I'm curious to see how other programs handle the distribution of cases between residents and CRNAs while on call. Our program has experienced some friction over this issue recently and we are in the process of formalizing a policy about this. We have a 24-hour call, where residents are scheduled in normal cases as usual from 6AM-5PM and then emergent/add-on cases from 5PM-6AM. We have a large pool of CRNAs at this program who provide morning breaks, lunch breaks, and relieve residents in the afternoon for lectures. We have CRNAs that come in for a 7PM-6AM overnight shift. While on call, the CA3 supervises 3-4 rooms of CRNAs and junior residents, and is in charge of distributing cases. Typically the CA3 has protected the CA2s from being stuck in non-educational cases when there are CRNAs available to do them (such as butt puss, lap choleys, etc). The unsaid rule has been that CA2s are woken up to do only Peds/Traumas/Cranis. (The CA1s are treated like a CRNA and do whatever comes up). However the CRNAs are arguing to the leadership that this isn't fair, and that the CA2 should be in the rotation with the CRNAs to do whatever cases are scheduled. Due to increasing surgical volumes, every night there is a list of add-on cases (mostly non emergent) that go all night until 6AM running 2-3 rooms. At your programs, are CA2s stuck doing BS cases on call or are they protected for more educational cases?