Night/Weekend Call Obligations & Schedule
While being “on call” is an integral part of urology residency training and independent practice after training, we realize that the physical, mental, and emotional burden of night call can be burdensome. Thus, we have established a call schedule which is tailored to the needs, pace, and geography of each rotation, designed in a manner which will maximize the educational value for the resident while strictly adhering to work-hour regulations. Details of the call schedule for each practice location are listed below.
Each “in-house” call night is followed with a “post-call” day off, starting immediately after morning hand-off, no later than 10 a.m. For years PGY 2-4, 60% of rotations are spent in the combined Clements University Hospital and Parkland call pool. These hospitals are about 1 mile apart with convenient parking while on call. In-house call at Clements/Parkland is fast-paced and high volume, but call is infrequent.
“Home-call” nights are not followed by a scheduled day off. However, when emergencies dictate return to the hospital for much of the night, residents are excused from clinical duties the next morning, as needed, to ensure patient and resident safety.
William P. Clements Jr. University Hospital
- PGY-1 (urology service): no night call; alternating weekend rounds/day-call assistance (approximately 6 a.m. – noon, Saturday and Sunday) with every other weekend completely off.
- PGY-2 through 4: in-house weeknight call every eighth night; in-house weekend call every fourth-fifth weekend. Weekends include either: 24-hour Saturday call and Sunday off or 13-hour Friday night call and Saturday off and 24-hour Sunday call and Monday off.
- PGY-5: backup call, from home, alternating weeknights and every third weekend.
Parkland Memorial Hospital
- PGY-1 (urology service): no night call; alternating weekend rounds/day-call assistance (approximately 6 a.m. – noon, Saturday and Sunday) with every other weekend completely off.
- PGY-2 and 3: in-house weeknight call every eighth night; in-house weekend call every fourth-fifth weekend. Weekends include either: 24-hour Saturday call and Sunday off or 13-hour Friday night call and Saturday off and 24-hour Sunday call and Monday off.
- PGY-4: backup call (from home) alternating weeknights; in-house weekend call every fourth-fifth weekend (similar to PGY-2 and 3, as above).
- PGY-5: backup call, from home, alternating weeknights and every third weekend.
Children’s Medical Center
- PGY-2 through 4: home call every third weeknight and every third weekend (remaining two of three weekends are completely off).
VA Medical Center
- PGY-2 and 3: home call alternating weeknights and weekends (alternating weekend is completely off).
- PGY-5: backup call, from home, alternating weeknights and weekends (alternating weekend is completely off).
John Peter Smith Hospital
- PGY-2 and 5: No weeknight call. Alternating weekend “home” call, Friday night through Monday morning, with the remainder of Monday off after morning sign-out (alternating weekends are completely off).
- The urology department maintains a fully furnished and equipped apartment near the hospital in Fort Worth, for full use by the resident when on “home” call during weekends and if needed for weeknights when the resident would prefer not to drive home to Dallas.