Disclaimer: Every jeopardy situation is unique and it can often be very difficult to apply strict rules to each one. CROC will do their best to ensure jeopardy is as equitable as possible!

  • Jeopardy is called in order (1st, 2nd, then 3rd).
  • If / when all jeopardy residents have worked 2 shifts, J order will be determined by number of shifts completed (J1 will be the resident who has worked the least shifts, and J3 the resident who has worked the most shifts).
    • “Two shifts” = 2 days of inpatient service or DF, 2 nights of NF, 4 half-days of clinic, 2 ED shifts, or one 28 hr call.
  • Continuity of care prioritization applies to: MICU days, MICU bridge, CCU days, Gens days, HONC days, Cards days. Continuity of care prioritization does NOT apply to: Gens bridge, NF rotations, ED, clinic
  • Maintenance of continuity of care (keeping a resident jeopardized to a continuity service for multiple days) will be evaluated at the completion of the pre-call day. Final decision of switching jeopardy residents on a continuity service will be at the discretion of CROC. As far as is able, remaining jeopardized to a continuity service for more than 1 call cycle will be minimized.
  • There are select times when CROC knows that jeopardy will be needed in advance (e.g. for a funeral in a few days). Usually CROC will still wait until the day before to inform the residents who will be jeopardized for that need because it is impossible to know what needs arise in between that time, but sometimes CROC may discuss with the jeopardy residents to decide ahead of time who will be covering that need.
  • The number of shifts residents are called in to work as jeopardy will be recorded. This information will be used to attempt to more fairly distribute future weekend floats, MROCs, and jeopardy blocks.
  • There will be no recording of number of days each resident utilizes jeopardy.

Using Jeopardy:

  • Jeopardy is appropriate for absences due to illness, family emergencies, and other unforeseeable circumstances.
  • If an absence is needed for a planned event (including but not limited to conferences, interviews, weddings), it is expected that the resident find coverage in advance. The chiefs can assist with this.
    • If the resident is unable to find coverage after exhausting all options, and the resident must attend the planned event, jeopardy can be used, but it will be expected that the resident pay back the shift coverage to the resident who is jeopardized.

Other Reminders:

  • Please keep your pager ON and with you at ALL times during your jeopardy block.
  • If paged, you are expected to respond within 15 minutes and be in the hospital within 1 hour.
  • Please note your obligations begin at 7am on the first day of your block and last until 7am the first day of the next block.
  • Schedule switches:
    • The preference is still for full block switches.
    • Residents should first attempt to identify a full block switch before looking into partial coverage.
    • Partial block coverage must be provided by the same covering resident.
    • The covering resident cannot have any other duties during that time (including clinic, MROCs, or extra service pay shifts).
    • Residents are responsible for finding their own jeopardy coverage but should run proposed coverage plans by the chiefs.
  • You are not eligible for MROCs during jeopardy.
  • You may not participate in extra service pay shifts while on jeopardy.
  • Do not schedule Step 3, ACLS recertification, etc. during jeopardy.

Updated: 10/2025