Call is shared by the first year fellows on alternating weekdays (Mon, Tues, Weds, Thurs) and weekends (a single weekend of Fri, Sat, Sun). Over the course of the year, call is on roughly a q7 basis. There is no call in the second year.
Call consists of performing evaluations on new child patients who present to the ER and direct admits to the inpatient wards from 5-9pm Mon-Fri. After 9pm on weeknights and all day Sat and Sunday, these evaluations are done by the adult residents with help from the child faculty members on call.
After 9pm on weeknights and on the weekends, the child fellow has only 3 responsibilities. If a patient is evaluated by the adult resident in the ER after 9pm or on the weekend and deemed appropriate to be discharged home with family, then the child fellow may be asked to come into the ER and see the patient to confirm the plan and discuss with the child attending (via phone). If a patient is boarding in the ER for a bed, the fellow is required to round on that patient and write a note and boarding orders (if not already done by the adult team). The final duty (only on weekends) is to come in to perform any physical exams on children admitted overnight whose physicals may not have been performed in the ER.
There is no rounding on inpatients on the weekends as this duty is covered by the faculty members.