The call schedule is determined by a monthly "lottery" conducted by the Psychiatry Residents' Association. This system maximizes flexibility and each resident's ability to determine which days he or she takes call. A back-up call list is maintained by the residents in the event the assigned individual on-call is unable to cover due to a personal emergency.
The total number of calls decreases each year with residents taking no in-house call during their final year in the program. PGY-1 residents do not take psychiatry calls while they are completing off-service rotations. PGY-2 and PGY-3 Residents take psychiatry calls each month with the exception of when they are assigned to the Emergency Psychiatric Service (EPS) as a daytime rotation during the week and while on Night Float. PGY-2 residents are each assigned a 2 week block of Night Float during which they work from 8pm-8am Tuesday through Saturday night. This Night Float assignment is paired with an exploratory rotation the remainder of the month to mitigate stress and fatigue associated with the adjustment from nights back into daytime rotations. During the shifts that a PGY-2 resident is assigned to Night Float, there will not be an additional PGY-2 or PGY-3 resident on call.
On-Call Residents are based at the Emergency Psychiatric Service (EPS) at University of Louisville Hospital. On- Call shifts for PGY-2 and PGY-3 residents occur from 8pm until 8am Monday through Friday and in 12 hour shifts (8 am-8 pm and 8 pm-8 am) on Saturdays, Sundays and holidays. During the portion of the year when PGY-1 residents are on psychiatry services, they take short call from 5 p.m. until 10 p.m. Monday through Friday and 12 hour shifts with the upper level present on Saturdays, Sundays and holidays. PGY-1 residents do not take call alone in EPS.
PGY-1 Call Responsibilities
- Assisting the PGY-2 and 3 residents with their duties in EPS, including evaluating and making dispositions (except for those patients on Mental Inquest Warrants), taking floor calls, and managing Holding Bed Unit patients.
PGY-2 and 3 Call Responsibilities
- Evaluating and making dispositions on patients referred to EPS.
- Evaluating all patients referred to EPS on Mental Inquest Warrants.
- Managing and making dispositions for patients admitted to the EPS Holding Bed Unit.
- Taking consultation calls from University of Louisville Hospital and VA Hospitals' psychiatric units.
PGY-3 Call Responsibilities
- As they transition toward the end of the PGY-3 years, residents begin to take at-home beeper call for after-hours, weekdays, and weekend backup for EPS and the consult services at the University and Norton Hospitals.
PGY-4 Call Responsibilities
- Resident take at-home beeper call for after-hours, weekdays, and weekend backup for EPS and the consult services at the University and Norton Hospitals.