Night Float, Short Call, Weekend Call and Vacation/Time Off Policies

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Neurology Residents

Night float, short call and weekend call

The Dartmouth Neurology Residency Training Program utilizes a Night Float system Sunday through Thursday each week and traditional weekend call. Residents participate in both during each year of their residency. Sleep quarters are available (designated Neurology on-call room.)

Short Call is from 5:00 to 8:00 pm Monday through Thursday each week and is shared by the residents on the General Neuro Inpatient and Vascular Service Inpatient Services.

General work hour policies

Accreditation Council for Graduate Medical Education (ACGME) regulations regarding work hour limits are strictly adhered to as follows:

  • One (24-hour) day in seven free of patient care averaged over four weeks
  • Limit of 80 work hours per week averaged over four weeks
  • 24-hour limit on continuous patient care hours, following which residents may spend up to 4 hours for hand-off and debriefing activities, and/or didactic activities. This will never include evaluation of new patients
  • An 8-hour minimum rest between work periods
  • On-call frequency is not higher than every third night
  • All (internal and external) moonlighting counted in weekly hours
  • Work from home that includes patient documentation should be counted as part of weekly work hours. This excludes research, reading, or studying.

The responsibility for monitoring resident work hours is shared by the individual residents themselves, supervising residents, teaching faculty, residency coordinator, and program director. The DHMC work hours monitoring system through MedHub will be utilized by all residents. Failure to do so may result in remedial or other disciplinary action. It is expected that work hours be recorded by the end of each workweek.

General vacation/time off policies

The Dartmouth Neurology Residency Training program is a four-year program. During each year of training, residents receive 3 weeks of vacation (15 days) and 5 flex days. Specific details regarding time away can be found on the Graduate Medical Education additional benefits page.

Residents are also allotted time away to attend conferences and/or to complete an off-site rotation on a case-by-case basis.