ON-CALL POLICIES

Our PGY-I and II residents rotate through the acute emergency room and the EOB in their on-call tours and receive intense supervision from their senior residents and a senior attending psychiatrist. In addition to this, there is a senior psychiatrist (Bell attending) in the ER during all tours who has the ultimate responsibility for all clinical dispositions. PGY-I residents, as part of their six-month rotation in psychiatry, are initially assigned for two months to the acute ER (6 shifts of twelve hour duration each month). They work with an individual supervisor whose sole function is to observe their interviews and to supervise their evaluations, treatment, and disposition of each case. The supervisor is either an attending psychiatrist or a senior resident. Once they are seen as competent to work independently, one-on-one monitoring of their work ends, and they receive their supervision from the Bell attending. The frequency of on-call becomes less as well (they are assigned to 5 twelve- hour shifts a month). PGY-II residents also are on-call five twelve hour shifts per month during which they are supervised by the Bell attending. In the PGY-III, residents’ on-call consists of consultation to the general hospital as well as to the Acute Care Receiving Center (ACRC) (PGY-II residents cover the ACRC for all consults during their two-month rotation in C&L between the hours of 9AM to 5 PM.) During the PGY-IV, residents supervise the junior residents in the ER in the first two months of their rotation in psychiatry. Residents are allowed to go home after their twelve hour on-call shift.