Call Roles

Weekday DTL

1. Arrive in time to receive checkout and take the pager by 6 am (if on Tuesday, immediately after conference ends).
2. Respond to every Level 1 trauma in the trauma bay where we should assess injuries, PMHx, airway and communicate with our surgical colleagues regarding the potential of the patient needing immediate surgical intervention upstairs. The ED is responsible for the airway, however, we should be ready to intervene upon their request.
3. Respond to every code and manage the airway (MICU/SICU code team will run the code).
4. The Team Leader pager receives pages from the ICUs for urgent or emergent intubations.
5. Perform all inpatient pre-ops for same-day add on cases.
6. PACU discharges and other issues when the PACU resident is not available (each day from 4-6 pm when the PACU resident has left for the day if ECTs are still going, lecture, etc.)
7. Manage the resident leave list and nurse anesthetist replacement assignments at their respective shift ends.
8. Assist with ICU transfers to/from the OR.
9. Perform difficult pre-op IVs as needed.
10. Place central lines and perform awake fiberoptics, if CRNA case.
11. Acute pain service (regional) from 4:00 – 6:00 p.m. (includes performing blocks and answering pages during this time)

Weekend DTL

All of the above, plus:

1. Check trauma and stroke room first thing each morning.
2. Provide morning breaks to residents on 1d/2d shifts when possible.
3. Help on OB if asked in extenuating circumstances.
4. Complete all pre-ops that are posted during the shift, whether for that day or for a subsequent day.  These are all paged out as they are posted on weekends.
5. Perform all regional anesthesia procedures needed.

OBD (OB Day)

This call shift only occurs on the weekend.

1. Check and stock both ORs first thing each morning.
2. Complete all OB pre-op evaluations for every patient admitted to L&D during your shift.
3. Perform all epidurals and sit all C-sections during the shift.

OBN (OB Night)

Same duties as OB day shift.

OB Eight Hour Shift

(6:30 a.m. – 3:00 p.m. or 2:00 p.m. – 10:00 p.m.)
This is a new assignment now that there are four residents per month assigned to OB. Depending on clinical volume, shift may end up being longer or shorter by about one hour.

1N and 2N (First call nights and Second call nights)

1N and 2N shifts are identical despite their different names. You will be working in the OR and will follow the directions of the NTL. When not working in the OR, there are often opportunities for sleep/study/relaxation.

During the week: Shifts are from 6:00 p.m. – 6:00 a.m. (excepting Tuesday, when the conference ends at 7:30 a.m. and the shift ends at 7:30 a.m.)

On the weekend: Shifts are from 6:30 p.m. – 6:30 a.m.

1D and 2D (First call days and Second call days)

These are weekend/holiday shifts only.  Responsibilities are the same as 1N and 2N. Shift hours are 6:30 a.m. – 6:30 p.m. All 1D Saturday shifts are covered by one of our nurse anesthetists.

This is also called a “sad day.”

These days are given at the discretion of the schedule maker/AIC.

In general, the third call resident will receive a post-call academic wellness day following their third call shift. This an off day. There are no clinical responsibilities. Post-call academic wellness days will also be given to other residents as staffing allows. These days are intended to allow time for going to doctor’s appointments, studying, sleeping, exercising, meeting with your advisor, etc.