New York resident duty hour laws?

[CopperStripes]

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I will be starting a residency in New York, and I have heard that the state has some differences in residency work hour restrictions from those of the ACGME. I can't find these laws online anywhere; does anyone have a link to them? Or anyone know what the differences are and could let me know?

Thanks a lot.

 

[gutonc]

I will be starting a residency in New York, and I have heard that the state has some differences in residency work hour restrictions from those of the ACGME. I can't find these laws online anywhere; does anyone have a link to them? Or anyone know what the differences are and could let me know?

Thanks a lot.

NY has had equal or stricter work hour rules than ACGME for years which are backed up by state statute rather than the gentleman's agreement that is the ACGME regulations.

With the new ACGME rules going into effect in July, the NY rules will be less strict. NY programs will still be subject to ACGME rules but the "rule of law" will still be the NY state rules (the 80/30/10 which we've been dealing with for the past 6 or so years).

 

[Reductio]

I believe that NY is 80/27/10

 

[gutonc]

I believe that NY is 80/27/10

OK...everybody's going to be 80/24 (or 80/16 for the 'terns) this year though so it's kind of a moot point.

 

[Reductio]

OK...everybody's going to be 80/24 (or 80/16 for the 'terns) this year though so it's kind of a moot point.

oh right

 

[Medikit]

OK...everybody's going to be 80/24 (or 80/16 for the 'terns) this year though so it's kind of a moot point.

HO2s are 80/28 (24+4)
HO3s are allowed to go beyond 28 hours during a single shift.

 

[JoyfulMD]

I believe that NY is 80/27/10

For NY state, that is correct......27....for a short time more.

 

[eforest]

Official duty hours in NY are a moot point 'cause no-one actually follows them

 

[gutonc]

Official duty hours in NY are a moot point 'cause no-one actually follows them

That's true about duty hours everywhere to one extent or another. The thing about the NY duty hours is that it's a law backed by civil penalties whereas the ACGME duty hour "rules" are really just program requirements without any sort of effective reporting mechanism or much in the way of consequences for breaking them. Sure...a program could get put on probation, but that's a 2-4 year process and by that time any resident with a stake in the situation is gone so the whole thing starts over again.

At least in NY, a call to the AG can get you some satisfaction (before you get fired for "failure to sufficiently progress."

 

[FreeWeezy]

I believe that NY is 80/27/10

Can you explain what 80/27/10 means to the naive please? I'm guessing 80 hours a week, 27 hours continuous, and the 10 would be call hours or are you always on call?

Also is 80 sort of to be expected or is this an absolute maximum? And if you do the 27 hours continuous can you go home and sleep and come back 12 hours later or are there situations where you'd only gave a few hours to rest?

Thanks!

 

[Reductio]

Can you explain what 80/27/10 means to the naive please? I'm guessing 80 hours a week, 27 hours continuous, and the 10 would be call hours or are you always on call?

Also is 80 sort of to be expected or is this an absolute maximum? And if you do the 27 hours continuous can you go home and sleep and come back 12 hours later or are there situations where you'd only gave a few hours to rest?

Thanks!

80 hours per week
27 hours continuously
10 hours off between shifts

80 is the maximum, averaged over 4 weeks - so you might work 85 one week, and 75 the next.... so if you're asking if its the limit or the norm - its both.

In most programs when you're doing 27 continuously (30 hours in states besides NY), you're done around noon, and can go home... sleep... return at 7am the next day.

 

[FreeWeezy]

80 hours per week
27 hours continuously
10 hours off between shifts

80 is the maximum, averaged over 4 weeks - so you might work 85 one week, and 75 the next.... so if you're asking if its the limit or the norm - its both.

In most programs when you're doing 27 continuously (30 hours in states besides NY), you're done around noon, and can go home... sleep... return at 7am the next day.

are residents generally always on call?

 

[FreeWeezy]

In most programs when you're doing 27 continuously (30 hours in states besides NY), you're done around noon, and can go home... sleep... return at 7am the next day.

Sorry, one more question, what is 27 hours continuous really like? As in you won't sit down for 27 hours straight? Or you check in and then out 27 hours later but take breaks to eat, sit down to fill out charts, sometimes wait around for a new case, etc.?

Thanks so much!

 

[Reductio]

Sorry, one more question, what is 27 hours continuous really like? As in you won't sit down for 27 hours straight? Or you check in and then out 27 hours later but take breaks to eat, sit down to fill out charts, sometimes wait around for a new case, etc.?

Thanks so much!

It depends entirely on the specialty. But its nothing like the second description above. But seriously? check in and out 27 hours later? Breaks to eat? Sit down? Wait around? No.

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