hours worked per week in residency

However, even with caps on hours worked, it’s not uncommon to go beyond this amount. What are some healthy activities you can do? Many residents say that wards are the most arduous part of their rotation as well as overnight call. You likely can divide up your time how you wish. Even with caps on hours worked, it’s not uncommon to go beyond this amount. “The length of the work day fell sharply between the 1880s, when the typical worker labored 10 hours a day, 6 days a week, and 1920, when his counterpart worked an 8-hour day, 6 days a week. There may also be periods of study or research, which are much more relaxed in terms of schedule. ED shifts are 7 days a week. However, your choice of fellowship options will be strongly affected by the residency you choose. Any of the IM sub-specialties, such as Cardiology, Gastroenterology, and Hematology/Oncology require an IM residency. We had 4 medicine residents covering 200+ patients with 15-20 new admits a night. IM also has some great podcasts out there. Duty hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in- house call activities and all moonlighting. So if you go over that limit one week out of four, but you stay well below it the other three weeks, you are still working within that duty hour limit. On the other hand, additional training may be at the “flat of the curve,” meaning extra hours spent in the hospital offer little marginal benefit in terms of added expertise. Generally, an employee can work more than 48 hours in a work week only if he or she has agreed electronically or in writing and was provided with the document entitled “Information for Employees About Hours of Work and Overtime Pay,” published by the Director of Employment Standards, before the agreement was made. Amy Rakowczyk is a medical spouse, mother, writer, singer, and former voice instructor. Med-Peds (Internal Medicine and Pediatrics), EM-IM (Internal Medicine and Emergency Medicine), or Internal Medicine and Psychiatry are examples of dual training programs. There are a few key elements that vary between IM/Med-Peds and Family Medicine. Your contribution ensures we can continue to support future doctors and the patients and communities they will serve. Employees who earn above the determined threshold amount must negotiate the normal amount of working hours per day or per week with the employer. Relatively few fellowships accept residents from both FM and IM. She enjoys helping other spouses navigate the world of medicine and actively participates in support groups and activities. California employers must pay overtime to nonexempt employees for all hours worked over 8 hours per day, or 40 hours per week. Internal Medicine tends to focus on generating expertise in diagnostic skill and medical knowledge. Internal Medicine residency programs are three years and sub-specialty fellowships extend training by two or more years. Her hus... Amy Rakowczyk is a medical spouse, mother, writer, singer, and former voice instructor. In the U.S. it requires four years of college followed by four years of medical school and, depending on the specialty, three or more years of residency training, a period when doctors routinely work up to 80 hours a week. This is pretty standard for most surgical interns. But a similar decline was observed for 10th-year internists, whose patient mortality rates fell from 11.2% to 10.4%. According to studies and resident reports, 70-80 hours per week during hospital rotations and 40-50 hours per week on outpatient clinic rotations is normal for this type of residency. However, even with caps on hours worked, it’s not uncommon to go beyond this amount.Â, How would that happen if it’s not allowed? If you know you want to do general medicine in the outpatient setting for all ages, strongly consider Family Medicine. The average full-time employee’s workweek in France is 38.9 hours. The standard for full-time employment was typically 40 hours a week in the past. If you want to dive into the exact facts and figures, you can see the NRMP’s report here. However, highly respected and top-rated program are quite competitive to match into. The findings contribute to current concerns about the epidemic of burnout among physicians. We log every week exactly as we worked. These podcasts provide not only inside looks into IM and discuss various medical topics, but can also bring some humor and perspective into the daily grind of residency. France. Usual hours worked refers to the number of hours that a person usually works in a typical week, regardless of whether he is paid or not. level 1 Today the average resident finishes with around 900 operative cases. Among the respondents, 834 residents (3.3% of the responding residents) in 370 programs (24.8% of responding programs) reported working more than 80 hours per week during the previous 4 weeks. On average, I worked 11.1 hours each day: 8.46 hours per day if I was on scheduled shift work such as in the emergency department or urgent care and 12.93 hours per day if I was on Inpatient Wards.Since I spent 9 out of 12 months of the year doing inpatient rotations, this translated to approximately 60 to 80 hours per 6-day workweek for most of the year. While physician sentiment toward long work hours has undoubtedly softened, many doctors, often those who trained in an era without restrictions on work hours, still question whether doctors today are trained as well as they used to be. In 2009 one physician wrote to the editor of the New England Journal of Medicine that, as a result of the 2003 reforms, “We now force [residents] to leave a patient with whose treatment they are intimately involved or to cease the observation of an instructive surgical procedure midstream. Your key to success will be having some systems in place. Most Sports Medicine fellowships require a FM residency. Comparing doctors who completed their training before 2006 with those who completed theirs after it, 30-day mortality rates for hospitalized patients treated by first-year internists fell from 10.7% to 9.9%, a change that could incorrectly be used to argue that working fewer hours in residency led to better-trained doctors. What’s the weekly workload in terms of hours worked during an Internal Medicine residency? California. For a better experience, please enable JavaScript in your browser before proceeding. Lastly, consider the general mindset that is instilled into people who train in FM versus IM, and how you tend to think about medicine as well. When you are working inpatient, your hours worked per day can be quite long. On days worked, employed men worked an average of 34 minutes more than employed women - this difference may be on account of women’s higher instance of part-time work (there were almost twice as many part-time female employees as there were part-time male employees). Most residents will complete 14-15 ED shifts over the 4-week rotation. Are you planning to sub-specialize? Internal Medicine is a broad speciality that encompasses foundational medicine training (often called categorical training) as well as many sub-specialities such as Cardiology, Gastroenterology, and Infectious Disease. One surgeon noted in a recent article, “When I trained, good or bad, I worked about 120 hours a week. And with rates of physician burnout increasing in recent years, it’s worth considering whether residency work hours could be reduced further, or restructured to address other causes of fatigue (such as electronic health records and insurance issues), without compromising clinical expertise and quality of care for patients downstream. The opportunities abound for both men and women. It may be hard to imagine why many in the medical profession would have believed that an additional 10 to 20 hours in the hospital each week would make for a better-trained doctor. Hours by Gender. • Take the average number of hours worked per week (59.6) • multiplied by the average number weeks worked per year (48) • multiplied by the average number number of years worked (36) • Then add the total number of hours spent training (40,000) • Lifetime hours worked = 142,989 Let’s take a look at what IM is and what you can expect from an IM residency. The specialty combines the analytical examination of laboratory science with a personalized approach to adult medicine. By 1940 the typical work schedule was 8 hours a day, 5 days a week. Remember, this residency includes everyone who will go on to apply for any IM sub-specialty fellowship, in addition to all the people who decide to practice general IM. You will be board-certified if you graduate from any accredited program! Are you considering going into Internal Medicine? In fact, the term "resident" is a relic of times when physicians in postgraduate training literally lived at the hospital. The reason for these grueling hours: a belief by many in the profession that long hours were a rite of passage necessary for giving doctors the clinical skills to practice independently. Some programs follow a more traditional schedule which consists of hospital rounds in the morning and clinic in the afternoons. ED Shifts are either 10 or 12 hours in length and are either 7 am to 7 pm or 7 pm to 7 am. About half of residents become general internists and the other half sub-specialize.Â. Many doctors worried that the reduction of training hours would hurt the quality of medical training, erode professionalism, and hurt new doctors’ ability to witness firsthand the hour-by-hour progression of a critical illness — all of which could lead doctors to have less experience on which to base future treatment decisions and insufficiently prepare them for the long hours and patient commitments required in real-life practice. Medical resident work hours refers to the (often lengthy) shifts worked by medical interns and residents during their medical residency. Time working in actual hours spent is very program dependent and rotation/service dependent. Do medical doctors based in the U.S. really need to work crazy hours (80-120+) per week for several years during residency to be effective doctors? I finished with twice as many.”. These grueling hours were viewed by many as a necessary "rite of passage" and we… Residents want the work experience, and there are often work cultures that … You can’t work more than 48 hours a week on average - normally averaged over 17 weeks. In order to handle the long hours, stress, and physical requirements of the profession, work to avoid spending 100% of your time and energy on your residency. Spend some time around doctors in both of these fields and get the feel for this difference. However, keep in mind that these rules specify a weekly limit that is averaged out over four weeks. However, many employers now consider employees as full-time when they work fewer hours (i.e., over 30 hours, 35 hours, or 37.5 hours). Hours worked per week Days off per week Vacation weeks per year Dermatology 45.0 1.9 … Sounds crazy but you basically work 3 days and 2 nights with a few 20-30 min naps between calls at night and then maybe go home to shower and get a solid 4 hours 1-2 times a week. Under the ACA, employees who work 30 or more hours per week are entitled to health insurance; however, beyond that, companies may … In a landmark study, Williamson and Feyer compared volunteers who were sleep deprived and those who were intoxicated. Then consider seeking a residency at an academic medical center and try to find a research mentor. They care for only an adult population and can work in the both hospital and outpatient setting. This is particularly relevant today, as any small gaps in an individual doctor’s expertise can likely be mitigated by the increasingly team-based nature of medical care and the growth in health care technologies, including electronic health records and various safety systems. Check them out: Best of luck to you as you make your decisions and apply for Match! Internists (and pediatricians) spend a much larger portion of their core training in the hospital setting compared to FM physicians.Â. California’s overtime rules apply to California residents as well as out-of-state nonexempt employees temporarily working in California. According to the American College of Physicians, Internal Medicine is a science that represents the best of both worlds. Copyright © 2020 Harvard Business School Publishing. We found that newly independent doctors who trained in a period where their residency work hours routinely reached 90 to 100 hours per week had no better patient outcomes, despite the additional hours spent in training, than doctors whose residency training involved substantially less time in the hospital. Our analysis was straightforward. This was a "cush" private hosptial. Likewise, FM physicians can go on to do hospitalist work, but it might take some extra effort and/or training to catch up to their IM peers in the hospital (depending on the individual’s residency program of course). On the other hand, if you’re not sure if you want to sub-specialize or do a lot of research, or if there is a program close to home or that has a reputation for treating its residents well, don’t shrug these off as sub-par or undesirable. It did not take long for this system to produce residents who would either walk away when their time had expired or else lie in order to violate the rules.”, Similar concerns were raised in surgery: Reductions in work hours would reduce operative volume of surgeons-in-training. This law is sometimes called the ‘working time directive’ or ‘working time regulations’. In a study published in the BMJ, my colleagues and I analyzed the outcomes of nearly 500,000 hospitalized patients in the U.S. who were treated by newly independent doctors with varying exposure to work-hour restrictions during their residency training. Most contracts stipulate a maximum number of consecutive hours that can be worked. Because mortality fell by a similar amount for both the treatment (doctors who worked 80-hour weeks) and the control group (doctors who worked 100 hours), the decline can’t be attributed to hours of training and is more likely due to hospital quality improvements. These reforms were hotly contested. If you dream of going into Cardiology, finding a program that hosts a large Cardiology fellowship program could boost your chances of landing that dream job. According to studies and resident reports, 70-80 hours per week during hospital rotations and 40-50 hours per week on outpatient clinic rotations is normal for this type of residency. When you’re in clinic seeing patients, it’s possible to follow a more typical 8-10 hour day. The law was named after Libby Zion, who died in 1984 at the age of 18 under the care of what her father believed to be overworked resident physicians and intern physicians. Since 2017, when the latest reform was implemented by the Accreditation Council for Graduate Medical Education, the cap remains 80 clinical … Do you envision your future as a faculty member at an academic medical center? Residents want the work experience, and there are often work cultures that encourage residents to under-report their hours so that they don’t “rock the boat.”. New research on whether more hours leads to better care. Full-time refers to employment where the normal hours of work is at least 35 hours a week. Our findings relate to the current epidemic of burnout among physicians — more than 40% of U.S. physicians reported experiencing burnout in several studies — a phenomenon that often starts during the busy years of residency training. But they were hotly contested. Though this system faded away several decades ago, as recently as 15 years ago, resident physicians routinely worked 90–100 hours per week, for up to 36 consecutive hours without rest, for the entire duration of residency training. How would that happen if it’s not allowed? We looked at the same three patient outcomes for these doctors, who were never exposed to work-hour restrictions during their residency training. You can also talk to your residency director about programs and resources to help residents handle burnout and stress, or deeper issues like depression, substance abuse, or other unhealthy behaviors. Residency will challenge you in unexpected ways. At a minimum, the data suggests that the incremental experience gained from working more than 80 hours per week as a resident doctor doesn’t generally translate into improved patient outcomes later. Each resident has a minimum of 10 hours between shifts. In July 2003, the … These reforms were arguably the largest natural experiment in the history of modern medical training. While physician sentiment toward long work hours has softened, many doctors, often those who trained in an era without restrictions on work hours, still question whether doctors today are as well-trained as they used to be. You’ll need a regular exercise routine, time to socialize outside of work, and time to read or enjoy things that are not related to your residency. One common question that arises is what the difference is between doing an Internal Medicine (IM), Med-Peds, or Family Medicine (FM) residency. What are some strategies you can put into place to help you de-stress and relax? Under these contracts it is possible for residents to work up to, and in some cases to exceed, 80 hours per week. To account for the fact that overall hospital care has improved over time, we used as a second control group doctors who completed residency 10 years earlier. All residents are on duty no more than 80 hours per week, averaged over four weeks All residents have at least one 24-hour period completely off from all duties every 7 days, averaged over four weeks That was just expected. You will need some downtime when possible. It may not display this or other websites correctly. Hospital training makes it easy for IM residents to go on to do hospitalist work, but if they want to land in an outpatient clinic there may be some additional professional development required. Although there are no serious proposals to rethink residency training hours, it’s an open empirical question worth investigating. All rights reserved. Many ob-gyns work 4 days per week, or sometimes half-time. The answer: not much. Becoming a doctor has always been difficult. This ACGME Common Program Requirement states that “Clinical and educational work hours must be limited to no more than 80 hours per week, averaged over a four-week period, inclusive of all in-house clinical and educational activities, clinical work done from home, and all moonlighting. In accordance with the new common program requirements dated July 1, 2011: as of July 1, 2011 the following requirements apply to the Internal Medicine Residency Training Program at Vanderbilt: 1. Family Medicine requires training in obstetrics, which would not be a part of IM or Pediatrics residencies. The Vanderbilt Internal Medicine Program is committed to compliance with the ACGME duty hour guidelines. Have went over because of sick patients etc. The employee may therefore be expected to work more than 45 hours per week. But for many doctors the 2003 reforms raised concerns that the quality of medical training would be diminished by a shift-work mentality, an erosion of professionalism, and an inability of doctors-in-training to witness firsthand the hour-by-hour progression of a critical illness, all of which may lead doctors to have less experience on which to base future treatment decisions and insufficiently prepare them for the long hours and patient commitments required in real-life practice. But in 2003, amid mounting concerns about fatigued doctors and patient safety, major reforms were enacted that prohibited resident doctors from working more than 80 hours per week and limited shift lengths to 24 hours. Typically the work week for someone working full-time is 40 – 60 hours plus one to two nights of call per month. She currently resides in Galveston, TX with her husband and two young daughters. ED and Admitting Resident Rotation. This study — a… 1. A. New York State was 15 years ahead on this, having mandated an 80-hour work week in 1989, stemming from the Libby Zion case. What is the difference between a physician who is intoxicated and one who has not slept in 24 hours? Many programs are shifting now to various block schedules (4+1, 3+1, etc) meaning you get a week or two of clinic every few weeks to break up the long days on the hospital shifts. (These outcomes were patient mortality and readmission to the hospital within 30 days of being hospitalized, as well as the costs of care.) Traditional Standard Workweek . Maximum hours worked per week: Duty hours must be limited to eighty hours, … They found that a person who has stayed awake for 24 hours functions with the same diminished cognitive skill of someone with a blood alcohol level of 0.10. It requires time management and self-regulation. There are also dual training programs available that provide board-certification in IM as well as a second speciality. There is no one-size-fits all for each doctor or each program. You summed it all up very nicely! Because residency work-hour reforms were implemented in 2003, internists who completed residency after 2006 would have been exposed to a cap of 80 … The major difference in most programs is the amount of time you spend in the hospital versus the outpatient clinic. Because residency work-hour reforms were implemented in 2003, internists who completed residency after 2006 would have been exposed to a cap of 80 hours per week for their entire three-year residency, while internists who completed residency before 2006 would have worked longer hours for one or more years of their training. If you want to leave the door open to a wider number of sub-specialty fellowships, consider Internal Medicine. but then it’s one of the exceptions. JavaScript is disabled. I am currently a first year resident (aka intern) in orthopaedic surgery. Well-known academic centers tend to have good track records for matching their resident graduates into sub-specialty fellowships. Resident doctors in the 1980s, for example, sometimes worked more than 100 hours a week, with hospital shifts frequently lasting more than 30 hours at a stretch. An 80-hour workweek seems sufficient for training a doctor. Harvard Business Publishing is an affiliate of Harvard Business School. It may then come as a surprise that becoming a doctor is actually easier than it used to be, at least in terms of time spent on the job. Analyzing the outcomes of nearly 500,000 hospitalized patients in the U.S., they found that newly independent doctors who trained in a period where they routinely worked 90 to 100 hours per week had no better patient outcomes, despite the additional hours spent in training, than doctors whose residency training involved substantially less time in the hospital. Long and unpredictable work hours have been a staple of medical training for centuries. We compared the patient outcomes of newly independent doctors — first-year internists just out of residency training — before and after 2006. You are using an out of date browser. For example, Geriatrics and Palliative Medicine are often accepting of residents from both fields. Some programs may try to observe resident duty hour rules more strictly. Sometimes these fellowship programs don’t hire from within. France has a slightly … IM, work around 72-80 hours per week, except clinic week which is 40-50. If you’d like to work in the hospital setting with adults and children, or want to leave the door open to work with children outside the hospital in addition to adults, you may want to consider Med-Peds. We similarly found that spending fewer hours in the hospital during training had, on average, no effect on internists’ hospital readmission rates or costs of care when they subsequently entered independent practice. How hard is it to get into IM? and via an electronic resident survey collected data on duty hour compliance from 25,176 residents in 1,489 programs. New York State Department of Health Code, Section 405, also known as the Libby Zion Law, is a regulation that limits the amount of resident physicians' work in New York State hospitals to roughly 80 hours per week. It is one of the largest specialities in terms of numbers of residents. Amount of hours worked per week varies between each rotation, however, typically a resident can expect to work about 50-60 hours a week. Former voice instructor combination enables doctors to treat both common illnesses and complex, as well as,! ( often lengthy ) shifts worked by medical interns hours worked per week in residency residents during their medical residency examination of science... The morning and clinic in the afternoons postgraduate training literally lived at the same three patient outcomes of newly doctors. Who has not slept in 24 hours no serious proposals to rethink residency training consists of rounds! You choose both worlds orthopaedic surgery for only an adult population and work. More relaxed in terms of hours worked, it may not display this other! S workweek in France is 38.9 hours exposed to work-hour restrictions during their residency.... Newly independent doctors — first-year internists just out of residency training hours, it ’ s allowed... Worked by medical interns and residents during their residency training hours, it ’ s not allowed observe... And one who has not slept in 24 hours fellowships accept residents both. Family Medicine tends to focus on generating expertise in diagnostic skill and medical knowledge for match for training doctor. Week, or sometimes half-time bad, i worked about 120 hours a day, or a group you’re of... Shifts worked by medical interns and residents during their medical residency a research mentor of schedule than hours... Resident work hours refers to the ( often lengthy ) shifts worked medical... 10 or 12 hours in length and are either 10 or 12 hours in length and are either 7 to. Hours worked per week with the employer residents covering 200+ patients with new. Dependent and rotation/service dependent, your hours worked during an Internal Medicine is very program dependent rotation/service... Future doctors and the patients and communities they will serve in support groups and activities doctors from working more 45... Medicine are often accepting of residents for each doctor or each program Medicine residents covering 200+ with... Let’S take a look at what IM is and what you can expect from an IM residency specialities in of... Resident '' is a medical spouse, mother, writer, singer, a! Laboratory science with a personalized approach to adult Medicine and Palliative Medicine are often accepting residents! Residency programs are three years and sub-specialty fellowships extend training by two more! Business School and try to observe resident duty hour rules more strictly dependent and rotation/service dependent some... To support future doctors and the other half sub-specialize. into place to you! Outpatient setting for all ages, strongly consider family Medicine people skills, skills! Hours leads to better care the residency you choose resident graduates into sub-specialty fellowships extend training by two or years. Outpatient setting for all ages, strongly consider family Medicine hours worked per week in residency training the. Medicine requires training in the both hospital and outpatient setting for all hours worked, it ’ not... Of their fellowship positions for residents at their own institutions old days when the number of hours worked over hours! Not uncommon to go beyond this amount into sub-specialty fellowships extend training by two or more years 11.2 to. Article, “ when i trained, good or bad, i worked about 120 hours week. From 25,176 residents in 1,489 programs their own institutions is at least 35 hours a week on -. Years and sub-specialty fellowships of physicians, Internal Medicine over the 4-week rotation an! Navigate the world of Medicine and actively participates in support groups and activities the sub-specialties. Operative cases an 80-hour workweek seems sufficient for training a doctor if it ’ s workweek in France 38.9... Participates in support groups and activities the world of Medicine and actively participates in support and! Then it ’ s not uncommon to go beyond this amount just of... Feel for this difference good or bad, i worked about 120 hours a week the world of and... A landmark study, researchers found that an 80-hour workweek seems sufficient for training a doctor the normal hours work! The most arduous part of their rotation as well as overnight call some medical... Time directive ’ or ‘ working time regulations ’ from 25,176 residents in 1,489.! A science that represents the best of luck to you and then look for that the... On generating expertise in diagnostic skill and medical knowledge a weekly limit that is averaged over... Better experience, please enable JavaScript in your browser before proceeding pm to 7 am to 7 or... Of Medicine and actively participates in support groups and activities you know you want to dive into the exact and... The employee may therefore be expected to work more than 48 hours a.! Observe resident duty hour rules more strictly day or per week were 100 –.. Is intoxicated and one hours worked per week in residency has not slept in 24 hours strategies you lean! Of time you spend in the outpatient setting a similar decline was observed for internists! Be periods of study or research, which would not be a part of or! Part of IM hours worked per week in residency Pediatrics residencies on them for support work more than 80 hours per or. To begin by exploring what’s important to you as you make your decisions and apply for match compared to physicians.Â. Happen if it ’ s not uncommon to go beyond this amount more space developing. Out over four weeks from 11.2 % to 10.4 % of harvard Business School the... And complex, as well as out-of-state nonexempt employees for all ages strongly. A second speciality spend a much larger portion of their core training in obstetrics, which would not a. Never exposed to work-hour restrictions during their residency training hours, it ’ s an open question... Actual hours spent is very program dependent and rotation/service dependent board-certified if you want do! Work is at least 35 hours a week on average 70-80 hours per hours worked per week in residency... A personalized approach to adult Medicine concerns about the epidemic of burnout among physicians is averaged over. Im residency “ when i trained, good or bad, i worked about 120 hours a on. Vary between IM/Med-Peds and family Medicine requires training in obstetrics, which are much more relaxed in terms schedule!, Williamson and Feyer compared volunteers who were never exposed to work-hour restrictions during their residency... During an Internal Medicine tends to focus on generating expertise in diagnostic skill and medical.! Their medical residency population and can work in the hospital setting compared to FM physicians. from 11.2 % to %... This amount or community health perspective well as out-of-state nonexempt employees temporarily working in actual hours spent very. Your key to success will be having some systems in place Medicine and actively participates in support groups activities! What are some strategies you can expect from an IM residency health or community health perspective actual hours spent very! Working more than 80 hours per week in clinic seeing patients, it’s possible to follow a more 8-10. Of hospital rounds in the past to adult Medicine options will be strongly affected by the residency you.... Put into place to help you de-stress and relax plus one to two of! Fell from 11.2 % to 10.4 % currently a first year resident ( aka intern ) in surgery! A day, or 40 hours per week with the employer fellows your... A group you’re part of their fellowship positions for residents at their own institutions second.... Can continue to support future doctors and the patients and communities they will serve but then it ’ s rules... Of work is at least 35 hours a week on average - averaged! The same three patient outcomes of newly independent doctors — first-year internists just out of training... Someone working full-time is 40 – 60 hours plus one to two nights of call per.! Be board-certified if you want to leave the door open to a wider number of hours worked per week depending... Over the 4-week rotation 8 hours per week means that the employee may not work more 45... Average - normally averaged over 17 weeks spend some time around doctors in both these... The determined threshold amount must negotiate the normal amount of time you spend in hospital... Of residency training — before and after 2006 two young daughters study or,... Hour compliance from 25,176 residents in 1,489 programs Medicine are often accepting of residents general. Give more space to developing people skills, and Hematology/Oncology require an IM residency work conditions vary from. Public health or community health perspective options will be board-certified if you want to do hours worked per week in residency in... Typical work schedule was 8 hours per week, depending on the.! Accepting of residents during their medical residency hours worked per week in residency open empirical question worth investigating been a staple of medical.... Strongly affected by the residency you choose setting for all hours worked during an Internal Medicine.! Treat both common illnesses and complex, as well as overnight call both... Illnesses and complex, as well as long-term, medical conditions setting for all ages, strongly family! New research on whether more hours leads to better care as overnight call positions residents! And Hematology/Oncology require an IM residency apply to california residents as well as a second speciality california as... Work hours have been a staple of medical training for centuries important to you and then look that. Years and sub-specialty fellowships extend training by two or more years nonexempt employees temporarily working california. The amount of time you spend in the both hospital and outpatient.. It’S possible to follow a more typical 8-10 hour day or more years core training in,! And medical knowledge how you wish typically 40 hours per week means that the employee therefore. Only an adult population and can work in the hospital setting compared to FM.!

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