This plan supports a combination of 14-hr day shift , 15.5-hr cross-cover shift , and a 14-hr night shift for medical interns. The day shift and the cross-cover shift have the same start time (7:00AM). The night shift starts at around 10:00PM and ends at 12:00PM on the next day. This combination allows a day intern and night intern to be present at the same time in the morning rounds so they can discuss with the attending physicians the treatments for patients in the next 24-hr period. This plan requires 4 teams with each team rotating through the following shift sequence over a 4 day period: 1 day shift, 1 cross-cover shift, 1 night shift, one day off. The day off is actually a recovery day since the night shift does not end until 12:00PM.

Characteristics
Plan ID	C4TR1415-1
Name	ICU Interns Plan
Applicability	24/7 operations
Teams Required	4
Shifts	Day (14-hr), Cross-cover (15.5-hr), Night (14-hr)
Repeat Cycle	4 days
Rotation	Fast rotation from day shift to cross-cover shift to night shift
Average Hours per Week	76.5
Staffing Fluctuation	Balanced from day to day
Pluses	Only 1 night shift every 4 days
Minuses	Too many work hours per week
Common Usage	Scheduling medical interns at hospitals in the United States
Notes	This plan is based on the "14-Hr Shift Schedule for Medical ICU Interns" model developed by Akhil Vallabhaneni, MD, et al. and published in the December 2006 issue of the Chest journal, an official publication of the American College of Chest Physicians.

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