UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER RENAL FELLOWSHIP CALL SCHEDULE

The most recent ACGME guidelines state that one day in 7 averaged over a four week period need to be free of patient care responsibilities.  Our current call schedule meets this requirement.  The ACGME states that residents must not be scheduled for more than 80 hours per week averaged over a four week period.   Our fellows are well below this cut off in hours worked, including the occasional time they are called in when taking at home call. 

On all rotations there is no in hospital call.  All call is taken from home.  On those services where at home call is taken, the number of times fellows are actually called into the hospital is quite low.  This occurs rarely at the VA and perhaps 25% of the time at Methodist and Parkland rotations.  This is monitored by the program director.

Listed below are the current types of call and number of days off per month for each rotation:

A.    VA Consult and Hemodialysis Rotation:  During both of these rotations, call is taken from home every other day with weekends alternated.  The two fellows assigned to the VA alternate weekends so that two weekends or four days are completely free of patient care responsibilities.

B.     Methodist Medical Center rotation:  Two days of at home call per week are taken.  At least one weekend day each week is free of patient care responsibilities for a total of at least four free days.

C.     DaVita Peritoneal Dialysis Rotation:  There is no call – weekends are off, for a total of 8 days free of clinical responsibilities.

D.    Parkland Consult, Hemodialysis, and St. Paul Rotations:  There is shared at home call between these three rotations. The rotation schedule is designed so that each fellow has no less than 4 days/month free of patient responsibility.

Updated November 21, 2007                                              Created by Megan Johnson