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NY State Bell Commission – 24 Hr ‘Attending’ in house supervision

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Psychiatrist

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How does your program handle it?

Can it be done by a licensed Physician only or the rules allow 4th year non licensed Physicians doing it?

Major controversy as Program considering making it mandatory for 4th year Residents to do In House calls – can go up to 7 calls max – will have a day off next day. Minimal compensation @ 500/ 6- 7 days.

Residents living away from campus hate it as living 'in house' @ 4th year - upto 7 nights = ridiculous.

Could not look up exact requirement per state Except it is ‘NY State Health Code 405’.

Any information appreciated

Thanks
 

Psychiatrist

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No this was for regular Psychiatry floor / Department of the main Hospital.

Does your hospital have an in-house attending or moon lighter or 4th year 24 hr?

Basically they are making it mandatory for 4th year residents due to lack of interest from the residents and they do not want to pay moon lighter by the hour 'for supervision'. It is painful doing same no of calls as the 1-2 years in your 4th year.

Though the work is different as this is purely if you are called in a controversy (but you have to stay in campus).
 

Anasazi23

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No this was for regular Psychiatry floor / Department of the main Hospital.

Does your hospital have an in-house attending or moon lighter or 4th year 24 hr?

Basically they are making it mandatory for 4th year residents due to lack of interest from the residents and they do not want to pay moon lighter by the hour 'for supervision'. It is painful doing same no of calls as the 1-2 years in your 4th year.

Though the work is different as this is purely if you are called in a controversy (but you have to stay in campus).

Well, I've worked in two different hospitals in two different residency programs. In one, there was always an attending "on call" though this was by phone only. In theory they were supposed to be available to come to the actual hospital when needed. This never happened.

In the other hospital, there was always a senior on call as well as an attending. The junior resident took care of almost all problems, and the chain-of-command escalated as needed. i.e. call the senior for questions, then the attending.

Just increase the calls for the pgy I-IIIs, with a senior and attending on phone-call.
 
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