Regular Day Time Duty Hours
The regular day time duty hours shall be Monday to Friday, 0800 hours to 1700 hours. The Program Director in consultation with the Department concerned shall determine the schedule of academic and service activities. It is recognized that strict adherence to the schedule must not jeopardize the adequacy and continuity of patient care.
Maximum Regular Scheduled In-Hospital Call
- Maximum regularly scheduled in-hospital call shall not exceed an average of one(1) day in four (4). The period used to determine the average number of call periods for a given resident shall begin on the first day of a recorded call schedule and end on the last day of a recorded call schedule for a given academic program. Residents shall receive effective July l, 2022, the rate of ninety-five dollars ($95), effective July 1, 2023 the rate of one hundred and fifteen dollars, and effective July l, 2024 the rate of one hundred and thirty dollars ($130). Effective July 1, 2025 and each July 1st thereafter, the rate shall increase by the percentage increase of annual salaries for Residents. Call periods shall not be scheduled consecutively. This payment shall not apply to situations when a Resident is required to work in excess of the regularly scheduled in-hospital call periods.
- A Resident shall not be scheduled or required to work two (2) or more consecutive in-hospital duty periods or in excess of ninety (90) hours per week on average per month without the consent of the Resident and their Program Director.
- There shall only be one (1) duty period scheduled during a consecutive four (4) day period which includes a Saturday, Sunday and statutory holiday.
- In a recorded duty schedule where a Resident has a period of approved leave, the maximum number of in-hospital call periods shall be proportionally reduced. The Resident shall notify the Employer of the leave.
- In the event that the Resident is required to work greater than the maximum regularly scheduled in-hospital duty periods, as per clause 9.02 (a), they shall be paid in addition to their salary at the rate of $225 for each such duty period between 1700 hours Monday and 0800 hours Saturday and $360 for each in hospital duty period between the hours of 0800 hours Saturday and 0800 hours Monday and in-hospital duty periods on statutory holidays.
- Duty schedules shall normally be published on a monthly basis at least two (2) weeks prior to the effective date and a copy shall be forwarded to the Medical Director or his/her delegate in each hospital.
Post Call Provision
Any Resident who is required to provide care of a continuous or intensive nature during their in-hospital call period, shall be permitted to be relieved of their duties at 1000 hours of a regular work day which follows the in-hospital call period after a handover of patient care responsibilities, satisfactory to the Employer and the attending Physician responsible for the patient, to ensure continuity of patient care. It is understood that by allowing the Resident to leave at l 000 hours, there is no additional cost to the Employer.
Apart from handover of patient care responsibilities, no Resident shall be required to assume new responsibilities following the 24th hour of duty.
Emergency Room Duty
- (a) Any Resident who is required to provide services in a hospital emergency room shall be permitted to be relieved of their duties after twelve (12) hours of service.
- The Employer shall not split such Resident’s shift, as per Article 9.04(a). without the consent of such Resident.
- No such Resident shall be required to provide services for more than five (5) consecutive days without having received thirty-six (36) hours off duty, and during any twenty-eight (28) day rotation, not less than two (2) periods of sixty (60) consecutive hours off duty.
- In the event that a Resident is required to work a sixth (6th) or subsequent consecutive day or in excess of twelve (12) hours of service, they shall be paid in addition to their salary at the rate of thirty-four dollars ($34) effective July 1, 2022 and the rate of thirty-four dollars and fifty cents ($34.50) effetive July 1, 2023 per hour worked. Effective July 1, 2024 and each July 1st thereafter, the rate shall increase by the percentage of annual salaries for Residents.
Maximum Regular Scheduled Out-of-Hospital Call
- A Resident who is not providing regular scheduled in-hospital call pursuant to Article 9.02 may be required to provide regularly scheduled call periods out of hospital.
- Maximum regular]y scheduled out-of-hospital can shall not exceed an average of one (I) day in three (3). The period used to determine the average number of can for a given resident shall begin on the first day of a recorded can schedule and end on the last day of a recorded call schedule for a given academic program. Residents shall receive effective July I, 2022 the rate of forty-seven dollars and fifty cents ($47.50); effective July 1, 2023 the rate of fifty-seven dollars and fifty cents ($57.50) and effective July l, 2024 the rate of sixty-five dollars ($65). Effective July 1, 2025 and each July 1st thereafter, the rate shall increase by the percentage increase of annual salaries for Residents. This payment shall not apply to situations when a Resident is required to work in excess of the regularly scheduled on call duty periods.
- There shall only be one (1) on call duty period scheduled during a three (3) consecutive day period which includes a Saturday, Sunday and statutory holiday.
- In a recorded duty schedule where a Resident has a period of approved leave the maximum number of out-of-hospital duty periods shall be reduced proportionately. The Resident shall notify the Employer of the leave.
- A Resident engaged in out-of-hospital duty periods shall be enabled to be contacted during such periods by the use of the employer supplied pager provided under Clause 23.06 and able to initiate return telephone conversation within five (5) minutes of receipt of a page and shall be able to be recalled to duty.
- In the event that a Resident is required to work greater than the maximum regularly scheduled out-of-hospital duty periods as per clause 9.05 (b) he/she shall be paid at the rate of seventy-five dollars ($75) for each additional period.