Pediatric Housestaff

Jeopardy

Reasons to use Jeopardy:

  1. Fever
  2. Illness that interferes with ability to perform resident duties, or specific contagious process that would restrict you from patient contact (e.g. varicella) - as outlined by LPCH Infection Prevention and Control Policy

  3. Mental Health issue that interferes with ability to perform resident duties
  4. Family Emergency

Reasons not to use Jeopardy:

  1. Mild cough and cold
  2. Anticipated events (e.g. conferences, weddings), please find coverage in advance.

Mild Illness Policy:

In the event of mild illness (cough, cold) which prevents a resident from working in specific high risk units, based on unit policies (e.g. NICU), residents can choose (at their own discretion) to be reassigned to outpatient urgent care clinics so as not to accrue missed days which may need to be made up per American Board of Pediatrics requirements.

Jeopardy Coverage:

  1. Residents on a jeopardy rotation for two weeks will not be assigned any days off, unless needed to ensure 4 days off per block.
  2. Residents on a jeopardy rotation for four weeks will be assigned four days off, which may be weekdays or weekends.  
  3. Every attempt will be made to evenly distribute cross coverage and jeopardy calls among all the residents in the jeopardy pool at any one time.

Residents on Jeopardy:

Jeopardy Shifts & Rotations:

Jeopardy Assignment:

Pager on by:

Pager off at:

Timeframe Available to work shifts:

Single Day

Noon day prior*

5PM day of jeopardy**

5PM day prior to jeopardy until end of day shift on day of jeopardy (no later than 8pm)**

Weekend

5PM Friday*

5AM Monday**

Saturday 5AM until Monday end of night shift (no later than noon)**

2 or 4-week Rotation

5PM Sunday before rotation*

5AM Monday after rotation**

Frist Monday of rotation at 5AM until end of night shift (no later than noon) on the Monday after the rotation**

* Please note that we are asking you to turn on your pager several hours before a shift would start, to allow the chiefs to contact you about upcoming shifts (example: if you are jeopardized to a 6AM start blue intern shift, it’d be good to be able to reach you the evening before!). If there are extenuating circumstances (flying on a plane, standing up in a Sunday evening wedding, etc) which will make you unreachable in these hours prior to the start of your jeopardy, please notify the chiefs in advance.

** Please note that you may be jeopardized to a shift that extends slightly longer than you are asked to keep your pager on, due to variable shift lengths.

Days OFF Jeopardy Rotations:

Days off Jeopardy Rotations

Pager OFF:

Pager back ON:

Timeframe NOT available for shifts:

Single Day Off

5PM day prior**

5PM on day off*

End of shift day prior (no later than 8pm) until 5AM day after (~ 33 hours off).**

Weekend Off

5PM Friday**

5PM Sunday* (unless rotation over, then can keep pager off)

Friday end of day shift (no later than 8pm) until 5AM Monday**

* Please note that we are asking you to turn on your pager several hours before a shift would start, to allow the chiefs to contact you about upcoming shifts (example: if you are jeopardized to a 6AM start blue intern shift, it’d be good to be able to reach you the evening before!). If there are extenuating circumstances (flying on a plane, standing up in a Sunday evening wedding, etc) which will make you unreachable in these hours prior to the start of your jeopardy, please notify the chiefs in advance.

** Please note that you may be jeopardized to a shift that extends slightly longer than you are asked to keep your pager on, due to variable shift lengths.

Zero Tolerance Policy

There is a zero tolerance policy for residents on jeopardy who do not return pages, arrive late, or moonlight during the jeopardy month.  This is inconsiderate and is not respectful of colleagues. Penalties will be decided by the program director and chief residents on a case by case basis, but will likely include additional jeopardy coverage and/or additional scheduled calls.


ABP requirement - Shift Make Up:

After a resident has used jeopardy > 5 shifts in one academic year the resident will be given an assignment to make-up the lost educational time, per American Board of Pediatrics regulations. Each case will be determined individually by the program leadership.

 

 

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