PRINTER'S NO. 2325
No. 1856 Session of 1987
INTRODUCED BY DAWIDA, TIGUE, KUKOVICH, LINTON, PISTELLA, CALTAGIRONE, LEVDANSKY, SEVENTY, MAIALE, HOWLETT, FISCHER, TRELLO, FARGO, NAHILL, DeLUCA, McHALE, MELIO, JOSEPHS, E. Z. TAYLOR, KOSINSKI, RITTER, FREEMAN, WIGGINS AND VEON, OCTOBER 19, 1987
REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, OCTOBER 19, 1987
AN ACT 1 Limiting the working hours of resident physicians. 2 The General Assembly of the Commonwealth of Pennsylvania 3 hereby enacts as follows: 4 Section 1. Short title. 5 This act shall be known and may be cited as the Medical 6 Residency Act. 7 Section 2. Definitions. 8 The following words and phrases when used in this act shall 9 have the meanings given to them in this section unless the 10 context clearly indicates otherwise: 11 "Board." The State Board of Medicine. 12 "Graduate medical training." Training approved or recognized 13 by the board which is either of the following: 14 (1) Accredited as graduate medical education by any 15 accrediting body recognized by the board for the purpose of
1 accrediting graduate medical education. Any accrediting body 2 recognized by the board on the effective date of this act 3 shall continue to serve in that capacity unless and until the 4 board recognizes a successor. 5 (2) Provided by a hospital accredited by any accrediting 6 body recognized by the board and acceptable to an American 7 specialty board towards the training it requires for the 8 certification it issues in a medical specialty or 9 subspecialty. Any accrediting body recognized by the board on 10 the effective date of this act shall continue to serve in 11 that capacity unless and until the board recognizes a 12 successor. 13 "Hospital." An institution licensed or regulated as a 14 hospital by the Department of Health or the Department of Public 15 Welfare or a facility owned or operated by the Federal 16 Government and accredited by the Joint Commission on 17 Accreditation of Hospitals as a hospital. 18 "Medical doctor." An individual who has acquired one of the 19 following licenses to practice medicine and surgery issued by 20 the board: 21 (1) License without restriction. 22 (2) Interim limited license. 23 (3) Graduate license. 24 (4) Institutional license. 25 (5) Temporary license. 26 (6) Extraterritorial license. 27 "Medical service." Activity which lies within the scope of 28 the practice of medicine and surgery. 29 "Medical training facility." A medical college, hospital or 30 other institution which provides courses in the art and science 19870H1856B2325 - 2 -
1 of medicine and surgery and related subjects for the purpose of 2 enabling a matriculant to qualify for a license to practice 3 medicine and surgery, for graduate medical training, or for 4 midwife certificate or physician assistant certificate. 5 "Medicine and surgery." The art and science of which the 6 objectives are the cure of diseases and the preservation of the 7 health of man, including the practice of the healing art with or 8 without drugs, except healing by spiritual means or prayer. 9 "Resident." A medical doctor who is participating in 10 graduate training. 11 Section 3. Emergency service. 12 A medical training facility shall not require or authorize a 13 resident to work in emergency medical service for more than 12 14 consecutive hours and shall provide at least eight hours of 15 nonworking time between shifts of eight hours or more. Working 16 shifts of less than eight hours shall be separated by a 17 nonworking period at least as long as the working shift. 18 Section 4. Nonemergency service. 19 A medical training facility shall not require or authorize a 20 resident to work in nonemergency medical service for more than 21 16 consecutive hours and shall provide at least eight hours of 22 nonworking time between shifts of 12 hours or more. Working 23 shifts of less than 12 hours shall be separated by a nonworking 24 period at least two-thirds as long as the working shift. 25 Section 5. Prohibition. 26 A resident shall not work more hours than authorized by 27 section 2 or 3, whether at one or more medical training 28 facilities. 29 Section 6. Penalties. 30 (a) Medical training facilities.--A medical training 19870H1856B2325 - 3 -
1 facility that violates any provision of this act commits a 2 summary offense and shall, upon conviction, be sentenced to pay 3 a fine of $1,000. 4 (b) Residents.--A resident who violates any provision of 5 this act commits a summary offense and shall, upon conviction, 6 be sentenced to pay a fine of $200. 7 Section 7. Effective date. 8 This act shall take effect in 60 days. G27L35MRD/19870H1856B2325 - 4 -