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


General Call Information


  • Weekday calls last from 5pm-8am and are taken from home. Usual duties include placing orders for new admissions, responding to overnight nursing calls, and occasionally answering after hours questions from community physicians. Fellows may elect to take weekday calls as "scattered call" or "night float call" (see below).
  • 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. A post-call day is provided for Sunday calls.
  • Each fellow should expect to have about 4 Saturday calls, 4 Sunday calls, 4 Friday calls, 16 weekday (Mon - Thurs) calls and one holiday. These numbers are likely to reduce with our planned fellowship expansion to 16 total fellows.

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 and their only daily duty involves call from home at night.
  • 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.