- The program director will provide documentation that qualified faculty supervises all patient care. Faculty schedules and communication systems will be structured to provide residents with continuous supervision and consultation.
- Backup support systems will be provided when patient care responsibilities are unusually difficult or prolonged, or if unexpected circumstances create resident fatigue sufficient to jeopardize patient care.
- Faculty and residents will be educated to recognize the signs of fatigue and adopt and apply policies to prevent and counteract the potential negative effects.
Moonlighting Pediatric Endocrine Weekend Coverage (PEWC) will be handled as follows:
Outside activities are permitted in accordance with Federal Government and HHS regulations and procedures (form HHS 520 available at http://ethics.od.nih.gov/forms/hhs-520.pdf* and form NIH-2657, Part D, Supplemental Information to HHS-520) and with approval for the activity from the Clinical Director/Department Chief, and the Deputy Ethics Counselor, in addition to the Program Director. Program Directors must be aware of a resident’s outside activities so they can monitor resident well-being and ensure that moonlighting does PEWC does not interfere with the ability of the resident to achieve the goals and objectives of the educational program.
The Resident Agreement, signed annually by each resident, must reflect the individual program’s policy for moonlightingPEWC, and be in accordance with this official policy on duty hours.