty residents are required to follow the more stringent of duty hour provisions asmandated by Section 405.4 of the New York State Hospital Codes and the ACGME, as described below.In addition, they are periodically required to complete a self-survey of their duty hours which is used byWinthrop to monitor for compliance. Completing the form when so instructed is mandatory.NEW YORK STATE AND ACGME DUTY HOUR SUMMARY1. The scheduled workweek shall not exceed 80 hours per week over a four-week period.Rev. 1/08