Skip to main content

Table 1 Schedule design and rules

From: Applying mathematical models to predict resident physician performance and alertness on traditional and novel work schedules

Schedule

Basic work schedule

Shortened shifts:

Days off

NAP opportunities

Average sleep duration

Q3

Day 1 “Day”: 6:30 AM - 5:30 PM.

If a Call shift ends on a Saturday, Sunday, or Monday. work will end at 10 AM

If a Call shift ends on a Friday, Saturday, or Sunday, the following day will be a day off (instead of a Day 1 shift)

Recommended 3:30 AM - 4:30 AM during a Call shift.

6.5 hr

Days 2-3 “Call: 6:30 AM - 12:30 PM the following day.

Q4

Day 1 “Day”: 6:30 AM - 5:30 PM

If a Call shift ends on a Saturday, or Sunday. work will end at 10 AM

If a Call shift ends on a Friday, the following Saturday and Sunday will be days off (instead of a Day 1 and Day 2 shift)

Recommended 3:30 AM - 4:30 AM during a Call shift.

7.0 hr

Day 2 “Day”: 6:30 AM - 5:30 PM

Days 3-4 “Call”: 6:30 AM - 12:30 PM the following day

If a Call shift ends on a Saturday the following Sunday will be a day off. (instead of a Day 1 shift)

RCR

Day 1 “Day”: 6:30 AM - 5:30 PM.

[None]

If a Call shift ends on a Friday, Saturday, or Sunday, the following day will be a day off (instead of a Day 1 shift)

Recommended 3:30 AM - 4:30 AM during a Call shift.

7.5 hr

Day 2 “Extended”: 6:30 AM - 10:00 PM

Days 3-4 “Overnight”: 9:30 PM - 1 PM the following day.

Recommended 3 PM - 5 PM before a Call shift.

XC: Intern A + B (combines with XC-V1 or XC-V2)

All Days “Day”: 6:30 AM - 5:30 AM

[None]

Intern A: the 2nd and 4th weekend of every month

[None]

7.2 hr

Intern B: the 1st and 3rd weekends of every month.

XC-V1 (combines with XC InternA + B)

For 3 of the 4 weeks:

[None]

If a Day shift is on a Friday, Saturday, Sunday, that day is off

[None]

7.0 hr

Days 1-5 “Day”: 7 AM - 5:30 PM then weekend off

For 1 of the 4 weeks:

Days 1-4 or Days 1-5 “Overnight”: 5 PM - 7:30 AM the following day

XC-V2 (combines with XC InternA + B)

Days 1-13 (variable) “Day”: 7 AM - 5:30 PM

[None]

If a Day shift is on a Friday, Saturday, Sunday, that day is off

[None]

7.0 hr

Followed by 2 nights “Overnight”: 5 PM - 7:30 AM the following day

Days 16-26 (variable) “Day”: 7 AM - 5:30 PM

Followed by 3 nights “Overnight”: 5 PM- 7:30 AM the following day

  1. Note: For each group schedule, an individual will start on any day within that schedule so that there is complete coverage across the group schedule. For example, for the Q3 schedule, one person will start on “Day 1”, one on “Day 2”, and one will have the first day off because it is the end of the overnight shift. For XC-V2, one person may have only 3 Days then 3 Overnights then 10 Days then 2 Overnights