ABD'de asistanlarin calisma saatleri - tanimlar

Attending Physician: An appropriately credentialed and privileged member of the medical staff who
accepts full responsibility for a specific patient’s medical/surgical care.



Clinical Responsibility/Workload Limits: Reasonable maximum levels of assigned work for
residents/fellows consistent with ensuring a quality educational experience. Such work, and its level of
intensity, varies by specialty and should be studied by all RRCs before a decision is made to incorporate
specifics into the program requirements.



Conditional independence: Graded, progressive responsibility for patient care with defined oversight.



Continuity clinic: Setting for a longitudinal experience in which residents develop a continuous, long-
term therapeutic relationship with a panel of patients.



Duty Hours: Duty hours are defined as all clinical and academic activities related to the program; i.e.,
patient care (both inpatient and outpatient), administrative duties relative to patient care, the provision
for transfer of patient care, time spent in-house during call activities, and scheduled activities, such as
conferences. Duty hours do not include reading and preparation time spent away from the duty site.



External moonlighting: Voluntary, compensated, medically-related work performed outside
the institution where the resident is in training or at any of its related participating sites.



Faculty: Any individuals who have received a formal assignment to teach resident/fellow physicians. At
some sites appointment to the medical staff of the hospital constitutes appointment to the faculty.



Fatigue management: Recognition by either a resident or supervisor of a level of resident fatigue that
may adversely affect patient safety and enactment of a solution to mitigate the fatigue.



Fitness for duty: Mentally and physically able to effectively perform required duties and promote
patient safety.



Scheduled duty periods: Assigned duty within the institution encompassing hours which may be within
the normal work day, beyond the normal work day, or a combination of both.



Strategic napping: Short sleep periods, taken as a component of fatigue management, which can
mitigate the adverse effects of sleep loss.



Supervising Physician: A physician, either faculty member or more senior resident, designated by the
program director as the supervisor of a junior resident. Such designation must be based on the
demonstrated medical and supervisory capabilities of the physician.



Transitions of care: The relaying of complete and accurate patient information between individuals or
teams in transferring responsibility for patient care in the healthcare setting.


referans : www.acgme.org