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Thank you for using the Hopkins House Staff Council Anonymous Noncompliant Rotation Reporting Tool. Please read the introduction below if you are unfamiliar with submitting reports:

Duty hours violations have continued to be a problem in many residency programs at Johns Hopkins. Addressing duty hour violations is a priority for GME and the House Staff Council.

In an attempt to provide a tool to address this issue, the House Staff Council has developed this INDEPENDENT reporting tool for residents to ANONYMOUSLY identify rotations that are known to frequently cause duty hour violations.

The survey is designed by residents and administered by residents. Results are reviewed by residents on the House Staff Council and then aggregate results are presented to GME and program directors to provide critical feedback in an effort to improve the situation.

Instructions:
1. Please log and report your duty hours honestly. This is the preferred method for programs to address problematic rotations.
2. Report only on rotations that you have recently finished so that we can maintain data quality.
3. Submit a separate report for each offending rotation.
4. Give as many details as possible to aid us in helping address the problem. Remember, we can't ask you questions since we don't know who you are.
5. Contact the House Staff Council immediately if any attempt is made by your program to identify you or any other individual who submitted a report.

Follow-up:
These reports will be presented to the Graduate Medical Education Committee on a quarterly basis in order to aggregate results and protect the identity of the individuals submitting reports. Program directors will be asked to address the issues discussed in reports and report back to the GMEC on the changes made to address the problematic rotations.

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* 1. Residency program:

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* 2. What is the name of the rotation on which you had trouble staying within ACGME duty hours regulations?
(Please submit a separate survey for each rotation you wish to report)

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* 3. In general, at what level(s) are duty hours a problem on this rotation?

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* 4. What was the average number of hours per week that you worked on this rotation?

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* 5. How many times during the month did you have less than 8 hours between the end of one shift and the beginning of your next?
(Note: Senior residents in select specialties are allowed to have 8 hours between shifts)

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* 6. How many times during the month did you have to stay on service longer than 28 hours straight? (16hrs for PGY 1)

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* 7. How many hours were you on service in an average week during the rotation?

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* 8. During this rotation, were you scheduled for 24hrs + 4 hours of education or patient transfer time? Or were you actually scheduled for > 24 hour shift?

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* 9. What are the main reasons that you could not follow duty hours?
(eg. Scheduled longer than 24 + 4, asked to stay longer by other residents or an attending, there was too much work for the team to handle without me.... (Please be as specific as possible to help us resolve the issues)

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* 10. Do you have any ideas about how this rotation could be changed to allow residents to adhere to duty hours?

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* 11. Have you been logging your duty hours correctly? If not, why not?

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* 12. Do you think that your attendings on this service know about this problem?

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* 13. Do you think your program director is aware of this problem?

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* 14. What have the attendings and/or program director done to propagate the problem or fix the problem?

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* 15. If yes, what makes you think that your attendings and/or program director know?

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* 16. Do you have any other comments? suggestions?

Thank you for submitting this report. The House Staff Council Chair will bring these reports to the Graduate Medical Education Committee every January, April, July, and October.

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