Duke Surgery exposes residents only to levels of decision-making appropriate for their level of experience, and all residents function under the supervision of department faculty. Providing graduate medical trainees trainees with a sound academic and clinical education must be carefully planned and balanced with concerns for patient safety and trainee well-being. Each program must ensure that the learning objectives of the program are not compromised by excessive reliance on trainees to fulfill service obligations.
Didactic and clinical education must have priority in the allotment of trainees' time and energies. Duty hour assignments must recognize that program directors, faculty, and trainees collectively have responsibility for the safety and welfare of patients and adherence to this policy.
The institution is committed to the promotion of an educational environment, support of the physical and emotional well-being of its graduate medical trainees, and the facilitation of high quality patient care. The objective of on-call activities is to provide trainees with continuity of patient care experiences. Some RRCs may grant exceptions for up to 10 percent of the hour limit, to individual programs based on a sound educational rationale.
The Duke Department of Surgery supports high quality education and safe and effective patient care. The program is committed to meeting the requirements of patient safety and resident wellbeing. Excessive sleep loss, fatigue, and resident stress are serious matters. Appropriate backup support will be provided when patient care responsibilities are especially difficult and prolonged, and if unexpected needs create resident fatigue sufficient to jeopardize patient care during or following on-call periods.
All attendings and residents are instructed to closely observe other residents for any signs of undue stress or fatigue. Faculty and other residents are to report such concerns of sleepiness, tardiness, resident absences, inattentiveness, or other indicators of possible fatigue or excessive stress to the supervising attending or program director. The resident will be relieved of duties until the effects of fatigue or stress are no longer present. The Duke Office of GME has identified transportation options for residents post call who are too fatigued to drive home safely.
In accordance with the policies of the American Board of Surgery, extended leave resulting in fewer than required number of weeks in full-time experience would necessitate additional time beyond the initial and anticipated graduation date.
If both parents are Duke staff members that meet the eligibility criteria, each parent is eligible to receive the six week paid parental leave benefit. An eligible parent is defined as a biological parent, same-sex spousal equivalent, or a new adoptive parent. An individual who adopts a spouse or partner's previous child ren is not eligible for this benefit. Duke University and DUHS staff regularly working 30 or more hours per week who have been employed for the previous twelve 12 consecutive months and have worked for at least one thousand two hundred fifty 1, hours during the prior twelve 12 month period are eligible to apply for the Paid Parental Leave includes House Staff.
The eligibility requirements must be met as of the last day worked prior to the start of the paid leave. Staff members are eligible to receive Paid Parental Leave during the first 12 weeks following the birth or placement for adoption of a child. Any further time away will mandate remedial time, and financial remuneration would not necessarily be guaranteed. As soon as the resident has knowledge of a need for professional, parental, disability, or sick leave, an immediate meeting with the program director is mandatory.
Three or more unexcused absences from scheduled training will result in automatic suspension. The names of the graduate medical trainee and faculty representatives will be made available to all graduate medical trainees on an annual basis.
Any records regarding these issues will have protected status of peer review. In addition to the general circumstances enumerated below, residents may at any time request direct faculty supervision is uncertainty exists or if felt to be required by the resident.
The following should be communicated to the attending by the house-staff for patients admitted to surgical services:. These include:. Please see our Benefits page for details about our travel policy. General Surgery Residency Program. General Surgery Resident Reappointments and Promotion Criteria Reappointment and promotion training requires satisfactory rotation and cumulative evaluations by faculty indicating satisfactory progress in scholarship and professional growth.
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