Psychiatry and
Behavioral Sciences

Call Duties

Night Float

There are two people on call each night at each location; an evening call person followed by the "night float." This makes evening call hours 4 hours on weekdays (4.5 hours at the VA), 13 hours on Saturdays, and 13 hours on Sundays. The night float shift is always 11 hours Sunday through Friday nights and 11 hours for the relieving person during Saturday night.

When on-call, the resident has three clinical responsibilities:

  1. To evaluate all psychiatric patients in the emergency room and if needed admit them to the inpatient units
  2. Respond to any urgent psychiatric consults called in by another medical service
  3. Respond to any medical or psychiatric urgencies on the inpatient units (i.e. the 60 beds at PAVA or 29 beds at Stanford).

Child psychiatry issues are handled by the Child Psychiatry fellows. When residents are on inpatient medicine services, they take medicine call and are exempted from the psychiatry call pool. We do not take either neurology or psychiatry call on neurology inpatient services, but we do take psychiatry call while on the neurology outpatient service.

Float Call System

Interns are assigned two two-week night float rotations at the Palo Alto VA, each alternating with two weeks vacation. PGY2's are assigned two two-week night float rotations at Stanford hospital, each alternating with two weeks vacation. PGY3's occasionally cover float shifts, and PGY4's do not take any call shifts. During night float rotations, interns/residents only work during the nights (9:00 PM - 8:00 AM) Sunday through Friday. The person on float has Saturday off. There are no day-time duties during night float rotations.

Point Call System

PGY1's, 2's and 3's are assigned call based on a point call system. Call occurs each week-night (5:00 PM - 9:00 PM) and week-ends (11-13 hour shifts). Each hour of call is worth roughly 1 point multiplied by your year. Therefore, PGY-1's, when on psychiatry rotations, will do a bit less than three hours of call for every two hours of call by a PGY-2 or one hour of call by a PGY-3. This translates into approximately 25 hours of call per MONTH for PGY1's and a bit more than a third of that by PGY3.

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