SIR: Nightly call during residency is a painful but necessary part of the training experience. Each program handles how this is distributed within the context of its organizational possibilities. Those who distribute calls usually take in much of the anxiety and emotion created by the anticipation of long, stressful nights of work. This letter reviews the dynamics between residents taking call and those in charge of assigning call duties. It is intended to provide a systemic perspective, discussion about the interaction between the two parties, and alternatives to improve the system. We base this letter on our experience as a call committee in a 40-resident psychiatry-training program. In many other programs, either chief residents or a program coordinator constructs the call schedule. In our program, usually two second- or third-year residents handle this task on a voluntary basis. The duties of this "call committee" include distributing calls evenly among residents, ensuring alternative call coverage in emergencies, updating the call policy, and handling complaints about the schedule. Our programs call schedule has been particularly complex because we have had to schedule residents to cover between two to three hospitals. Additionally, the recent nationally imposed duty hour restrictions have made
Interpersonal and Group Dynamics in Running a Residency Call Committee
Abstract
SIR: Nightly call during residency is a painful but necessary part of the training experience. Each program handles how this is distributed within the context of its organizational possibilities. Those who distribute calls usually take in much of the anxiety and emotion created by the anticipation of long, stressful nights of work. This letter reviews the dynamics between residents taking call and those in charge of assigning call duties. It is intended to provide a systemic perspective, discussion about the interaction between the two parties, and alternatives to improve the system. We base this letter on our experience as a call committee in a 40-resident psychiatry-training program. In many other programs, either chief residents or a program coordinator constructs the call schedule. In our program, usually two second- or third-year residents handle this task on a voluntary basis. The duties of this "call committee" include distributing calls evenly among residents, ensuring alternative call coverage in emergencies, updating the call policy, and handling complaints about the schedule. Our programs call schedule has been particularly complex because we have had to schedule residents to cover between two to three hospitals. Additionally, the recent nationally imposed duty hour restrictions have made
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Interpersonal and Group Dynamics in Running a Residency Call Committee
Sedky, Karim W.; Swanljung, Peter; Fallon, April
Follow Academic Psychiatry
, Volume 31 (1): 84
American Psychiatric Publishing, Inc (Journal) – Feb 1, 2007
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