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What is the typical residency call schedule? Thanks in advance.
Sorry to rain on your parade (itchy):
Ok I vote the q 3-4 calls really stink and if you have family forget it you'll never see them you will be pre post or on call. Although 18 weeks of nights split between 3 months (I agree with pruritis_ani (see I actually do agree with you sometimes!)) stinks. Night float does a toll on you-- but the trade off is that you have no call on the week days HAVE A NORMAL SCHEDULE and actually can get off 1 or 2 weekends a month as an intern more as an upper level.
As far as 1 in 7 call I am not sure if any programs do that.
At most night float institutions calls are Fridays/ Sunday (Sunday until 6pm then night float takes over) or all day Saturday 7am-8am Sunday.
Again, the point is that it is foolish to go into the interviews thinking that you have to have night float. All night floats are not created equal. People have been so brainwashed to think that you must have night float to have a life, and that is just not so. Call sucks, residency sucks. There is no magic trick that is going to make it better. So, really add up the hours, look at what times you will be free, look at what your weekends are like, all of that.
Need to look into if the program lets you off in am or waits until noon post call to release you. Sounds like Pruitis Ani's program does, but that's not a given. I had night float at my program too, and it was all day Sunday (24hrs) then Mon-Thurs nights (6:30pm-8am) with didactics until 11am on Friday. I found it hard on my family (hard to explain to my 1 year old daughter why I had to leave every night after dinner) but I did see her more in afternoons than I did the other days of the week, since she went to bed early and when I was working during the days I often got home after she was asleep and I always left in the morning before she was awake.
For call schedules considerations, I would look at how many residents are in the program and how many sites you cover, that makes a huge difference in the frequency of call. The other thing to consider is when they sign out. We signed out at 6:30, which means we sometimes didn't get out until 7 or 7:30 (not always, but often), which was rough on the family.
i think one point that the rest of you guys have slightly glossed over is that with night float, you're not on call for the rest of the year except on weekends. i don't know about you, but i'm willing to suck it up for 5-7 weeks of the year if i don't have to pull any 30 hour shifts on call for the other 45-47. at my program, night float works sun-thurs, 1700-0700, with other residents covering friday night (1700-0700)/sunday morning (0700-1700) or 24 hour saturday call. with seven residents per year, this comes out to about two 24-hour calls per month when not on the night float rotation.
so to the original poster, i think you will see the major differences (and major complaints) by comparing how long each rotation lasts at each institution, how many residents are in the program to split the remaining weekend calls, and time of check-out. 10 weeks of night float is more of a pain than 7 or 5. if i'm not mistaken, pruritus ani is at a program with only three residents, so of course s/he will have many more weekend days on call than someone at a program with 7-10. and lastly, having check-out at 8pm (after dinner with the family) is a very different from check-out at 5pm (you leave for work before your family gets home).
i think one point that the rest of you guys have slightly glossed over is that with night float, you're not on call for the rest of the year except on weekends.
After looking at programs of FRIEDA, I wanted to know how accurate the section is on the hardest call schedule during each of the PGY years? At some placs, it's q3 for 1-2 months. At other places, it's q3 for 52 weeks all four years! How is that possible? Can the human body even sustain all that call? The call schedule is probably going to be one of the biggest factors that goes into where I apply and rank.