Regional Medical Center
When assigned to wards at the MED, call is every third day.
Call starts at 7:30 a.m. and continues until 4:30 p.m. Admissions will be taken by the house staff until 4:30 p.m. Admissions between 4:30-7:30 p.m. will be done by Dayfloat Resident. Intake rounds are at 7:30 a.m. and are mandatory for all house staff. After 4:30 p.m. the on call intern will provide cross-cover until 7:30 p.m. and is helped by the Dayfloat resident.
Call starts 7:30 a.m. and continues until 7:30 p.m. Dayfloat residents will not take admissions on these days. When the teams not on call are finished with their work they may check out to the on call interns.
7:30 p.m. to 7:30 a.m. from Sunday until Thursday. The night float intern will do cross cover for all ward teams. The patients admitted by night float will be distributed to the ward teams the following morning in Intake rounds.
The ICU services (MICU and CICU) are on overnight call every fourth night for the Resident. No overnight call is taken by the Intern.
VA Medical Center
Wards - 5 Medical Teams
5 day rotating call schedule consisting of Long Call, Post Call, Float 1(receive overnight admissions), Short Call, and Float 2 (receive overnight admissions)
Weekdays 7:30am - 3:00pm or cap of 4 patients, whichever comes first
Weekends and Holidays 7:30 am - 2:00 pm or cap of 4 patients, whichever comes first.
Weekdays 3:00 pm - 7:30 pm
Weekends and Holidays 2:00 pm - 7:30 pm
The team consists of one resident and one intern.
The night float team for the month will work Sunday night through Thursday night each week from 7:30pm to 7:30am. On the weekend there will be guest night float calls for both residents and interns. The patients admitted on night float will be distributed to float 1 and float 2 teams.
The ICU services (MICU and CICU) are on overnight call every fourth night for the residents. The intern has no overnight calls at the VA MICU. It is expected that all residents will leave the hospital before 28hrs.
Methodist University Hospital
Three ward-teams consisting of 2 Residents and 2 Interns.
7:30 a.m. - 2:00 p.m. (5 patient cap)- The short call team will admit until 2:00 p.m. or until 5 patients are admitted, whichever occurs first. Exception is Saturday, see below.
2:00p.m. - 7:30p.m. - The long call team will start admitting patients at 2:00 p.m. or once the short call team reaches its cap of 5. Call will end at 7:30 p.m. when the Night Float team arrives.
1 resident and 2 interns. Sunday - Thursday. 7:30p.m. - 7:30 a.m. -These patients will be distributed to the ward teams upon admission; the team with the fewest patients will be the first team to receive new admissions. The night float interns will provide cross-cover overnight and will receive check- out from the long call interns.
On Friday and Saturday night, the long call resident stays overnight on call. In an effort to keep this resident from capping and having to call in the Back-up, the following plan was developed.
On Friday, only the "non-overnight" resident will admit to his/her team till 4:00 p.m. The overnight resident will then admit till 7:30 a.m. This also provides rest/nap time for the resident who will be staying overnight.
On Saturday, only the short call team will admit till 4 p.m. or 5 patients (whichever is first). Again this will provide for rest/nap time for the resident who will be staying overnight.
Please note that interns do not stay overnight while on the ward service. "Guest" interns are used on Friday/Saturday night. The designated ward resident will act as the night float resident on Friday/Saturday.
One team that consists of 1 Fellow, 1 Resident, and 3 interns. The resident will be on call every 4th night. The interns will work on a rotating basis of days and nights in 5 day blocks.
One team that consists of 1 Fellow, 2 Residents. The residents will be on call every fourth day.
On elective months (e.g., rotations other than Wards, ICU, or ER), residents have an average of 2-3 scheduled overnight calls and 1-2 back-up calls per month. For PGY1s, these scheduled calls will be either night float or ICU call. The PGY2 and PGY3s will take night float, ICU or Dayfloat calls. The back-up call system is utilized when a resident or intern is unexpectedly unable to take a scheduled call for serious health or personal reasons. In this situation, the resident or intern on back-up call will be asked to take the call.