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I'm violating 405 regulations. What should I do?
A Compliance Hotline (1-866-NYU-1212) is available to all members of the institution to allow for the confidential, anonymous reporting of activities that are contrary to hospital and School of Medicine regulations and policies such as violations of resident duty hours, any form of harassment, HIPAA violations, etc. Residents are reminded of, and encouraged to use this Hot Line on a regular basis.
Go to the http://resweb.med.nyu.edu/ website and click on GME policies and forms, for further information on compliant and resolution.
In addition, NYU residents on the Bellevue Hospital payroll belong to the CIR union. If you are concerned that your hospital is not in compliance with the regulation hours, call your CIR Organizer at (212) 356-8100. CIR can work with housestaff to bring compliance problems to the attention of the hospital and try to solve them before the Hospital is found not in compliance
WHAT ARE THE NYS 405 REGULATIONS?
In short, the regulations concerning most resident work hours include limiting resident work hours to 24 consecutive hours/day; 80 hours/week averaged over 4 weeks; and 12 hours maximum in the ER. All Residents must have at least 24 consecutive hours off/week.
WHAT SHOULD I TELL IPRO?
The truth. Your discussion with an IPRO representative is strictly confidential. However, you must remember that you are reporting to an agent of the DOH.
New York State’s Department of Health has contracted with IPRO, an independent organization, to monitor and enforce its Section 405 Regulations on resident work hours (also called “ Bell” Regulations.) IPRO will also be identifying and reporting on the “best practices” used to keep schedules in compliance with the hours' regulations.
IPRO investigates complaints filed with the State. In addition, IPRO investigators will make unannounced annual visits to each teaching hospital in the state once a year. Upon arrival, they will conduct a conference with the administrative person previously designated by the hospital. They will request all resident schedules and a list of residents in the hospital that day. Then for the next 4 to 5 days, including overnight, they will begin to interview a large number of residents in detail about their work schedules. These interviews will be private and confidential. The IPRO investigators will function as agents of the Department of Health (DOH), and report their findings to DOH, which will then follow up by requesting hospitals to make corrections or to cite or fine hospitals that are not in compliance.
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