The acting administrative chief resident is responsible for developing the call schedule. Due to the 80-hour work week, the brunt of in house call is covered by the “night float” resident (PGY 2 or 3). Night float is set up as its own rotation so that the affected resident is free of all other responsibilities. They are responsible for one 24-hour shift on Sunday as well as four night shifts (Monday through Thursday) over the course of the week. Friday and Saturday night call is covered by the remaining PGY 2 or 3 residents.
A PGY 4 or 5 resident will be available on a nightly basis as out of house back-up. The back-up each resident will be available to answer routine questions, evaluate difficult patients, or operate as necessary.
Saturday and Sunday morning rounds are the responsibility of the on call residents and possibly a back-up. OR cases scheduled for 7:30 a.m. will be the responsibility of the ACE (Advanced Clinical Experience) resident. This resident gains additional operative experience while allowing the junior resident on-call an opportunity to care for emergency and floor responsibilities.
Typically, each PGY 2 resident is responsible for 3 months of night float as well as one Saturday call and one ACE weekend each month when they are off night float. PGY 3 residents are responsible for 1 month of night float each, in addition to one Friday call and one ACE weekend per month while off night float. PGY 4 and 5 call is all out of house back-up.