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40K sounds good---back in the dark ages (late 70's to early 80's) my husband made 14K. That's why after the intern year he moonlighted a weekend a month.
Effective as of July 1, 2006, physicians-in-training will receive annual stipends as follows:
* PGY-1 - $42,849
* PGY-2 - $44,641
* PGY-3 - $46,616
* PGY-4 - $49,890
* PGY-5 - $53,149
* PGY-6 - $55,870
* PGY-7 - $57,540
Actually Sakky I misspoke (or typed). I meant that 40k sounds good meaning "about right". But even if it is or was adequate reimbursement---still for a family of 3, 4 and 5 (we were adding kids those years) it necessitated moonlighting to make ends meet
60-80 hours per week, 2-3 weeks off per year and 44 grand avg. 897 bucks per week is what it is, without taxes being taken out. For a 60 hour week that is 15 bucks per hour with no taxes being taken out.
The Accreditation Council for Graduate Medical Education's new resident duty hours standard takes effect on July 1, 2003. The common minimum standards on resident duty hours apply to ACGME-accredited residency programs in all 118 ACGME-accredited specialties and subspecialties. An ACGME working group developed the standards, which reflect its consensus on the benefit of duty hour limits for resident education and related patient care. Major provisions of the new standards include:
* An 80-hour weekly limit, averaged over four weeks. Individual Residency Review Committees for various specialties may set more restrictive standards. In some specialties, educationally valuable activities may occur beyond the 80-hour limit, so starting July 1, 2004, programs may request up to a 10% increase in weekly maximum hours, providing the program provides a sound educational rationale and the higher limit is approved by the sponsoring institution and the appropriate RRC.
* Moonlighting done in the sponsoring institution counts toward the weekly limit. In addition, program directors must ensure that external and internal moonlighting does not interfere with the resident's achievement of the program's educational goals and objectives.
* Adequate rest between duty periods.
* A 24-hour limit on continuous duty time, with an additional period up to six hours permitted for continuity of care and educational activities.
* One day in seven free from all patient care and educational obligations, averaged over four weeks.
* In-house call no more than once every three nights, averaged over four weeks.
My program verbally discourages senior residents (4th and 5th year) from taking days off, we are told to ensure that the junior residents get their days off and if possible the senior residents will be allowed to take days off. The entire schedule is set up so that it is very difficult for a senior resident to take days off and still remain responsible for the smooth running of the team. Also the senior residents are required to find another senior resident to provide coverage on their day off (if they are so lucky as to be able to get one).
What are the recommendations of the RRC to discourage this activity by the program directors? It seems that the only way to stop this practice is a law similar to the one in NY where there are financial penalties instituted for breaking what is in NY a law, but for all other states only guidelines.
I would appreciate any similar experiences/advise being posted on the site, including by Ms. Miller and any other RRC/ACGME personnel who consider this to be a serious issue.