Call Parameters/Moonlighting
Resident Call
Updated 08/27/24
Inpatient Call Coverage
Outpatient Call Coverage
PGY1 (4 residents)
- 32 short call shifts/yr (avg 4/month while on psych/neuro blocks).
- 2 full weekend (Sat/Sun) training calls per year with senior resident.
PGY2 (5 residents)
- 25 short call shifts/yr.
- 5 weekends each
- Holidays covered by PGY2 class (~1 holiday per resident)
PGY3 (5 residents)
- 18 short call shifts/yr.
- 4 Weekends each
PGY3
- 7-8 weeks
- Holidays covered by PGY3 class (1-2 per resident)
PGY4 (4 residents/C&A fellows)
- 15 short call shifts/yr.
- 2 Weekends each
Inpatient
Short Call
-
What: Monday through Thursday evening (5-7 pm) call shift with 2 residents to
admit patients to inpatient psych or consult on patients in ED or hospitalized
for medical reasons (2 patient max).
-
Why: Provide an opportunity for junior residents to learn directly from senior
residents on how they approach admissions, cross cover issues, emergency
room consults, etc.
-
Also: Give seniors the chance to both teach and maintain their hospital-based
skills throughout their outpatient year and as they move closer to attending-hood as an R4.
Overnight call is taken from home by the R2/R3/R4 short call resident after
their short call shift is completed. This resident is occasionally required
to go to the hospital for late admits, unplanned discharges, or for acute
patient situations that require their direct presence
Weekend Call
- Resident and attending responsible for covering one of the 8 bed inpatient
psych teams plus assigned follow ups from consult service. Depending on
volume may help with up to 1 new hospital consult per day.
- Weekend inpatient call begins Friday night
- R1 residents do not take solo call. They will participate in 2 weekends
of inpatient training call where they will assist a senior resident (R3/R4)
and be trained on weekend coverage.
Outpatient
- Only R3/R4 residents are responsible for outpatient call
- Coverage is for STHC patients
- Covered in 1-2 week spans; outpatient phone is handed off on Thursdays
to the oncoming resident
Backup Call
- Residents will be assigned back up call for inpatient coverage (R2/R3/R4)
and outpatient phone coverage (R3/R4)
Moonlighting
Internal moonlighting is available on the weekends to eligible R3/R4 residents
to cover an inpatient psych team, select consult patients, and up to 1
new consult per day.
External moonlighting is also available through local organizations to
eligible R3/R4 residents.
***If there is a resident long-term leave of absence, the call ratios will
increase for the remaining residents in the program evenly***
