UAMS Psychiatry Residency Call
We have three types of call at UAMS: Trifecta-call (UAMS/VA/PRI), Short call, and Arkansas Children's Hospital (ACH) call.
On this call, residents are available by pager and cover three hospitals (UAMS, VA and the PRI). This is in house call and the hours are 4:30pm - 7am on Fridays. Saturday and Sunday am shifts are from 7am - 7 pm, and Saturday pm shift is from 7 pm – 7am. All other shifts are covered by the night float resident on their PGY II Night Float rotation. Night float shifts are from 7pm - 7am Sun - Thu.
On average, you will receive 3-4 calls from the UAMS E.R. and 3-4 calls from the VA E.R. We also cover any hospital floor consults, although these are atypical. Residents may receive 1-2 calls from the suicide hotline during their shift. The PRI is our inpatient psychiatric unit and residents are responsible for covering “prn” calls from these 4 units. At full capacity there are 40 beds. On average, there are 4-6 calls per shift for these units, which can typically be handled over the phone. Performing a safety assessment is the primary objective when receiving a consult from the ER. Residents can expect to spend about an hour per consult. All patients are checked out over the phone with attending physicians, who are available to troubleshoot if we run into problems.
Interns currently have approximately 18 -20 trifecta calls per year. Second year residents have approximately 12 trifecta calls per year, in addition to the night float rotation. Third year residents have approximately 15 trifecta calls per year and fourth year residents have approximately 4 trifecta calls.
This call is in-house starting at 5:00 pm and ending at 9 pm on Mondays – Thursdays only. At 7pm, the resident on the night float rotation comes in. There is a 2 hour overlap with the short call and night float residents to facilitate the transition of patient care. This call covers UAMS, VA and PRI, just like trifecta call and the number of consults ranges anywhere from 1-4. Any consults, that are unable to be completed during the short call shift, are passed off to the night float resident. Typically the short call resident is able to complete the consults that come in on their shift.
Currently, Only PGY1’s take short call which averages 26 short calls per year. This call is 4 hours and acts as the bridge between the day consult and night float resident.
Arkansas Children’s Hospital call
The other type of call within our program is at Arkansas Children’s Hospital. We are paid for working these shifts and they are assigned on a voluntary basis. This call is considered to be “internal moonlighting” and does not require a medical license or malpractice insurance. All residents, PGY II-IV and fellows, are eligible to take call at Arkansas Children’s Hospital.
Residents recieve a base pay $50 on weekdays and $100 on weekends to carry the pager. This is at-home beeper call. Consults are placed primarily from the ER and from the floor. We are paid $125 per new consult. At times, we are asked to follow up on patients that have already been evaluated by the day consult team. We are paid $75 for each follow up. Consults take about an hour and are primarily safety assessments in the ER. Each consult is staffed over the phone with an attending physician.