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At my residency program ortho covers hand call 3:1 with plastics. Spine is 2:2 with neurosurgery. This varies greatly from hospital to hospital thoughThank you for the thorough reply, one last Q, is hand call also taken by general plastic surgeons spreading the pain a bit? I am currently interested in hand because i really liked some of their procedures but have heard of the lifestyle being tragically bad and the downward trending reimbursment which makes me adamnant on fully commiting myself to it