You are allowed to request a deferral for jury duty. Please try to schedule your jury duty during a rotation that would not require activation of DPH (e.g. elective or a rotation where internal coverage is feasible). If that is not possible, you may defer your responsibility for one year. Coverage will only be provided if you have already deferred your appointment once and if you cannot schedule it for a rotation that would not require DPH.
Dayfloat Policy (As of 08/2018)
Junior and Senior Residents are assigned Dayfloat coverage in the afternoon, found on Amion at bottom under “Extra Shifts” and then “Extra-Dayfloat 1” and “Extra-Dayfloat 2”. To figure out if you have a shift, look over all of the Amion positions for the Junior/Senior resident positions and see if there is a little black “down arrow” symbol next to a JAR/SAR (which means that individual has clinic). Dayfloat is only need for cardiology and oncology services. GMS and ITU do not need dayfloat coverage as they have internal coverage for these rotations. In rare circumstances, dayfloat residents may be contacted by the chiefs to fill other coverage needs.
1. Both the clinic JAR/SAR and Dayfloat team should email at least 1 day ahead of the clinic day to confirm clinic need (rarely the clinic may have changed post-amion schedule). A formal in-person passoff should be arranged before 12:30 PM with a formal detailed handoff prepared describing each patient’s information, situational awareness and to-dos. Interns/medstuds/attendings should also be introduced in advance to covering supervising resident with numbers exchanged.
2. The expectation is that the dayfloat resident remains the covering resident until all patients have been signed out to the twilight team (including supervision of pass off to twilight team). It is up to the day resident’s discretion whether or not they physically return to the hospital after clinic. At the day resident’s discretion, it is an option for the day resident to return after clinic to alleviate the dayfloat resident. Covering Dayfloaters should provide a passback (ideally a written passback, but a verbal passback is acceptable if both parties agree) at the end of the shift summarizing the day’s events and to-dos for the evening/next day.
3. Based upon a large poll equally representative of all PGY levels, the most junior dayfloat resident listed (regardless if she/he is Dayfloat 1 or 2) will do the shift if there is only one need. For Example: If Brian has cards clinic and a PGY-3 is Dayfloat 1 and PGY 2 is Dayfloat 2, then Dayfloat 2 will do this shift. Similarly, if a PGY-4 and a PGY-3 are listed, the PGY-3 will do the shift. One need= most junior resident does the shift.
4. If the Dayfloats are of the same PGY level (i.e. Dayfloat 1 and 2 are both PGY-2s, or are both PGY-3s, etc), then Dayfloat 1 is the resident that will do the shift if there is only one need for the day. Example: Brian(Dayfloat 1) and Christine (Dayfloat 2) are both PGY-2s and there is one need. Brian does the shift because he is Dayfloat 1.
5. If there are multiple needs for Dayfloat, they should be equally divided among the two dayfloat residents with a mutually agreed-upon solution based on convenience (example: PGY-2 covers Cards team 1 and 2 and PGY-3 covers onc a and c). If there are three needs, the most Junior resident should take the additional need unless it is more logistically convenient for the more senior resident to take the additional need (example: 2 onc needs and 1 cards need, then one resident should take both onc needs and one resident should take the one cards need).
6. If there is a situation where a single resident is covering both the oncology and cardiology service patients, please notify the chiefs at least 24 hours in advance. This should be avoided by giving onc/Tower needs to one Dayfloat resident and cards/Shapiro needs to the other Dayfloat resident.
7. If both team residents covered by a twilight resident (i.e. B2 & CHF or B1 & B3) have clinic, then that twilight resident should come in at 12pm. If only one team resident within a twilight dyad has clinic, Dayfloat covers. However, if there are several Dayfloat needs in the Tower and Shapiro, the CMRs may request that one or both twilight residents come in at 12pm, regardless of the above. Cardiology twilight residents are expected to look at Amion ahead of their block to identify days when they will need to come in early.
8. A daily “Dayfloat email” is discouraged to avoid spam. Last minute needs are occasionally realized the day of the shift and this moment should be met with flexibility and logic (if on a cards service, the resident already covering cardiology should take the extra shift, etc).
Please be courteous and understanding to each other. Dayfloat is a serious shift and not just a “free block”, so the expectation is that you will be working this afternoon and all appointments/meetings should please be avoided.