why not internal moonlighting to encourage people to pick up shifts, or “incentivized call” might be a better option if your hospital is willing to pay it. Probably cheaper than hiring NPs and residents get to make more money This was actually what I recommended Busy Thinking About Girls T-Shirt originally and they were considering it, but it seems like that went out the window when they realized there wasn’t a duty hour violation. Who decides when it’s busy and they need someone else?
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I heard of a place that does backup call but residents never call each other in because it’s a dick move Apparently we’re going to be instructed to call in if there’s X number of patients. We just don’t know what that number is. hmm in our system if you are called in (from home call) Busy Thinking About Girls T-Shirt then work a different shift without the required hours between them it’s flagged as a duty hour violation.My current child psych fellowship has “at home call” and we absolutely report this on duty hours. If I get called in, I report as such.
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And yes, after being on paged all night, Busy Thinking About Girls T-Shirt and called in, you’re expected to come to clinic the next day. One time, I was paged incessantly all night long. Didn’t get called into the hospital but just paged every hour so no sleep. I texted my PD that I’m in no condition to see patients in clinic for another 10hrs after this nightof no sleep. She nicely allowed me to take a post call day. So thats always an option if you can ask for it. But if course, you may put your co-residents in a position to now see your clinic patients once you take that post call day. But hopefully you pay it forward for them when they need it. Its all a fucked up system tbh.