Duty Hours

The University of Iowa Fellowship in Cardiovascular Diseases program complies fully with the ACGME, Internal Medicine RRC, and University of Iowa Hospitals and Clinics duty hour guidelines. These guidelines are summarized as follows:

  1. Duty hours are limited to 80 hours per week averaged over a 4 week period.
  2. Fellows will be provided 1 day in 7 free from all educational and clinical responsibilities, averaged over a 4 week period.
  3. Continuous on-site duty must not exceed 24 consecutive hours. Fellows may remain on duty for up to 6 additional hours to participate in didactic activities, transfer care of patients, conduct outpatient follow-up clinics, and maintain continuity of patient care.
  4. No new patients may be accepted after 24 hours of continuous duty.
  5. Adequate time for rest and personal activities will be provided. This will consist of a 10 hour time period provided between all daily duty periods.

Cardiology fellow work hours are subject to the 80 hours per week limit as stated above, and this includes moonlighting. Although call is taken from home, fellows may be required to return to the hospital to assist in the care of a critically ill patient or to perform a procedure. The hours the fellow spends in the hospital count toward the 80 hour limit for the week.

All fellows are required to submit their duty hours at the end of the month. The duty hours are regularly monitored by the program coordinator and the program director. Fellows should report to the program director if the duty hour guidelines are violated in any way. The duty hour data is reviewed to confirm that the program is in compliance with the duty hour policy.