Loma Linda is actually less call than that in the current system, something around q8-9 and long call is usually only once to twice a month and usually only on weekends due to the nightfloat system. Long call is brutal when you have it, but it is infrequent enough that it isn't a big deal. The difficulty of call is due to covering three hospitals and the heavy volume that comes with that. Currently, there is some talk of revamping the call system next year to decrease the workload of call, but would probably involve increaing the actual number of calls. Nobody is quite sure how it is going to go yet.