Fellows will do approximately 12 one-month clinical rotations during their three-year fellowship training with additional in-house night calls throughout the fellowship. All the fellows, including those on service, share the night calls. The call schedule is prepared by the senior fellow and is approved by the program director each month. An effort will be made to distribute the weekend and holiday calls equitably among all the fellows. The call hours for weekdays are generally 4 pm to 8 am and weekend/holidays, 8 am to 8 am. It is expected that the fellow on clinical service or night call will go on neonatal transports whenever possible.
The fellows' regular work hours are in accordance with the new guidelines of the Specialty & Subspecialty Board Requirements and will be enforced as follows: The total number of hours spent by each fellow in patient care is limited to 80 hours per week averaged over a four-week period, inclusive of all in–house call activities. In addition, fellows are restricted to 24 hours of continuous patient care and an additional 4 hours of time for the completion of documentation and transfer of patient care responsibilities to other care providers. There will be no new admissions or new transport calls during this 4-hour window that begins from completion of 24 hours of patient care. In addition, fellows will have at least one day off each week. These policies will be strictly enforced.