Psychiatry Residency Program - On-Call Experiences
Residents (PGY 1-4) in Psychiatry at Staten Island University Hospital (SIUH) will adhere to the institutional guidelines and requirements, with respect to resident duty hours, that are noted above and that are consistent with ACGME guidelines and with the regulations of the New York State Department of Health.
In addition, the following specific duty hour guidelines will pertain to residents in the Psychiatry Residency Training Program at SIUH:
The resident's usual workday will be defined, unless otherwise specified, as operating from 8:00 AM to 5:00 PM, Monday through Friday.
PGY-1 residents will not assume on-call duty while on rotations within the Department of Psychiatry. On call duty while on rotations in other departments at SIUH will be assigned by the department, incorporating our concern regarding resident fatigue, balanced with the need for the resident to obtain a quality educational experience. Residents will participate in a Saturday on call experience from 8:00AM to 4:00PM five (5) times a year while on Psychiatry rotations.
PGY-2 residents will be on call on Saturdays, from 8:00 AM to 8:00 PM once monthly. They will then attend a hand-off communication meeting on Monday morning at 8:00 AM, their next scheduled duty obligation. They will be based in the Emergency Department at either our North or South Site, working directly with the Attending Psychiatrist on call at that site. They will hand off to the Attending Psychiatrist and the PGY-4 resident at the end of their on call duty hours. PGY-2 residents will also participate in short-call from 5pm to 10pm once a week.
PGY-3 residents will be on call Friday from 8:00 PM to 8:00AM, and Sunday from 8:00 AM to 8:00 PM once monthly, and will attend a hand-off communication meeting on Monday morning at 8:00 AM, their next scheduled duty obligation. They will be responsible for in-house consultations on the Medical and Surgical Services at one of our two sites, and will work directly with the Attending Psychiatrist on call at that site. The PGY-3 resident will also attend a hand-off communication meeting on Friday afternoon from 5:00 PM to 5:30 PM at the site where they will be on call the next day, in order to receive sign-out from the Consultation Liaison Service Attending Psychiatrists. The PGY-3 resident will hand off to the Attending Psychiatrist when they leave at the end of their on call duty hours.
PGY-4 residents will be on call from Saturday 9:00 AM to Sunday 8:00 AM once monthly. They will be based at our North Site and will assist the Attending Psychiatrist in supervising PGY-2 and PGY-3 residents on call at that site, and in attending to the clinical needs of patients in the Emergency Department and on the in-house Medical and Surgical services. The PGY-4 resident will attend the Friday afternoon hand off communication meeting at the North Site, from 5:00 PM to 5:30 PM, as well as the Monday morning hand off communication meeting at 8:00 AM. The PGY-4 resident will hand off to the Attending Psychiatrist on duty before they leave at the end of their on call duty hours.
The Monday morning, 8:00 AM, hand off communication meeting is intended to be educational in nature, and will allow the residents to hear further detail about the assessment, treatment and, in some cases, admission process related to the patients with whom they had worked while on call. The residents will have an opportunity to review their work with senior faculty at the meeting, and discuss the issues presented by their patients. The meeting will also serve to alert the Consultation Liaison Service as to the events in the hospital over the weekend, assisting them in the provision of care for those patients who remain in the Emergency Department or in the hospital at that time.