Great question, and timely! I'm in the middle of the interview season now. Our program counts interview days as vacation days. As I'll be interviewing at about a dozen places, this will easily tap out all my vacation days for the year. So.... no vacation for me during my senior year as a resident. 😡
I'm not sure what the answer is here, especially with the ABR, the ACGME and CMS tightening their respective sphincters increasingly each year about documenting every second of a resident's life. But it's a pain in the ass and a significant source of stress to be sure.... 🙁