Modesto Program Call Information

There are five different types of call: Medicine, Short Call, Night Float, OB/Gyn and Back-up. Call schedules are customized to fit resident needs, and are written for the entire academic year. Residents can view their schedule on-line at www.amion.com.

Medicine Call: The four residents on primary Medicine wards (usually two PG1's and two PG2's) share every fourth day, 7:00 a.m. - 8:00 p.m. weekdays, and 24-hour call coverage on weekends (Friday and Saturday) for the Medicine service. The time is usually busy.

Short Call: The on-call resident covers two services: Pediatrics, Surgery, from 4:30 p.m. until 8:00 p.m. weekdays and 24 hours on weekends (Friday and Saturday). Residents may be called back to the hospital after 8:00 p.m. to assist in or perform emergency surgery OR procedures. First year residents while on call are required to take a portion of their call hours from the ER to enable them to obtain more learning opportunities.

Residents learn in a variety of settings, including our ER, with over 60,000 visits/year.

Night-Float: Second year residents share night float call about six weeks each. They cover Medicine and Surgery/Pediatric/Ortho call residents to the maximum possible between 8:00 p.m.and 7:00 a.m. Surgery residents may be called back to duty if needed in the operating room. Night Float does not participate in surgeries or traumas.

OB/Gyn: Call is shared by four residents with 24-hour shifts. This call, when added to wards, clinics, and surgery responsibilities, is demanding. Post-call days are off.

Back-up: is the responsibility of the third year residents. Late in their second year residents cover back-up call occasionally to gain experience in this supervising role. The back-up assists the primary call residents as needed, especially for Medicine, Surgery, and Pediatric admissions, plus helping on weekend rounds. Specifically, the back-up resident sees all patients admitted by new first year residents in their first six weeks on the Medical service and all critical care and pediatric admissions by first year residents the entire year.

Residents participate in teams, and learn through peer-to-peer teaching.

Other Call Information

First year residents must take call at the hospital. Second and third year residents may take call at home on all rotations, if there are no critically ill patients in the ICU or CCU or patients in active labor and they can be back within 10 minutes. Third years, however, may only take home call when on Back-Up call during the 2nd 6 months of their R3 year due to need for closer and greater supervision of junior residents required during the first half of the year. Night float residents must stay in the hospital while on duty.