Min/max fellowship call question

[garygetthecar]

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Are there lower and upper limits to the amount of call that one takes in a pediatric or cardiac fellowship?

I assume ACGME-accredited programs are bound to rules similar to those seen with residency programs, but if anyone knows specifics I'd appreciate hearing them.

 

[periopdoc]

ACGME fellowships are bound to all criteria of the 80-hour work week, just like residency programs. 10 hours between shifts, 24 + 6 hours on call etc. We cannot negotiate for additional call.

Non-ACGME fellows take whatever call they can negotiate when they sign their contract. There are no restrictions on their hours except for whatever they negotiated for.

I am an ACGME fellow and all of my call is home call. I do 7 days on, 7 days off. On my call days I stay until the last cardiac case is done and come back in for any overnight emergencies or transplants. On my non-call weeks I usually leave after the last case or around 2000 whichever comes first. If I stay past 2300 on a call or non-call week I get the next day off... I don't stay past 2300 nearly enough.

- pod

 

[bigeyedfish]

ACGME fellowships are bound to all criteria of the 80-hour work week, just like residency programs. 10 hours between shifts, 24 + 6 hours on call etc. We cannot negotiate for additional call.

Non-ACGME fellows take whatever call they can negotiate when they sign their contract. There are no restrictions on their hours except for whatever they negotiated for.

I am an ACGME fellow and all of my call is home call. I do 7 days on, 7 days off. On my call days I stay until the last cardiac case is done and come back in for any overnight emergencies or transplants. On my non-call weeks I usually leave after the last case or around 2000 whichever comes first. If I stay past 2300 on a call or non-call week I get the next day off... I don't stay past 2300 nearly enough.

- pod

So if you stay until 2300 do you not come back the next day until 0900?

 

[periopdoc]

No. If I stay until 2300 I have the next day completely off. If I stay until 2230 then I come in the next day at 0830. I don't know why it always takes so long to extubate people when the case finishes at 2230ish.

This is the same arrangement for our cardiac attendings. We need a definitive and fair way to determine whether or not to work the next day since it is unpredictable whether we will work overnight when on call.


-pod