Resident Wellness and Duty Hours Created by Sarah Sofka, MD Chair, GME Wellness/Duty Hours Committee Program Director, Internal Medicine

Duty Hours Dictated by ACGME Monitored by program administrators, program directors, GME office. Must be logged regularly in E-Value Program directors and the GME office receive regular reports of residents who are delinquent in logging duty hours.

Duty Hours Do Not Lie

Duty Hours 80 hours per week maximum Averaged over 4 week period Includes In-house clinical and educational activities Clinical work done from home Moonlighting Does not include Studying Non-clinical work from home

Duty Hours Must have 10 hours free of clinical and educational duty between shifts. There may be rare circumstances when residents choose to stay longer to continue providing care for a patient. This should be well documented. Must have 14 hours free of clinical and educational duty after a 24 hour shift. Must have 1 in 7 days off averaged over 4 weeks. No home call must be assigned. All residents should have 5 days off per month Excludes December and January

Duty Hours Must not exceed 24 (+4) hours of continuous clinical and educational duties. Up to 4 hours additional to the 24 period may be used to assure patient safety, transitions of care, or education. No additional new patient responsibilities may be assigned in that 4 hour time period. In RARE cases after completing handoff of patient care, residents may choose to stay longer than the 24 (+4) hours for: Care of a single, critically ill patient Humanistic attention to the needs of a patient or family A unique educational event Explanation must be well documented

Duty Hours In House Call Home Call Must not be more frequently than every third night (averaged over 4 weeks) Home Call Time spent on patient care activities both at home and if the resident comes in to the hospital must be documented.

Resident Wellness

Resources WVU Faculty and Staff Assistance Program Professional staff who can help you address: Relationship issues Getting along with co-workers Problems with alcohol, drugs, gambling, or other addictions Anxiety/Depression Mental Illness Coping with loss of a loved one Balancing work and life Burnout

Resources WVU Faculty and Staff Assistance Program Available to all faculty, staff, and residents and their dependents. Cost is FREE Confidential Phone: 304-293-5590 Location: 1085 Van Voorhis Road Suncrest Center Suite 218 Morgantown WV 26505

Resources Hospital Chaplain Available to residents and faculty Page #0590

Resources The Wellness Center http://wvumedicine.org/thewellnesscenter/ Open to all employees of WVU Medicine Various programs targeting Exercise Stress management Nutrition Screenings

Join us in July for our annual 5K July 21st, 2019 Edith Barill Riverfront Park Medals for top resident finishers. Sign up at: https://www.active.com/morgantown-wv/running/distance- running/wvu-im-for-global-health-5k-2019

WVU Physician Family Network Simply stated, we all get it. Whether you're in the thick of training and countless work hours, or finally on the "other side" with your first faculty position, we've all been there and understand the sacrifices endured during the decade or more of medical education. Our goal is to provide an outlet and a supportive network to you and your family through your medical journey. https://wvupfn.org/

CLER Wellness Committee Interested in serving on the Wellness Committee? Have ideas to improve resident wellbeing? Join us on the Wellness Committee! Contact Rebecca Elmo relmo@hsc.wvu.edu for more information

Remember…… You’re not the only one who has struggled with depression, anxiety, burnout… Your program director is there to help you. If ever you do not feel comfortable telling your PD about issues you are having contact me (ssofka@hsc.wvu.edu) or Dr. Vallejo (mcvallejo@hsc.wvu.edu). If you are worried about the safety or well-being of another resident, please say something. You could make the difference!