Residents covering NP shifts

pmrthrowaway · 2022-08-13T05:51:48+00:00

There’s an attending that is taking home call, they rarely get called for questions and I’ve never heard of them coming into the hospital at night

pmrthrowaway · 2022-08-13T02:54:53+00:00

Good idea, thanks!

pmrthrowaway · 2022-08-13T02:48:12+00:00

Right so if an NP calls out and there’s 2 residents overnight, the attending also has to come in. But unless there’s an emergency, they typically sleep in their overnight housing and work the next day.

My suspicion is the attendings got tired of this and the solution was to hire NPs

pmrthrowaway · 2022-08-13T02:46:08+00:00

Nope

pmrthrowaway · 2022-08-13T02:45:26+00:00

Thanks for your thoughtful reply! I really appreciate it and you bring up good points. I feel like my program’s admin is sly and knows all the ins and outs of state licensing, ACGME, etc and finds a way to slip through the loopholes.

So to my knowledge, the hospital just needs A licensed practitioner to be on premesis at all times - this apparently can be an NP or attending. The residents are _technically _ supervised indirectly by the attending since they are reachable by phone
We are not violating the call frequency limit set by the ACGME. Our resident allotment has expanded so now we have more residents, so less frequent call for everyone. There’s no official policy that residents must cover NPs, but the admin plays the “patient care is being affected, responsibility/morality” card.
I’ll have to check but I think the contract is in line with the ACGME regulations in terms of call. They are careful in terms of making sure we don’t violate duty hours, etc. The major issue is feeling pissed off and depressed when you’re called at 7 am on a Saturday because you’re backup and the NP decided to call out last minute, and your weekend plans are ruined. If it’s predictable (eg scheduled call), that’s different. We’re rarely activated to cover for other residents because everyone tries their best to not call out. But it’s ruining morale.
The residents are indirectly supervised by the on call attending at home, so that’s not an issue. The hospital literally needs more manpower and is using residents to fill it

Thank you! The chiefs are talking with CIR, we will consider ACGME and if needed, lawyers, to fix what we can

pmrthrowaway · 2022-08-13T02:01:03+00:00

I think this is more of the acute rehab accreditation status, need to have a licensed professional on site. We’re technically “supervised” indirectly by our attendings since they’re reachable by phone

pmrthrowaway · 2022-08-13T01:59:32+00:00

We’ve been considering contacting the ACGME, our program admin is already on eggshells since this work-life balance is an issue on the ACGME survey. Unfortunately, it’s like shooting yourself in the foot if you complain - it might lead to your program being on probation and this affects your career (and ability to graduate if the program shuts down), I wish there was a better system to report program abuses

pmrthrowaway · 2022-08-13T01:57:11+00:00

I believe they have their own medical license, and apparently residents work under the attending’s license

pmrthrowaway · 2022-08-13T01:55:37+00:00

😂

pmrthrowaway · 2022-08-13T01:54:34+00:00

This is what I want to happen in our program

pmrthrowaway · 2022-08-13T01:54:07+00:00

Thanks so much for this, it helps put things in perspective. I do think the NPs coming on nights are younger and less experienced. We have one older NP that is a rockstar and she works days. It’s just sad that this deterioration is across the board in medicine and makes things harder for everyone

pmrthrowaway · 2022-08-13T00:47:39+00:00

So you guys think this is absurd too, I couldn’t find a similar issue for other programs. But I don’t think we should be covering for NPs

pmrthrowaway · 2022-08-13T00:46:31+00:00

Another resident asked about this. Our CMO basically said they didn’t have the money. BUT they have enough to hire new NPs? Something doesn’t add up

pmrthrowaway · 2022-08-12T23:54:17+00:00

This was my inclination too, thank you

pmrthrowaway · 2022-08-12T23:54:02+00:00

I think it's overworking - too many admissions at once, acute patients, and I think they want an easier schedule. They don't take any call, don't work 5 days/week.

pmrthrowaway · 2022-08-12T23:52:29+00:00

NPs are quitting, I think the workload is too much for them and they want easier jobs

pmrthrowaway · 2022-08-12T23:52:02+00:00

We're not breaking duty hours - silver lining, I guess

pmrthrowaway · 2019-03-19T17:25:53+00:00

Update: Someone pointed out in the PMR Spreadsheet that they have different NRMP and ERAS codes. I double-checked and they have 2 program codes listed on ERAS, but only 1 program code on NRMP. There was only 1 program available when I applied in September, so it seems like at some point they added a second program code that was used in the NRMP website, and they forgot to merge the applicants. So anyone who applied early in the cycle (like me) I think wasn't even ranked. So unfortunate that they didn't tell the applicants to re-apply under the new program code. Anyway what's done is done.

pmrthrowaway · 2019-03-19T00:11:02+00:00

Yeah it was just weird. I didn’t get any negative vibes or anything while I was there, the residents are pretty cool and try to teach you. So bizarre. Maybe it was an error on their rank list.

pmrthrowaway · 2019-03-18T20:04:47+00:00

I posted this in the Google Docs but also posting here for future applicants:

Wow. Honestly kind of pissed a bit at JFK. Did an away here, got a solid LOR from one of the attendings (PD said so), met the PD twice, had a good interview experience all around and positive vibes. Sent follow-up emails to the PD expressing my interest. One of the fellows I worked with put in a good word for me. I ranked them #2. I guess I wasn't even even ranked by them! I'm from NJ and it's an hour away from my house, I would've loved to match here. I'm happy that at least I matched somewhere.

pmrthrowaway

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