University of Washington Seattle Children's
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Fellow Life: Call Duties


General Call Information


  • Weekday calls are generally taken from home after a usual workday (unless call is taken as night float). This includes all calls from Monday through Friday. Weekday calls last from 5pm-8am. Usual duties include placing orders for new admissions, responding to overnight nursing calls, and occasionally answering after hours questions from community physicians.
  • Weekend calls usually involve coming into the hospital during the morning/afternoon. During weekend calls fellows see urgent consults and patients boarding in the emergency department (ED). This work is shared with the on-call attending. After 5pm, call continues from home and is similar to duties in weekday call.
  • Each fellow should expect to have ~4 Saturday calls, ~4 Sunday calls, ~4 Friday calls, ~16 weekday (Mon - Thurs) calls and one holiday.
  • The current call schedule allows a choice between night float or scattered call (see below) and individual preferences including planned leave are taken into account when creating the schedule.

Descriptions of types of call:


  • Night float: During night float, fellows are on call from 5 pm at night to 8 am the next day and then start the next call at 5 pm on that day. Fellows don’t need to go to their usual rotations during night float weeks.
  • Scattered single night calls: On a single night call, fellows work their normal day shift and are then on-call from 5 pm to 8 am the next day. They have the rest of the day off as their post call day.
  • Hybrid system: mix of night float and scattered calls.