Student Clinical and Educational Work Hours

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IUSM-PO-EDU-CUR-0014

Full Policy Contents

Scope
Policy Statement
Reason for Policy
Procedures
Definitions
Forms
Sanctions

ADDITIONAL DETAILS
Additional Contacts
Forms
History

Effective: Immediately
Last Updated: 05/25/2017

Responsible University Office:
Clinical Component Committee

Responsible University Administrator
Assistant dean for medical student education, phase 2
Assistant dean for medical student education, phase 3

Policy Contact:
Assistant dean for medical student education, phase 2
Assistant dean for medical student education, phase 3

RESPONSIBLE Assistant dean for medical student education, phase 2
Assistant dean for medical student education, phase 3
ACCOUNTABLE Students; Clerkship directors
SUPPORT Clinical Component Committee
Curriculum Council Steering Committee
Curriculum data coordinator
CONSULT General counsel
Educational Policy Subcommittee
INFORM Educational Policy Subcommittee
Learning Technology, Medical Student Education

LCME Standards

8.8 Monitoring Student Time


Scope

This policy provides information on policies and procedures for monitoring work hours during required clinical rotations.

Clerkship directors and coordinators, as well as students, are expected to comply with the reporting requirements. Attending faculty physicians, resident physicians, fellows, and volunteer clinical faculty members are expected to be knowledgeable and mindful of these guidelines while medical students are rotating on their respective clinical services.


Policy Statement

All IUSM constituents must adhere to the work hour expectation of medical students. Judicious attention to work hours is a requirement of the Liaison Committee on Medical Education in order to evaluate learning opportunities, clinical experience and exposure, and the student’s need for personal time.


Reason for Policy

This policy is intended to address student work hours on clinical rotations (including on-call, days off, days, and nights) at the IUSM affiliate hospitals and clinical facilities. It follows the same principles, processes, and requirements that will be asked of students once they become residents.


Approval

Approved by the Curriculum Council Steering Committee 05/16/2017.


Procedures

IUSM mandates that students comply with work hour expectations.

1. Medical students on clinical rotations must not exceed an 80-hour work week averaged over a 4-week period.

2. Students must be provided at least one day off per seven-day period averaged over 4 weeks. One day is defined as one continuous 24-hour period free from all clinical and educational activities.

3. Students must not be required to engage in educational or clinical activities for more than 24 uninterrupted hours plus 4 hours related to patient safety such as transitions of care or required didactic sessions.

4. Students performing in-house call will be scheduled no more frequently than every third night.

5. Students should have 8 hours between scheduled clinical work.

Each student must log his/her work hours from the previous week by 8 a.m. each Monday. The exception for this is during the last week of the rotation; work hours are due at the end of the last clinical day. Work hour logs are monitored on an ongoing basis by the respective clerkship. If violations are noted, the clerkship will remedy the situation. If work hour violations are not resolved, the student should report this to the assistant dean for clinical sciences.

Each required clerkship will submit, monthly, a report of student work hours for each rotation, noting any times in which students had fewer than 8 hours off between clinical calls as well as violations of all requirements and corrective actions. These reports will be submitted to the Clinical Component Committee for internal review and action as indicated.


Definitions

Work hours are defined as all clinical and academic activities related to a rotation. Specifically, required modules are included in work hour calculations, however, reading, studying, and academic preparation time are not considered in the determination of clinical work hours.


Sanctions

For the students, failure to log accurate work hours will be interpreted as unprofessional behavior and a violation of institutional requirements. Any work hour violations will be addressed by the clerkships and their teams.

Repeated violations by a clerkship will be addressed by the Clinical Component Committee and/or the Curriculum Council Steering Committee.


Additional Contacts

Subject Contact Phone Email
Assistant dean for medical student education Antwione Haywood (317) 278-2891 haywooda@iu.edu
Deputy general counsel Joseph Scodro, J.D. (317) 274-5277 jscodro@iu.edu

Forms

The Duty Hours Reporting Template is available at https://mednet.iu.edu/MasterDocLibrary/MSE-work-hours-reporting-template.xlsx.


History

Approved by the Curriculum Council Steering Committee 2/3/2007.
Revised and approved by the CCSC 4/14/2015.
Revised and approved by the Clinical Component Committee 6/7/2016.
Revised and approved by the CCSC 6/14/2016.
Revised and approved by the CCSC 12/20/2016.
Title changed from Student Duty Hours 05/15/2017.
Revised and approved by the CCSC 05/16/2017.

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