About Us‎ > ‎

ACGME standards


"The busy night float experience at SLR has been useful in building up my speed to handle the pace in private practice."

-SLR graduate now in private practice


The ACGME approved new duty hour guidelines on September 28, 2010.  The final standards went into effect on July 1, 2011.  Please note that we were already compliant with these rules. As a New York State Program we are also compliant with the "405" regulations. 

A detailed comparison is available at http://ipro.org/wp-content/uploads/2013/04/nys_acgme_regs_comparison_guide.pdf.

On weekdays, 2 residents are in house from 5PM to midnight, one at the St. Luke's site and one at the Mount Sinai West site. From midnight to 8AM, there is one resident in house from midnight to 8AM at the St. Luke's site (also covering the Mount Sinai West site by PACS).

On weekends and holidays, 2 residents are in house from 8AM to midnight, one at the St. Luke's site and one at the Mount Sinai West site. From midnight to 8AM, there is one resident in house from midnight to 8AM at the St. Luke's site (also covering the Mount Sinai West site by PACS).

Residents are supervised by 2 in house faculty (one at BI and one at MS SLW from 8PM to 8AM.  These faculty overread cases for both Mount Sinai St.Luke's-West and Mount SInai Beth Israel.


First year (R1) residents take the following "call":

R1 residents rotate through the vascular interventional service and take VIR call. R1 residents also take call during the evening and weekends in preparation for more independent coverage in the R2 -R4 years. R1 residents "on call" are always supervised by more senior residents and faculty.

R2 -R4 residents cover the following evening and night shifts:

The MS West evening shift is 6 days, with a total work week of 56 hours.  Residents will take 10 -11 weeks of these evening shifts during their entire residency. (Sunday 8AM to midnight, Monday -Friday 4PM to midnight, beeper call from midnight to 8 AM)

The St. Luke's night float rotation is 6 days, with a work week of 65 hours.  Residents will take 10 -11 weeks of these night shifts during their entire residency. (Sun 7:30 PM - 8:00 AM (12.5h) Mon-Fri 9:30 PM – 8:00 AM (10.5h))

Please note that the longest work shift is 16 hours. (24 hour shifts were eliminated July 2008.)

These schedules are within the maximum 80 hour work week mandated by the ACGME and New York State. They are also compliant with the ACGME 6 night in a row limit.