• 80 hours per week limit, averaged over a four-week period, includes all in-house call and return to hospital time for at home call.
• In-house call no more often than every third night, averaged over a four-week period.
• Limit of 24 hours per shift (defined as continuous on-site duty, including in-house call) with allowance of up to 6 additional hours to participate in didactic activities, transfer care of patients, conduct outpatient clinics, and maintain continuity of medical and surgical care.
• No new patients may be accepted after 24 hours of continuous duty ("new patient" as defined in Specialty and Subspecialty Program Requirements).
• Minimum rest period between all daily duty periods and after in-house call that should be 10 hours.
• One full day (24 hours) per 7 days free from all clinical, educational, and administrative activities averaged over a 4-week period, inclusive of all call.
• Faculty and residents/fellows must be educated to recognize the signs of fatigue.
• Residency or fellowship programs must have a policy to prevent, monitor, and counteract the potential negative effects of fatigue.

If you feel you or your program are in violation of these limitations or have questions about them, please contact:

• Duty Hours Limitations History and Rationale
• UCSF Institutional Duty Hours Policy
• UCSF Duty Hours Compliance Program
  • FAQs
• UCSF Web-based Duty Hours Attestation System