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Program Policies

Substance Abuse Policy

Following a full-time employment offer (post-job offer) and prior to becoming an active employee, the successful candidate will be required to undergo post-job offer testing for the presence of drugs. The candidate must test free of drugs as a condition of hiring. Drug testing will also be required of an employee prior to promotion or transfer to a safety sensitive position or to a higher sensitive or security position.

In accordance with federal and state regulations, residents are subject to alcohol and drug testing within the parameters set forth by this policy. Residents will be subject to undergo alcohol and drug testing for reasonable suspicion/for cause and periodic monitoring or aftercare.

Leave Policy

Each type of leave will be monitored and granted in accordance with this policy, the needs of the program, and the provisions of applicable law. Whether training time missed as a result of extended leave can be made up by the House Officer is determined by the Department Head and/or Program Director in accordance with the requirements of the particular program and the provisions of applicable law.

• Vacation Leave
  Vacation leave is non-cumulative per year. House Officers at post-graduate year I (HO 1) are entitled to twenty-one (21) days/yr. HO 2 and above are entitled to twenty-eight (28) days/yr.

• Military Leave
  If called to active duty, fifteen (15) days of paid military leave are permitted.

• Leave of Absence
  A leave of absence may be granted subject to Program Director approval and as may be required by applicable law for illness extending beyond available sick leave; for academic remediation; to address licensing problems; and/or for family or personal emergencies. To the extent that such leave exceeds available vacation and/or sick leave, any leave granted will be without pay.

• Maternity/Paternity Leave
  To receive paid maternity leave available vacation leave and sick leave must be utilized. Paid and unpaid maternity leave for up to six (6) weeks or extended unpaid maternity leave may be granted. Paid paternity leave must utilize available vacation leave. Extended leave without pay may be granted.

• Educational Leave
  Permitted five (5) days of educational leave to attend/present at medical meetings.

• Family Leave
  Having worked for LSUHSC for twelve (12) months and 1,250 hours in the previous twelve (12) months, may be eligible for up to twelve (12) weeks of unpaid, job-protected leave in each twelve (12) month period. (Family Medical Leave Act of 1993 - FMLA).

• Sick Leave
  Permitted fourteen (14) days of paid non-cumulative sick leave per year.

Resident Duty Hours Policy

The Department of Obstetrics and Gynecology supports the ACGME policy regarding resident duty hours due to be implemented July 1, 2003. Specifically:

• work no more than 80 hours per week when averaged over 4 weeks
• have 1 day (24 hours) in 7, free of program duties when averaged over 4 weeks
• have call no more frequently than every third night when averaged over a 4 week period
• limit continuous in-house duty to 24 hours with up to 6 additional hours for transition as described in the ACGME requirements
• have 10 hours between all daily duty periods and after in house call.

Schedule modifications in place to ensure the above include:

• Instituting a night float at all sites where in hospital coverage is required.
• The HO4 residents on call on T-nights at MCLANO will go home after finishing their continuity clinics if scheduled.
• All residents will be required to turn in weekly time-cards documenting their hours and these will be tabulated by the Residency Program Coordinator. The residents will be required to certify that their submitted time card is accurate. The Program Director will monitor that their hours fall within the guidelines above.

If there is a trend of any service not being in the guidelines, then a request for a 10% increase may be considered or the rotation will be modified to allow for compliance with the guidelines.

All faculty and residents need to be alert to monitor residents for signs of sleep deprivation and fatigue. The Program Director, Associate Program Director, or Program Coordinator should be notified of any resident with signs of fatigue in order to protect the resident and patients.

Moonlighting is only permitted at University Medical Center in Lafayette with permission from the Program Director.

A copy of this policy will be distributed to all the residents, faculty, and the GME office.