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Reporting Clinical and Educational Work Hours

As Michigan Medicine seeks to recover their projected losses, make sure you are accurately reporting your hours.

The revenue generating ORs are running elective surgeries for 12 hours this Saturday and plans are underway to open clinics 7 days a week, 12 hours a day, and you, our members, will be expected to work more hours than usual, If there was ever a time to accurately report your clinical and educational hours, it is now.  To remind you of what our current contract language on work/educational hour reporting currently states, it is pasted below.  

Clinical and educational work hours are defined as all clinical and educational activities related to the residency/fellowship program; i.e., patient care (both inpatient and outpatient), administrative duties relative to patient care, the provision for transfer of patient care, time spent in-house during call activities, and scheduled activities such as conferences.  Clinical work done from home, such as charting in the EMR and patient-related phone calls must count towards the clinical and educational work hour limit. Clinical and education work hours do not include reading, study, or preparation time spent away from the duty site.  On-call responsibilities outside of the hospital (“home call”) are not included in the clinical and educational work hour calculations except for time spent in active patient care responsibilities.  Time spent on the hospital premises after arriving from “home call” are also included in the clinical and educational hour calculations. 

Clinical and educational work hours must be limited to eighty (80) hours per week, averaged over a four (4)-week period, inclusive of all in-house call activities and designated off-premises activities.  Residents must be provided with one (1) day in seven (7) free from all educational and clinical responsibilities, averaged over a four (4)-week period, inclusive of call.  For purposes of this Article, one “day” or “release time” is defined as one (1) continuous twenty-four (24)-hour period, free from all clinical, educational, and administrative duties.  Although the one (1) day free in seven (7) is averaged over a four-week period, the normal expectation and intent is that a House Officer would not work more than two (2)-weeks without a day off.

It is a responsibility of the House Officer to accurately report clinical and educational work hours to their Program Director by logging them in MedHub within the specified time frame and reporting any frequent or unusual violations directly to the Program Director.  The Program Director, representing the Employer, is responsible for monitoring clinical and educational work hours for compliance with the above standard.  In the event that a House Officer does not obtain release time in accordance with the standards set forth in paragraph 61, an alternative day off will be scheduled within the four (4)-week period.  If alternative day(s) off cannot be scheduled then the House Officer will receive additional compensation equivalent to 1/365th of his/her annual base salary, for each day of release time that is not provided.  Also, the Employer must immediately discontinue any work schedule practices that are not in compliance with these standards.