Guess that's what I guess for looking at them quickly, and hammering that out in 30 min in the middle of the night.
I'm looking at the rules, and again this has to do with the letter, but perhaps not the spirit.
It says one can work for 30 hrs, and must have their sleep period between 10P-8A, but doesn't say that the sleep period has to be right @ hr 16. Thus, you could do this. You can't admit after hour 16, but this is simplified by having non-floor interns admit (which most programs I have been associated do, either have the ER consult person who is working more shift work admit). Thus he/she can have new patients show up on their service, but not be "admitting" them. Otherwise, you can have the consult person manage them until the morning (which is what my current program does) then dump them into the team come morning rounds.
Given this, it looks over compliant since I just found out that the 5 hour sleep break DOESN'T count as part of your 80 hours! (see the actual IOM report Appendix B for sample schedules) You can read it one page at a time for free and print it out 1 page at a time at http://www.nap.edu/catalog.php?record_id=12508
<-----------------This is wrong---------- see Pilot Doc's post below.
Anyway the schedule I provided above tries to do some things.
Goals: 1)letter of the law compliance, 2) Ensure that there is someone rounding on the team each morning that has been there or received signout about what happened each time 2A) minimize amount and length of cross cover, 2B) ensure overlap for at least 1-2 hour for turnover/rounding as much as possible 3) keep days off on Fri/Sat/Sun (although you can move the Friday into other weekdays often if the service has an easier weekday than Friday)
Things I gave up to make this work: 1) sane work schedules. 2AM is just NOT normal. It had to happen so that someone could go to bed by 3AM though to get their sleep time in. 2) sometimes there is no one from that team in house (although only 1 day/2weeks and if you wanted you could make a midlevel come in and cover that time I suppose)
I'll have to think about what I'd do with 2 interns/service; still seems doable, but much harder.