If a hospital-sponsored program would like to request an increase in accepted duty hours, above the 80 hour standard, the program director must present their request in writing to the GME office who will come before the Medical Education Committee for consideration. The requested increase may not exceed ten (10) percent or a maximum of 88 hours per week, averaged over a four-week period. The request must specify:

1. The assignments and levels of training to which the proposal applies
2. The duration of the exception
3. Necessity of the increase for educational purposes in relation to the program’s stated goals and objectives
4. How the program will monitor, evaluate and ensure patient safety with extended resident work hours
5. The program’s moonlighting policies and procedures for the time period in question
6. The resident call schedules during the time specified for the exception
7. Evidence of faculty development activities regarding the effects or resident fatigue and sleep deprivation

If the request is granted, a documented written statement of institutional endorsement of the proposal will be signed by the Designated Institutional Official and the Chair of the Medical Education Committee. This document, along with the written proposal and this policy, will be submitted to the Accreditation Council for Graduate Medical Education (AGME) for their approval