In meeting new (2011) ACGME duty hours rules, the program was fortunate in securing additional resources to expand our residency class size, allowing the development of 3 Night Float positions; these provide much of the on-call coverage for our VCUHS Inpatient Service, VCUHS ER Psychiatry Service, and VAMC Psychiatry Service. Night Float Residents work approximately 11 hour shifts, typically for 2-4 week blocks.
On-Call Frequency by Year:
Weekend call: 11-12 call shifts divided over 6 on service blocks (approx. 24 weeks). The 7th on service block is night float, and the remaining blocks are off service rotations.
Evening short-call: Average once per week while on service
Weekend call: 20-21 call shifts over the year
Evening short-call: Average once per week while on inpatient services
Weekend call: approximately 15 call shifts over the year
Evening short-call: Average once every 2 weeks
Moonlighting shifts are also available. PGY 2, 3, or 4 residents who have passed Step 3 and obtained a full Virginia medical license are eligible to do in-house moonlighting. On weekdays, moonlighters assist with adult admissions. On weekends, they may cover a Friday night psychiatry ER shift, or cover child/adolescent admissions from home. Due to INS and ACGME regulations, J-1 visa holders are ineligible to work moonlighting shifts.