davidccs Posted June 16, 2018 Share Posted June 16, 2018 Getting ready to do my internal medicine rotation inpatient. I switch between 2 docs who work 7 on 7 off. I was placed on a continuous stretch of 22 days from 7a to 7p. Nevermind the fact that all ill be doing is working and sleeping (got a 1 hour commute each way), I dont think that working back to back for 22 days is safe for patients. Thoughts? Link to comment Share on other sites More sharing options...
beattie228 Posted June 16, 2018 Share Posted June 16, 2018 That's way too many shifts in a row for a PA student. I work 12 hour shifts, and I'm pretty spent after 2-3 in a row. You should talk with your lead preceptor to see about shortening those shifts a bit or including a day off every few days to decompress. Word it as a self study day. Most IM PAs I know do 7 days on, 7 days off (12 hr shifts) because anymore than that leads to patient errors and burnout. Link to comment Share on other sites More sharing options...
PACJD Posted June 16, 2018 Share Posted June 16, 2018 Well in terms of patient safety, you are a student so there isn't much in the way of that. However in the matter of student expectations, that is way too much and you should bring it up to your clinical directors. Does each doc know that you are working that amount of time? Cause I bet they think you are on the same schedule as them, 7 on 7 off. Now thinking back to when I was in rotations, my general surgery rotation was from 4am to 7pm 6 days a week, with an hour commute each day. And we had rotating call among the students, so i ended up working the day we were supposed to be off. Ended up working 21 straight 15 hour shifts. Those were the days... If they don't do anything about it, i guess just try and suck it up. Just know that once you get out into practice, your schedule is nothing like that. I work in surgery now and i work 3 12s a week and they do not allow you to work 5 straight shifts between weeks. Link to comment Share on other sites More sharing options...
MT2PA Posted June 16, 2018 Share Posted June 16, 2018 Talk to your preceptor and/or talk to your program. I'm pretty sure there's an 80 hr max per week for PA students so at the very least you'll be over that. As far as working 22 days in a row...not sure if there are actual rules that might help you with that but in theory common sense should step in either from preceptors or from your program. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted June 16, 2018 Moderator Share Posted June 16, 2018 Try to see if you can break it up a bit. That being said, you might not be able to. My trauma surgery rotation was alternating 24 hr and 12 hr days for 5 weeks straight. I lived there in residents' quarters. great rotation, but obviously rough to do. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted June 16, 2018 Moderator Share Posted June 16, 2018 There is no hour limit for medical or PA students as they do not direct patient care. Like people have mentioned, lots of surgery and ICU rotations are terrible hours, so this may not be different. I take this up directly with the preceptor you are working with, show them the schedule, and request one day off per week with each of them. Link to comment Share on other sites More sharing options...
8404PA Posted June 17, 2018 Share Posted June 17, 2018 19 hours ago, LT_Oneal_PAC said: There is no hour limit for medical or PA students as they do not direct patient care. Like people have mentioned, lots of surgery and ICU rotations are terrible hours, so this may not be different. I worked 14 hours days, 5-6days/week during my trauma/gen surg/ICU rotation at UT hahaha. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted June 17, 2018 Moderator Share Posted June 17, 2018 7 hours ago, 8404PA said: I worked 14 hours days, 5-6days/week during my trauma/gen surg/ICU rotation at UT hahaha. Been there. The level of suck during that rotation is indescribable. Link to comment Share on other sites More sharing options...
8404PA Posted June 18, 2018 Share Posted June 18, 2018 2 hours ago, LT_Oneal_PAC said: Been there. The level of suck during that rotation is indescribable. Amen Link to comment Share on other sites More sharing options...
clballin Posted July 9, 2018 Share Posted July 9, 2018 My general surgery rotation was roughly the same as most people here....i believe it was 530 to 6 every day and 1 24 hour call shift a week with the next full day off. That whole day off was spent sleeping most of the time though... Link to comment Share on other sites More sharing options...
davidccs Posted August 3, 2018 Author Share Posted August 3, 2018 So they ended up breaking up that stretch, not my school, the preceptors agreed that it wasn't the best set up. I looked around for a legal precedence to back up my claim but as Lt Oneal said, there isnt one. Thx for all replies! Link to comment Share on other sites More sharing options...
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