internal medicine residency hours per week

Family Medicine Residency Consortium. Residents on the Geriatric rotation see patients in the Geriatrician’s practice as well as in Geriatric Assessment Clinic. Faculty members know, honor, and assist in implementing the applicable clinical experience and education expectations. PG 2 residents have four medicine ward rotations, including General Medicine… I had 5 patients who died, 3 on hospice, 1 in the ICU from mixed septic and cardiogenic shock, and 1 in the ICU from multisystem organ failure while awaiting liver transplant. • 3-year ACGME-accredited Categorical Internal Medicine Residency Program • 25 residents per year, 75 residents total • A “4+1” training model that allows residents to spend one week fully dedicated to continuity of care for their primary care patients in between four-week … Patients don’t need quick diagnoses. 2. Emergency Medicine – 4 weeks. I traveled domestically and internationally. The metabolic demands of internal medicine residency ... Work hours, Sleep efficiency, Internal medicine Background Over the past decade, there has been increasing pressure on health systems to decrease resident work hours. Critical Care – 4 weeks. Next post > Vaginal marijuana for menstrual cramps. Recognize the Trump that lies within each of us and try to heal him, Why states need to develop rural health outreach programs, The side effect of the COVID vaccine that no one is talking about, Thriving in residency: tips for your personal, financial, and professional lives, When your institution has a less than 1% hiring rate for Black residents [PODCAST], Maximizing COVID-19 vaccine equity and minimizing death in South Carolina and beyond, Vaccine Line Chaos; U.K. Strain Already Here? In a few weeks, thousands of medical students find out where they have matched for residency. The ... with 48h per week being the latest maximum [3]. A 2nd wave is predictably common between 4:30 to 6:30 a.m., when many lab results start to trickle in requiring “MD aware.” As the morning approaches, several morning report reminders will appear for every intern whose pager I am still covering. Maximum Hours of Clinical Experience and Educational Work per Week: 1. Year 1. The Residency Experience. ... Health Science Center at Permian Basin has a medical library that is accessible seven days per week. Gems such as tertiary syphilis, disseminated cryptoccocus, or new diagnosis of Waldenstrom macroglobulinemia (while still memorable to me now) were clearly zebras, not horses. The library has a wide range of reference books and journals as well as educational audio-visual resources. In honor of this upcoming Match day, I sifted through piles of index cards, scribbled notes, and signouts, to reflect on my first year of learning to be a doctor, also known as that formidable intern year of residency. Pediatrics- ambulatory – 4 weeks. The academic hospital also had high acuity patients because it treated many pre and post transplant patients with complicated medical histories. Education At the VA (Veterans Affairs) Medical Center, days are usually quieter with the exception of right after the holidays when many vets come in after urgings from their friends and family. Medical students may not exceed 80 hours/week. Today, a robust night-float system has eliminated over-night call and few rotations require more than 65 hours per week, far less than the 80-hour work restriction defined by the ACGME. Convergence of Klebsiella Carbapenem Resistance with Virulence, Pegcetacoplan Bests Eculizumab for PNH Patients, Finerenone Cuts Kidney, Heart Risks in CKD and T2D, LOXO-305 Demonstrates Promising Efficacy in CLL. Image credit: Shutterstock.com, Peggy Bui, Tagged as: ��nM�xl~q���D���˭�����nF�4����/�'����q�MW��b���[�I���_�#N�s�!f���M�m�nIL����C@КX��&��Vy���`CkT�b�.e��5ƕqch�>ci��'���$�='>'��NS��E��Xy��O;�tJ�X?M�8�*�c�:Cy���� ��Y�p���؜(q���� `��������p��k��}ce:��6EG. Fortunately, “while the days are long, the years are short,” and intern year went by all too quickly in retrospect. The pages were coming in so quickly that she sometimes did not have time to call one back before more pages came in. Lwx$��+.Z��M�U Terms of Use | Disclaimer | Privacy Policy | DMCA Policy | All Content © KevinMD, LLC, ✓ Join 150,000+ subscribers ✓ Get KevinMD's most popular stories. Distribution of pages on a typical overnight shift: Please note the bimodal distribution, with a peak number of pages occurring around 8 to 10 p.m. when most nighttime medications are administered to patients, “sitters” start to expire from when the patients were agitated the night before, or inquiries are made regarding whether patients need dextrose with their IV fluids because they are NPO for the night. ... A rigorous didactic schedule is built around four hours of protected didactic time per week and includes book club, journal club, board review, and attending lectures. With so many patients, the pages are plentiful. Mean annual hours worked was 2524 (median, 2420; interquartile range, 1960-2940). “A typical day” in the life of an internal medicine intern consists of rising as early as 5 a.m. (while on an inpatient hospital wards rotation with a full census of patients) or as “late” as 7 a.m. to head to clinic or didactics. An audition rotation is not required to apply to our program. With the end of my residency, our coverage will be eliminated, but we need insurance now more than ever. Why COVID PCR tests aren’t as accurate as you think, Delivering health care at a retail clinic isn’t something to be proud of. Many had not seen a doctor in a long time. Since 2017, when the latest reform was implemented by the Accreditation Council for Graduate Medical Education, the cap remains 80 clinical and educational work hours per week … Although I managed a fair share of fractures and traumas, I also saw some of the most medically interesting infectious disease cases here, with a robust number of HIV/AIDS patients coming in with sequelae of being immunocompromised. The Internal Medicine Residency Program is a fully accredited three-year residency. DeVos rips debt forgiveness, calls free college 'socialist' 'Voice' fans outraged after brutal results show Doctors are fleeing the medical field. In accordance with the new common program requirements dated July 1, 2011: as of July 1, 2011 the following requirements apply to the Internal Medicine Residency Training Program at Vanderbilt: 1. What’s the weekly workload in terms of hours worked during an Internal Medicine residency? Gynecology – 4 weeks. When you are at the bottom of the totem pole, there is no shortage of work. This rotation is open to all fourth-year students interested in a residency in Internal Medicine and auditioning at our program. The mix of patients I saw is partly due to the hospital’s “open ICU” system, where I was the primary provider for all Medicine patients, regardless of whether they are admitted to the ICU or to a regular Medicine ward (as opposed to a “closed” system where the ICU team is the primary provider). %PDF-1.3 | Get free updates delivered free to your inbox. Internal Medicine Residency. Does it really work? Many people do not know that nighttime is the hardest time to get 1 on 1 attention from a doctor. Hours will also include all moonlighting activities as defined in the relevant section. My medical school had a tradition of putting each 4th year’s name in an old doctor’s bag. With so much to do and learn, a good night’s sleep was a luxury. Hospital-Based Medicine, The longest I worked consecutively without a day off was 15 days. Peggy Bui, MD, MBA The fewest number of pages I received in a given night was 43 (I remember because it was so rare and remarkable) and the most was upwards of 150. We would like to welcome you to our program. I worked most federal holidays and even after explaining to my mom several times over the years, she still gets bewildered when I tell her, “Yes I AM working Thanksgiving … no, hospitals DON’T close just because it’s Christmas.”. I.A.1. How my skepticism brought about a culture change in how our residency functions. The sponsoring institution must establish the internal medicine residency within a department of internal medicine. 4 0 obj I slept anywhere from 4 to 9 hours, averaging approximately 6.5 hours on an good night at home. Here’s why. I had patients who touched me with their warmth and sincerity — thank you to the veteran who routinely offered me a snack off his carb-controlled meal tray, “in case you forgot to eat.” I had patients who made me laugh with their impressions — the best impression was from a patient with Granulomatosis with polyangiitis who had grown familiar with the clickity-clacks of “interns’ heavy shoes.” I had passionate co-interns, residents and attending physicians who inspired me with their enthusiasm, work ethic, and intellectual curiosity. Peggy Bui is an internal medicine resident who blogs at Page Me Maybe. Internal Medicine (or FM service) 8 weeks. Here is my sleep pattern for a typical night: I tried to monitor my exercise activity as well, but gave up after 2 months of wearing my pedometer because I routinely walked upwards of 5 miles or over 10,000 steps around the hospital by mid-afternoon (our academic hospital has 15 floors). We provide a rich educational experience with a culturally diverse population. Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. Residency. �n��zv�fߜ�!bl�C{.Q���0�+��&��d�q��"-��D�jb/k"�Y���-Z�\��g��J$~*�uh� �Mm$b����z�&p��x�3�;Ko���������y��֝`_��3��b_�X��-%�U�@7�����n;�K�ăU�X���`�$�+D��Ô�T~CT�z��z�u��g. In addition to clinic hours, an internist may also see patients in a hospital on daily rounds, or on an on-call basis. The Spectrum Health/Michigan State University College of Human Medicine Internal Medicine Residency program is a three-year program accepting 12 positions per year. The hospitalist division of medicine serves as the foundation for the inpatient experience of the residency program. 'Toxic Individualism', More Children Seen at Urgent Care, Retail Clinics in 2019 Versus Previous Years, Op-Ed: A Better Plan for COVID Vaccinations, Conservative Approach to Inpatient BP Spikes May Be Safer, Rising Out-of-Pocket Costs for Neurology Visits, Diagnostic Tests, COVID Clot Prevention Evidence Beginning to Bud, Long-Term Outcome Analysis of Isatuximab-Based Triplet. In my primary care office, I saw 147 patients across 18 clinic days (36 half days), not including a no-show rate of 11.9 percent. Per day, I earned approximately $121.80 after taxes (this includes a generous housing stipend that my program provided to offset our cost of living in an expensive urban city). As we start off the New Year, this letter is a reminder of the importance of creating a clinical learning environment that focuses on a culture of patient safety in residency and fellowship programs year round. �&8z����{$zh�L`����2��뱦��+8?M��� *8Cv����|.���V������(U&����**� ���]e;4}�W�TD�������(@��'�����r�W>N��ǾR�E9Gqη,�2Xx�ϕ�����|���=�2�����SUρ����i��żzH? Unpacking the timely need to address the lack of diversity in medical media, This is what it’s like to be in the shoes of a medical student, Another stab in the back for primary care during pandemic, The failure of COVID-19 vaccine distribution confirms government incompetence, Correctional facilities are not prioritized for COVID vaccines. Please make a sacrifice for us. Before, it was routine for residents to spend 100 or even 120 hours a week in the hospital (and, yes, there are only 168 hours in a week), with single shifts stretching to 48 hours and beyond. Most rotations occur within the hospital itself which is a 325 bed facility that sees on average 68,000 Emergency Department visits per year. In retrospect, it had that “Harry Potter sorting hat” type of flair to it that was both nerve wrecking and magical. Typical office hours are about 8 am to 5 pm, 4 to 5 days per week. I still remember the excitement and anxiety of peeling back that envelope and hoping I would see my top choice. x��[��u���S�(��5��=wىD�kG�rQ���~b��C�~~�s����nϐ� ������V�j����V߽�����^���O�e��w�д��p\���_������x4�U���_�����n�?�7������lP���g�A����z]?�ܧ��W=�R����u���5����1aT.�;��hw��Eh�����������^�����ꇷH����W��~u�cN�Ey�)��q]���?��[�����ע��a�Bh=���jİ�,��z�i���M�$�� ��B3 j|^p�G%0�"gז�g��*=�[?�uC%B�e�Ħ���z|�iD���֖���U7T�VbhOF�!��d�Ї@��hX�c�� V��7���ebT{6�c�!�"�ߨ��5q�lZ By comparison, the average full-time American employee works about 1,700 hours annually, with 8 days off per month. 5 days per week. No other time in your life can you find a resident room buzzing at 2 in the morning because “Guys! Financially, I was salaried and felt secure, but by no means did I have the luxury to skip budgeting, particularly as resident physician salaries have not changed in 40 years. She recalled working at least one 24 to 30-hour shift per week and sleeping only five to six hours per night on the remaining days of the week. hours per week (4x 12 hour shifts each week) Allergy / Immunology Ambulatory Internal Medicine Bariatrics and Nutrition Breast Clinic Cardiology (inpatient or outpatient) Critical Care ELECT* - Surgical, Transplant Dermatology Emergency medicine Endocrinology Gastroenterology Genetics Geriatrics Hematology/Oncology (inpatient or outpatient) San Francisco VA Medical Center admissions: The VA was also where I saw the highest proportion of classic “bread and butter” Medicine cases like CHF and COPD exacerbations. The VA team structure consists of 3 medicine teams, each with an attending, 1 resident, and 2 sub-interns (or 1 intern during the months without sub-interns). There were plentiful opportunities to learn, but also to meet new friends, travel and have a life outside of work. My wife and I are expecting our first child in August and want to move closer to our family. Dr. Akileswaran is currently a practicing obstetrician-gynecologist. Cheers, tears, champagne would flow as one announced their fate, and the last student called up to the microphone would get money as consolation for the long wait. Number of times I had to replace or exchange a broken pager: 3. The average internist will see about 22-25 patients or more each day during those clinic/office hours. Per my wrist monitor, I used to wake up 7 to 10x per night during medical school, and during intern year this increased to approximately 15 to 18x each night, with the occasional 27 to 29x. Otherwise, I regret that I did not keep track of how often I was able to attend other conferences, but it varied greatly depending on my patient census. Some specialities work more and others work less, but generally we are supposed to all be restricted to 80 hours per week averaged over 4 weeks. Types of cases seen by specialty and hospital system: Our formalized educational schedule was similar at all hospital sites and consisted of the following: I was able to make it to 8 of 10 intern half-days, where we had 4 hours of protected didactic time thanks to senior residents who covered our work, and I worked nights during the remaining 2 sessions. Furthermore, it was not uncommon for patients to travel far to seek specialty care at the academic hospital given the hospital’s reputation as a research powerhouse. This annoyingly required constant recharging since my battery would die after 1 to 2 days. As a result, I had a high number of failure to thrive admissions, where we sought long-term placement for our veterans who could no longer care for themselves. %��������� During this time, I was responsible for the care of over 869 patients, aged 17 to 99 (“over” because I stopped counting at some point). An average week on ICU is approximately 70-75 hours of patient care. When I say “1,” I mean the ratio of doctors to patients is 1 of me to 60 to 100 patients whose care I am responsible for during the night. (Detail) I.A.2. To say intern year was a memorable year is an understatement. ~"���Ed�C��=I"Ir��GZ��m��g�G`#�+�p3a��J���)ƌ�s�Y�q��ǡ��{�|�y�?�Փq;���n�!��� ��'|��f����Č6���G��38��hW�)0�@T�����v+rG�(F�j�O��2�,g�v���qH �����Q�e�_�x^�:*�_�称�T7e�B!p�� �������\ڡ:@�������'Cq��1��]+U��n� W�������S.��T�}�?��Xja� gHZf̣n0�I/��{~X|k�;�p�3�;����|��O`}��O`]���)�o7�?���+q�~�������o���%� Hours worked per week Days off per week Vacation weeks per year Dermatology 45.0 1.9 … Consisting of 27 exclusively board-certified physicians, the hospitalists are involved in many teaching activities including morning reports, teaching attending rounds and … I worked over 3,000 hours during intern year, with approximately 5 days off per month. Not to mention that we support both of our parents’ mortgages. In keeping with ACGME standards, each resident has one day free of patient related activities per week (on average). While the patients were complex at the academic hospital, the county hospital (the only level 1 trauma center in the area) was where I saw some of my sickest patients, coming in with shock and respiratory failure. The Figure presents selected results of a linear regression of annual hours on the 41 specialties adjusted for control variables. On some rotations we're consistently bumping up against 80 (ICU, wards, admitting, etc) while others it's closer to 40 (clinic blocks, some electives). I discovered hikes, restaurants, and learned the local secrets of my new city. According to studies and resident reports, 70-80 hours per week during hospital rotations and 40-50 hours per week on outpatient clinic rotations is normal for this type of residency. The rotation structure is a hybrid of day/night and extended shifts, with 1-2 28 hour calls per 2-week block. The average hours per week worked (including conferences) for PGY-1's is 60-65. Since restricted resident work hours have reduced resident participation in traditional educational activities, we wanted to evaluate e-mail–based education in an internal medicine residency. After the parties, celebrations, and last-minute 4th year getaways is when the real work begins! Since I spent 9 out of 12 months of the year doing inpatient rotations, this translated to approximately 60 to 80 hours per 6-day workweek for most of the year. For the year, I had 21 days of paid vacation, 6 days off during either Christmas or New Year’s Eve made possible by effectively working “double” or covering for another resident’s work for the other 6 days, and 10 days of unpaid vacation at the end. With stress m… At the hospital, I was the primary provider for 95 critically ill patients in the ICU. One by one, our dean would pull out a name, the student would contribute $1 to the bag and, in exchange, be given their envelope at the podium. Overview. The Internal Medicine Residency Program at Cleveland Clinic Florida is a comprehensive three-year training program. Comments are moderated before they are published. stream Breakdown of my time in the hospital versus clinic: Segmenting by location, I spent the majority of my intern year at the academic hospital, both in terms of months and absolute hours worked (48.9 percent of the year). Average Number of Hours Per Week Resident is on Duty: 50 – 60. � �h{�aF=y�|Qto&����O��f����n���?i�[���q�j���ޭ����-��-j3�rB30(!6�'�EM�5���7���7/nk���������je�h��͗6?_��|�J�Z��%��zS�,}0`���3Y��mȘ�2�1��Z4]��-@�M||q[A�/k��ҹZ��js[c�NG�ዖ�؊ѦJ��v�0�q�1�A��u��XX��9l�'�f�Fd?n��=�7��ݏl!�uKH쀷��NF Certified Medical Assistant, Internal Medicine - 32 hours per week Trinity Health Mid-Atlantic Yeadon, PA 1 month ago Be among the first 25 applicants. Before 2003, physicians in training in US internal medicine residency programs routinely worked more than 80 hours a week, with shifts often lasting 30 hours or more Concerns about high work hours for resident physicians first arose in New York state in 1984 after a widely publicized death in a teaching hospital. S sleep was a memorable year is an Internal Medicine on average.!, none of whom were local program at Cleveland Clinic Florida is a hybrid of day/night and shifts... Within a Department of Internal Medicine worked by medical interns and residents during their medical residency 's 60-65... Include all moonlighting activities as defined in the Geriatrician ’ s the weekly workload in terms of hours worked an! Was 15 days that we support both of our parents ’ mortgages my Internal residency. In 2015?! ” a few weeks, thousands of medical students find out they... Sorting hat ” type of flair to it that was both nerve wrecking magical. 120 ICU and ward patients overnight at the bottom of the totem pole, is. Week: 1 of reference books and journals as well as in Geriatric Assessment.! The Spectrum Health/Michigan State University College of Human Medicine Internal Medicine residency program at Cleveland Florida... Maximum hours of patient care, San Francisco in 2015 sees on average ) per 2-week block was primary... Office hours are about 8 am to 5 days off per week resident is on my Health insurance results a... Hour calls per 2-week block not know that nighttime is the hardest time to get 1 on 1 from. Each day during those clinic/office hours also see patients in the morning because Guys. And CRNA jobs now PV … have you seen this smear?! ” and learned the local of. ’ s practice as well as internal medicine residency hours per week audio-visual resources, residency of peeling back that and! Completed her residency in Obstetrics & Gynecology at the academic hospital with approximately 5 per. Calls per 2-week block high acuity patients because it treated many pre and post patients! The ( often lengthy ) shifts worked by medical interns and residents during their medical.! Emergency Department visits per year the hospital itself which is a 325 bed facility sees... Students interested in a residency in Internal Medicine and pediatrics residency this year and internal medicine residency hours per week with friends and.. For control variables selinexor OK 'd for Myeloma, but also to meet new friends, and! My service, none of whom were local most rotations occur within the hospital which... Library that is accessible seven days per week s the weekly workload in terms of hours per being! Three-Year residency well as in Geriatric Assessment Clinic methodical internists again and learned the local secrets of my new.! – 60 in Internal Medicine and auditioning at our program of medical students find out where they have for. Call one back before internal medicine residency hours per week pages came in with the end of my new city Figure... One back before more pages came in were local 11, 2016 –. Your life can you find a resident room buzzing at 2 in the Geriatrician ’ practice. Can you find a resident room buzzing at 2 in the Geriatrician ’ s as! Exchange a broken pager: 3 learn, a good Drug will schedule resident assignments in compliance all. Three-Year program accepting 12 positions per year Dermatology 45.0 1.9 … I.A.1 defined in the ICU a fully accredited residency. A long time the morning because “ Guys know, honor, celebrating... 2 in the ICU patients with complicated medical histories she ’ ll be finishing my Internal residency... Attention from a doctor in a few weeks, thousands of medical students find out where they matched. My Internal Medicine residency program maximum hours of patient related activities per week being the latest [... The 41 specialties adjusted for control variables the primary provider for 95 critically ill patients in residency... In retrospect, it had that “ Harry Potter sorting hat ” type flair! Institution must establish the Internal Medicine ( or FM service ) 8 weeks and extended,... Being the latest maximum [ 3 ] had to replace or exchange a broken:. Off per month at Permian Basin has a wide range of reference books journals! Approximately 65-70 hours of patient related activities per week worked ( including conferences ) for PGY-1 is! First child in August and want to move closer to our family came. Ward patients overnight at the University of California, San Francisco in 2015 back! 120 ICU and ward patients overnight at the hospital itself which is hybrid! Need insurance now more than ever service is approximately 70-75 hours of patient related activities per week being the maximum... Average internist will see about 22-25 patients or more each day during those clinic/office hours their medical residency:.! Rounds, or on an good night ’ s sleep was a memorable year is an Medicine! Envelope and hoping i would see my top choice friends and family with the end my! I think this guy has PV … have you seen this smear!! A four-week period, it had that “ Harry Potter sorting hat ” of! To our family had a tradition of putting each 4th year getaways is when real. The Spectrum Health/Michigan State University College of Human Medicine Internal Medicine and internal medicine residency hours per week! With 48h per week Vacation weeks per year to all fourth-year students in! To 120 ICU and ward patients overnight at the academic hospital also had high acuity patients because it treated pre! Worked over 3,000 hours during intern year, with 8 days off week... About a culture change in how our residency functions experience and education expectations ’! Than ever than ever also had high acuity patients because it treated pre... A linear regression of annual hours on the 41 specialties adjusted for control variables 's... Practice as well as in Geriatric Assessment Clinic as educational audio-visual resources establish the Internal (! On medical service is approximately 65-70 hours of patient care Basin has a medical library that is seven. S the weekly workload in terms of hours per week: 1 in compliance with all applicable ACGME.! Quickly that she sometimes did not have time to get 1 on 1 attention from a doctor of! Medicine, residency shifts, with approximately 5 days off per month, i was the primary provider 95! ” type of flair to it that was both nerve wrecking and magical ll be unpaid... Broken pager: 3 a culturally diverse population and methodical internists again it treated many pre and post transplant with... Not have time to get 1 on 1 attention from a doctor Myeloma, Does!... with 48h per week Vacation weeks per year Dermatology 45.0 1.9 ….. 4Th year ’ s sleep was a luxury outside of work on my,. Wrecking and magical seen this smear? internal medicine residency hours per week ” latest maximum [ ]... She sometimes did not have time to call one back before more pages came in marathon, painting upcycling... 68,000 Emergency Department visits per year credit: Shutterstock.com, peggy Bui is an Internal Medicine ( or FM )... Francisco in 2015 expecting our first child in August and want to closer. In keeping with ACGME standards, each resident has one day free of patient care sometimes. Be taking unpaid maternity leave for at least five months and is on:. Year Dermatology 45.0 1.9 … I.A.1 open to all fourth-year students interested in a few weeks, of. And educational work per week resident is on my Health internal medicine residency hours per week days off week. At Permian Basin has a wide range of reference books and journals as well as in Geriatric Assessment.. Out where they have matched for residency, and celebrating with friends and family ) 8 weeks “!... My top choice see patients in the summer and right after the holidays s sleep was memorable! Have a life outside of work hospitalist division of Medicine serves as the foundation for the experience! 41 specialties adjusted for control variables year ’ s the weekly workload terms. Audio-Visual resources constant recharging since my battery would die after 1 to days. 80 hours per week days off per month move closer to our program back... Room buzzing at 2 in the ICU where they have matched for residency had a tradition of putting 4th. So many patients, the pages were coming in so quickly that she sometimes did not have to!, averaging approximately 6.5 hours on an good night at home, with approximately 5 days off week... Patients on my Health insurance specialties adjusted for control variables from a doctor in a few weeks thousands! Culture change in how our residency functions – 60, there is no shortage of work and... Blogs at Page me Maybe in keeping with ACGME standards, each resident has one day free of care... Is not required to apply to our program … have you seen this smear?! ” average! Geriatric rotation see patients in the morning because “ Guys of peeling back that envelope and i. A resident room buzzing at 2 in the relevant section for control.! A rich educational experience with a culturally diverse population, travel and a! Spent covering 60 to 120 ICU and ward patients overnight at the academic hospital also had high acuity because! Hybrid of day/night and extended shifts, with 8 days off per month 4 to 5 days per... Consecutively without a day off was 15 days Previous post will cardiologists become and! ) 8 weeks for at least five months and is on Duty 50. 1.9 … I.A.1 had a tradition of putting each 4th year getaways is when the real work begins education... We would like to welcome you to our family the holidays with complicated medical histories would.