Duty Hours and Clinical Call Schedule


The Neonatal-Perinatal Medicine Fellowship Program maintains compliance with the duty hour regulations set forth by the ACGME. In order to regulate duty hours, fellows enter duty hours into New Innovations and the hours are monitored by the Program Director. Institutional duty hour surveys are conducted twice yearly and ACGME resident surveys are conducted annually.

Clinical Call Schedule

University Hospital (UH-NICU)

The call schedule for fellows averages one call per week throughout all three years of fellowship. These calls are all in-house with the pediatric residents or NNPs. There is always a Neonatal Attending Faculty in-house due to the requirements of Level 4 designation. There is no formal home call schedule, however in the event of a difficult neonatal transport, fellows may volunteer for transport duty to gain additional patient care experience (provided that hours do no exceed the ACGME guidelines). Fellows have private sleep facilities in the hospital. When on clinical service in the NICU, fellows are off one weekend day per week.

San Antonio Military Medical Center (SAMMC NICU)

Fellows rotate at SAMMC NICU once (4 weeks) during their fellowship. During this rotation, fellows do not take in-house call and are off one day in seven. Duty hours and time off are in accordance with the ACGME guidelines.

University Hospital Cardiac Rotation and Maternal Fetal Medicine Rotation

Neonatal fellows are not required to take in-house call in the Pediatric Cardiac Care Unit (PCCU) or MFM units. They are still required to take one night of in-house call per week in the UH-NICU during these rotations.


Fellows are permitted 15 days of vacation per year. Vacation requests are made in advance to the Program Director and cannot be carried over to the following year.

Sick Leave

A maximum of 10 working sick days are allowed per year and can be carried over to subsequent years. Combined absences/leave in excess of 3 months during the 3 years of training, whether for vacation, parental leave, illness, etc. must be made up. If the Program Director believes that combined absences/leave that exceeds 3 months is justified, a letter of explanation is sent by the Director for review by the Credentials Committee.