patient care setting, the complexity of the patient’s treatment, and the fellow’s role in carrying out that treatment must also be considered. For example, with psychiatric inpatients, an average case load of five-to-10 is usually appropriate, depending on the length of stay. Outpatient and consultation settings typically involve less intensive patient care responsibilities, and therefore caseloads would be higher. However, there may be situations in which lower patient caseloads may be acceptable, as when a fellow is providing multiple and/or complicated interventions in patient care, or if a fellow is assigned to multiple clinical settings at one time. The program director must make an assessment of the learning environment with input from faculty members and fellows in light of these factors. Program directors will need to justify different patient loads with evidence such as severity of illness indicators or other factors.
VI.F. Teamwork VI.F.1. Contributors to effective interprofessional teams should include consulting physicians, psychologists, psychiatric nurses, social workers, other professional and paraprofessional mental health personnel, pediatricians, teachers, and other school personnel involved in the evaluation and treatment of patients. (Detail)
Q: Must every interprofessional team include representation from every profession listed in the requirement?
A: No. The Review Committee recognizes that the needs of specific patients change with their health status and circumstances. The intent of the
requirement is to ensure that the program has access to these professional and paraprofessional personnel, and that interprofessional teams will be constituted as appropriate and as needed.
VI.G.5.b) Intermediate-level Residents
PGY-2 residents are considered to be at the intermediate level.
VI.G.5.c) Residents in the Final Years of Education
Residents at the PGY-3 level or beyond are considered to be in the final years of education.
VI.G.5.c).(1)
Circumstances for Eight Hours Free of Duty
There are no circumstances under which Residents in the Final Years of Education may stay on duty with fewer than eight hours off.
Only Licensed Independent Practitioners as consistent with state regulations and medical staff bylaws may have primary responsibility for a patient. (Detail)
Specialty/Requirement # Specialty-specific Duty Hour Definitions Frequently Asked Questions (FAQs) VI.D.5.a).(1) Supervision
of Residents
Do not have PGY-1 residents in the subspecialty.
VI.E. Clinical Responsibilities
Q: What is an appropriate patient load for residents?
A: All of the factors listed in the program requirements must contribute to the determination of an appropriate patient load for each resident. In addition, the patient care setting, the complexity of the patient’s treatment, and a resident’s role in carrying out that treatment must also be considered. For example, with psychiatric inpatients, an average case load of five-to-10 is usually appropriate, depending on the length of stay. Outpatient and consultation settings typically involve less intensive patient care responsibilities, and therefore caseloads would be higher. However, there may be situations in which lower patient caseloads may be acceptable, as when a resident is providing multiple and/or complicated interventions in patient care, or if a resident is assigned to multiple clinical settings at one time. The program director must make an assessment of the learning environment with input from faculty members and residents in light of these factors. Program directors will need to justify different patient loads with evidence such as severity of illness indicators or other factors.
VI.F. Teamwork VI.F.1. Contributors to effective interprofessional teams include consulting physicians, psychologists, psychiatric nurses, social workers, and other professional and paraprofessional mental health personnel involved in the evaluation and treatment of patients. (Detail)
Q: Must every interprofessional team include representation from every profession listed in the requirement?
A: No. The Review Committee recognizes that the needs of specific patients change with their health status and circumstances. The intent of the
requirement is to ensure that the program has access to these professional and paraprofessional personnel, and that interprofessional teams will be constituted as appropriate and as needed; it is not to mandate that all be included in every case.
VI.G.5.a) Fellows in the Final Years of Education
Forensic psychiatry fellows are considered to be in the final years of education.
VI.G.5.c).(1)
Circumstances for Eight Hours Free of Duty
There are no circumstances under which fellows may stay on duty with fewer than eight hours off.
VI.G.6. Maximum Frequency of In-House Night Float
Psychiatry – Geriatric VI.D.1. Licensed Independent Practitioner
Only Licensed Independent Practitioners as consistent with state regulations and medical staff bylaws may have primary responsibility for a patient. (Detail)
VI.D.5.a).(1) Supervision of Residents
Do not have PGY-1 residents in the subspecialty.
Specialty/Requirement # Specialty-specific Duty Hour Definitions Frequently Asked Questions (FAQs) VI.E. Clinical
Responsibilities
Q: What is an appropriate patient load for residents?
A: All of the factors listed in the program requirements must contribute to the determination of an appropriate patient load for each resident. In addition, the patient care setting, the complexity of the patient’s treatment, and a resident’s role in carrying out that treatment must also be considered. For example, with psychiatric inpatients, an average case load of five-to-10 is usually appropriate, depending on the length of stay. Outpatient and consultation settings typically involve less intensive patient care responsibilities, and therefore caseloads would be higher. However, there may be situations in which lower patient caseloads may be acceptable, as when a resident is providing multiple and/or complicated interventions in patient care, or if a resident is assigned to multiple clinical settings at one time. The program director must make an assessment of the learning environment with input from faculty members and residents in light of these factors. Program directors will need to justify different patient loads with evidence such as severity of illness indicators or other factors.
VI.F. Teamwork VI.F.1. Contributors to effective interprofessional teams include consulting physicians, psychologists, psychiatric nurses, social workers and other professional and paraprofessional mental health personnel involved in the evaluation and treatment of patients. (Detail)
Q: Must every interprofessional team include representation from every profession listed in the requirement?
A: No. The Review Committee recognizes that the needs of specific patients change with their health status and circumstances. The intent of the
requirement is to ensure that the program has access to these professional and paraprofessional personnel, and that interprofessional teams will be constituted as appropriate and as needed; it is not to mandate that all be included in every case.
VI.G.5.a) Fellows in the Final Years of Education
Geriatric psychiatry fellows are considered to be in the final years of education.
VI.G.5.c).(1)
Circumstances for Eight Hours Free of Duty
There are no circumstances under which fellows may stay on duty with fewer than eight hours off.
VI.G.6. Maximum Frequency of In-House Night Float
Psychiatry – Psychosomatic Medicine VI.D.1. Licensed
Independent Practitioner
Only Licensed Independent Practitioners as consistent with state regulations and medical staff bylaws may have primary responsibility for a patient. (Detail)
VI.D.5.a).(1) Supervision of Residents
Do not have PGY-1 residents in the subspecialty.
Specialty/Requirement # Specialty-specific Duty Hour Definitions Frequently Asked Questions (FAQs) VI.E. Clinical
Responsibilities
Q: What is an appropriate patient load for residents?
A: All of the factors listed in the program requirements must contribute to the determination of an appropriate patient load for each resident. In addition, the patient care setting, the complexity of the patient’s treatment, and a resident’s role in carrying out that treatment must also be considered. For example, with psychiatric inpatients, an average case load of five-to-10 is usually appropriate, depending on the length of stay. Outpatient and consultation settings typically involve less intensive patient care responsibilities, and therefore caseloads would be higher. However, there may be situations in which lower patient caseloads may be acceptable, as when a resident is providing multiple and/or complicated interventions in patient care, or if a resident is assigned to multiple clinical settings at one time. The program director must make an assessment of the learning environment with input from faculty members and residents in light of these factors. Program directors will need to justify different patient loads with evidence such as severity of illness indicators or other factors.
VI.F. Teamwork VI.F.1. Contributors to effective interprofessional teams include consulting physicians, psychologists, psychiatric nurses, social workers, and other professional and paraprofessional mental health personnel involved in the evaluation and treatment of patients. (Detail)
Q: Must every interprofessional team include representation from every profession listed in the requirement?
A: No. The Review Committee recognizes that the needs of specific patients change with their health status and circumstances. The intent of the
requirement is to ensure that the program has access to these professional and paraprofessional personnel, and that interprofessional teams will be constituted as appropriate and as needed; it is not to mandate that all be included in every case.
VI.G.5.a) Fellows in the Final Years of Education
Psychosomatic medicine fellows are considered to be in the final years of education.
VI.G.5.c).(1)
Circumstances for Eight Hours Free of Duty
There are no circumstances under which fellows may stay on duty with fewer than eight hours off.
VI.G.6. Maximum Frequency of In-House Night Float
Radiation Oncology VI.D.1. Licensed Independent Practitioner
Q: Are there any licensed independent practitioners that the Review Committee