Medical Student Clinical Work Hours

Policy Manual

  • Policy Number: OME 13-006
  • Effective Date: 07/01/2013
  • Last Revised: 07/01/2013
  • Department: Office of Medical Education
  • Originator: Office of Medical Education (T. Baker)
  • Download: Download Policy OME 13-006
  1. Purpose and Background
    To ensure the quality of the learning experience for the students at the University of Nevada, Reno School of Medicine (UNR Med), students should have sufficient time to pursue self-directed learning activities and to meet personal needs. Additionally, the clinical educational program involves the students in direct patient care activities. As such, a limitation on the number of hours a student may participate in clinical activities is necessary to create a proper learning environment, ensure patient safety and student wellness.
  2. Revision History
    1. 3/4/09: Revision No. 1.0: New policy
    2. 7/1/13: Revision No. 2.0: Rev to reflect new work hours (Timothy Baker, M.D.)
  3. Stakeholders
    1. Medical Students
    2. Residents
    3. Faculty
    4. Clerkship & Elective Staff
  4. Policy
    1. It is the policy of the UNR Med to align our duty hours policy with the Accreditation Committee on Graduate Medical Education Common Program Requirements for resident duty hours for Postgraduate Year 1 (PGY-1) residents.
    2. Specifically, medical students, no matter their level of training shall:
      1. Be limited to a maximum of 80 hours per week.
      2. Be limited to a maximum of 16 hours of continuous duty.
      3. Be permitted to take home call at the discretion of the Clerkship Director. During home call, if a student is called to come into the hospital, hours spent both in travel to and from the hospital as well as time spent in the hospital will count toward the duty hour limits.
      4. Be limited to a maximum of six overnight shifts in a row.
      5. Be provided with sufficient time for rest and personal activities between required educational/clinical activities. Optimally, this should be a 10-hour period of time, but must be a minimum of eight hours.
      6. Be provided a minimum of one day in seven free from all educational and clinical responsibilities. This may be averaged over a four-week period, but may not be spread between two distinct clerkships or rotations.
      7. Be excused from clinical rotations at 11 pm when participating in required daytime educational and clinical activities the following day.
  5. Definitions
    1. Duty Hours: Refers to any time spent in the hospital, clinic or other patient care site in patient care, documentation of patient care, attending mandatory clerkship/elective and/or other University of Nevada, Reno School of Medicine activities. Duty hours do not include time spent studying, preparing, and/or reading. Time spent in transportation to and from clinical sites does not count toward duty hours unless it occurs during home call.
    2. 4-Week Average: Refers to a single rotation. Days off may not be averaged over multiple rotations.
  6. Responsibilities & Procedures
    1. Clerkship Directors must inform students of the Medical Student Clinical Work Hours policy.
    2. Students may be required to track their clinical work hours at the direction of the Office of Medical Education and/or the Clerkship Directors.
    3. Students must inform the Associate Dean for Medical Education in Reno or the Associate Dean for Academic Affairs in Las Vegas immediately, and in writing, of any violations of this policy.
    4. The Office of Medical Education will inform the appropriate Clerkship Director of violations.
    5. Clerkship Directors will give quarterly reports to the Year 3-4 clerkship coordinators committee regarding violations of the work hours policy.