The University of Wisconsin School of Medicine and Public Health Clerkship Curriculum Committee developed a policy regarding the amount of time students spend in required activities, including the total required hours spent in clinical and educational activities during clinical rotations.
The Committee resolved to base the medical student work hour policy on the ACGME general guidelines. All clerkships must be committed to and be responsible for promoting patient safety and medical student well-being and provide a supportive educational environment. Clerkships must ensure that faculty provide appropriate supervision of medical students in patient care activities.
ACGME: Duty hours are defined as all clinical and academic activities related to the program; i.e., patient care (both inpatient and outpatient), administrative duties relative to patient care, the provision for transfer of patient care, time spent inhouse during call activities, and scheduled activities, such as conferences. Duty hours do not include reading and preparation time spent away from the duty site.
UW School of Medicine and Public Health Clerkship Duty Policy
- Duty hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in-house call activities.
- No duty shift shall exceed 24 hours, plus 6-hour sign-off.
- Students are required to have at least one 24-hour period off per week on average.
- All students are advised to report overages to the designated clerkship administrator, or the assistant dean of students, or the ombudsperson.
Students will be made aware of this policy during Transitional Clerkship at the start of their third year. It will also be posted on the Clerkship website, and included in all clerkship orientations. In addition, it will be included in the Student Handbook.
ACGME website: Information Related to the ACGME's Effort to Address Resident Duty Hours and Other Relevant Resource Materials