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Department of surgery

Division of Vascular Surgery Fellowship Program

 

Duty Hours

 

It is the philosophy of the Division of Vascular Surgery at Temple University Hospital that post-graduate education in vascular surgery requires a commitment to continuity of patient care. For this reason, it is expected that fellows will participate in the preoperative, operative and postoperative care of their patients. This continuity of care does take precedence over any on-call schedule. However, it is also a priority in the Division of Vascular Surgery at Temple University Hospital to train fellows in an environment that is optimal for fellow education and patient care.

 

Duty hours will be limited to 80 hours per week, averaged over a four-week period. There will be no in–house call. Continuous on-site duty must not exceed 24 consecutive hours. The fellow may remain on duty for up to 6 additional hours to participate in didactic activities, maintain continuity of medical and surgical care, transfer care of patients or conduct outpatient continuity clinics. No new patients may be accepted after 24 hours of continuous duty. Fellows will be provided with 1 day in 7 free from all educational and clinical responsibilities averaged over a four- week period. One day is defined as one continuous 24-hour period free from all clinical, educational, and administrative activities.

 

All fellows are required to keep track of their duty hours on a monthly calendar. Duty hours will be checked every month by the Program Director.

 

In the event that any fellow experiences fatigue that is interfering with his/her ability to safely perform his/her duties, they are strongly encouraged and obligated to report this to the Program Director. Attending surgeons are instructed to closely observe fellows and residents for any signs of undue stress and/or fatigue. This should be immediately reported to the Program Director. The fellow will be relieved of his/her duties until the effects of fatigue are no longer present. They will also be provided with any other necessary support.


Moonlighting is only permitted in accordance with Temple University Hospital policy as defined in each fellow’s appointment agreement. Vascular fellows are allowed to moonlight on nights and weekends when not on call but in a manner so as not to interfere with their primary responsibilities. Permission is required from the Program Director before beginning moonlighting activities.

 

Fellows are given three weeks of vacation a year.

 

The institutional policy addresses sick time, funeral leave, maternity and paternity leave.