Louisiana state university health science center new orleans emergency medicine residency program policies to supplement lsuhsc house officer manual



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Moonlighting Policy

All residents must read and sign the attached acknowledgement to confirm that you are aware of and understand the residency program's policies regarding moonlighting.


1. Although it is recognized that supplemental income from moonlighting is used by residents to offset financial obligations from undergraduate and medical school training, moonlighting activities can in no way be permitted to compromise your school functions as a House Officer or to detract from your learning experience.

2. Moonlighting is permitted for emergency medicine residents who maintain a satisfactory academic status (see section on Satisfactory Academic Standing) and meet all their residency associated clinical and teaching responsibilities. Specifically, residents who wish to moonlight must:



  1. Take and pass monthly cord exams by the prescribed completion dates.

  2. Adhere to all conference attendance policies. Any absence due to moonlighting will result in a permanent loss of moonlighting privileges.

  3. Take and teach BLS, ACLS, PALS or any residency associated course when assigned.

  4. Meet all scheduling requirements of each monthly rotation. Schedules will not be will not modified to accommodate moonlighting commitments.

  5. Complete all medical records in a timely fashion.

  6. Meet any and all requirements that may be set forth regarding moonlighting.

  7. Pass the National In-service Exam with a score of 75% or more.

3. Residents may not enter into any contractual agreements to provide any type of medical service on a regularly scheduled basis as this would interfere with the resident's clinical duties. Contracts which do not require regular and consistent moonlighting may be acceptable and should be submitted to the program director for approval.


4. Any resident who has been placed on probation may not moonlight during the probation period and for at least three months thereafter. Permission of the residency director must be obtained before moonlighting.
5. Per ABEM regulations, no resident will be allowed to work more than 6 consecutive days. All residents must have 10 hours of rest between duty periods. Failure to abide by these agreements will result in loss of moonlighting privileges and possible disciplinary action. Moonlighting hours must be documented in Residency Partner. (see ACGME governed Resident Duty Hours and the Working Environment)
6. It is recognized that the residency position is offered with the understanding that this residency is the primary and central responsibility of the house officer. Where moonlighting activity is perceived to interfere with a resident's performance, the resident will be required to stop the activity.
7. Should sub par resident performance related in any way to moonlighting be identified, or if RRC duty hour violations occur (Paragraph 5) due to moonlighting, or if moonlighting activity is not accurately reported in Resident Partner, the resident will be put on academic probation and a remediation plan will be implemented by the program director.
8. Residents should understand that they are protected by state of Louisiana malpractice coverage only when performing residency assigned duties, and not when engaged in moonlighting.

ACKNOWLEDGEMENT OF MOONLIGHTING POLICY


I have read and understand the Emergency Medicine Department's Moonlighting Policy and agree to accept the terms and conditions set forth in such policy.
Name_________________________________Signed______________________Date________


Call Room

A call room is available for you to use if you would like to rest after a night shift. It is Call Room #5 and is shared with the MICU. Please obtain the key from the chief residents if you would like to use the room.



Sick Leave

Residents are awarded sick leave as a fringe benefit of their employment. In order to use this benefit, the following policy must be adhered to while on all rotations:




  • The resident must notify the Chief Resident (Pager # 423-2537) immediately in order to activate disaster call.

  • The resident must notify the residency director in writing of any and all sick leave taken on any rotation within one week of the day(s) missed.

  • The resident must notify the residency director and the staff on duty at his emergency department rotation site by phone of his illness as early as possible before the assigned shift.

  • On inpatient services, the resident should notify both the chief resident of the service and the resident's immediately supervising resident by phone as early as possible before the assigned duty.

  • In order to obtain an excused absence from a scheduled shift due to illness, the resident MUST REPORT to the ED where they are assigned to see the staff person on duty who will help the resident manage his illness and email the residency director.

Shifts missed due to illness do not need to be "made up" if the above policy is followed unless, in the opinion of the residency director and the director of the service, the resident received an educational experience due to a prolonged illness. The American Board of Emergency Medicine also has minimum time requirements which must be met if the resident is to be eligible to take the board exam.


Failure to adhere to this policy will result in the missed shifts being considered an unauthorized absence. The missed time must be made up and disciplinary action taken.

Conference Attendance Policy


(July 2008 update)

Didactic Resident Conference is 7am-11am, each Wednesday

University Hospital Basement Classroom
Journal Club is 7pm-10pm the 2nd Thursday of each month.
Conference and journal club attendance is mandated by the Emergency Medicine Residency Review Committee. Conference is comprised of 4 hours of didactic lectures per week and 4 hours of non-didactic learning per month. The non-didactic learning is comprised of 2 hours of Journal Club and 2 hours of computer based learning modules each month. Go to the LSU EM home page and click on “home study” to reach the schedule. The learning modules may be done earlier than the month scheduled, but no later than 1 month after the scheduled month.
Emergency Medicine Residents must attend 70 % of conferences (didactic and non-didactic).

You are excused from conference and journal club while you are Vacation.


If you have difficulty being released from your clinical duties, address this problem immediately with the chief residents or Program Director. If you think conference attendance is in violation of your duty hours, please notify the Program Director immediately.

Attendance Goals:

Our goal is > 80% lecture attendance, when accounting for vacation and excused absences. The RRC requires 70% minimum attendance throughout the year, without considering excused absences.




  • If less than 80%: The program director will notify the resident

  • If less than 70%: The program director will notify the scheduling chief to assign penalties:

-65-69%: Extra Disaster Call Shift

-60-64%: Extra Disaster Call Shift AND Extra Fast Track Shift



  • If less than 70% three consecutive months or if <60% two consecutive months: The resident will be required to meet with the program director to determine a remediation plan.



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