Appendix - Section Policies
Supervision of Fellows
- In all rotations, fellows are supervised by attending physician faculty. Lines of responsibility are delineated in the curriculum.
- Faculty schedules assign responsibility for supervision to specific faculty members, as well as on-call responsibilities, so as to provide fellows with appropriate supervision and consultation.
- Issues related to monitor resident fatigue and workload are addressed routinely at monthly faculty meetings and in more depth during periodic faculty educational retreats.
- Duty hours for fellows in cardiovascular medicine include all clinical and academic activities, including time spent in-hospital during on-call periods.
- The program adheres to the limitations of an average 80 hour work week and 1 day in 7 free of educational and clinical responsibilities (averaged over a 4-week period).
- Fellows will document actual hours spent in-hospital during on-call periods, and submit a monthly report to the fellowship administration. Hours spent in-hospital apply towards the 80-hour work week standard, but not to the 24-hour continuous duty limit.
- Call is taken from home for fellows in cardiovascular medicine. Ten fellows share primary call responsibilities over a 2-year period. One fellow is on-call per night, resulting in an average on-call frequency of 1 day in 10.
- The program directors monitor frequency of call, actual time spent in hospital, and overall service demands of the on-call schedule. Program directors review this with each fellow every 6 months, and make adjustments to schedules when warranted.
- Cardiovascular fellows will not be permitted to moonlight within the institution (i.e. Yale-New Haven Hospital or VACT) unless approved by the Program Director.
- If program directors believe that external moonlighting is interfering with the ability of a resident to perform his/her duties, or affects the overall performance in a negative fashion, the resident will be advised to stop moonlighting, and that failure to take corrective action will jeopardize their ability to successfully complete the program.
- Fellows on J-1 visas are NOT permitted to do any moonlighting.
- Oversight of the duty hours for cardiovascular fellows is provided by the program directors, in accordance with institutional policies.
- Attending faculty are responsible for providing back-up support for all fellows during normal duty and on-call hours.
- The section adheres to all applicable university-wide policies that pertain to fellows. These include but are not restricted to policies on grievance procedures, maternity/family leave, behavior in the workplace, and professional credentialing.
- University policies are available through the Office of Graduate Medical Education (688-1449; Room TMP 236)