For Adult and Pediatric Orthopedic trauma, there is a first call (PGY-1,2,3), and a second call (PGY-3,4,5) on each night.
First call includes acute care at the Emergency Department at ORMC and Arnold Palmer Hospital for Children, as well as inpatient care at ORMC. First call is covered by the Night Float resident(s) Sunday night through Thursday night. Friday, Saturday, and daytime Sunday are covered by a separate weekend call team. While not on the night float rotation, most junior residents are on weekend first call for 2 weekends per month.
Interns are limited to 24 hours per shift. The first six months of the year (July – December), interns share first call duties with a second- or third-year resident in order to hone their skills. Interns will spend one month on night-float with a third-year resident during their first six months. After the first six months, interns cover first call without another junior resident in house. The interns will cover a second month of night float in the spring. As a third year, residents are paired with the interns for first call duties during the first six months, and thereafter take second call. Second call is true “home” call where the second call resident only has to come in to operate for shift work on the weekends or through the week after hours if there is a true orthopedic emergency.