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On Call

2007-2010

·       unchanged from previous Collective Agreement

2004-2007

·       Regular Duty Hours:

o       If a Resident is not scheduled as on call on a weekend day, but is required to perform patient rounds on an assigned hospital service during a weekend day, a stipend of $100 shall be paid to the Resident for each scheduled weekend day.

·       Effective July 1, 2006: All Residents performing on-call duties shall be scheduled by 28 day blocks.

·       In-house call

o       In-House call is on a one-in-four (1:4) basis.  Based on 28 day blocks, the number of days on service subtracting any time the Resident is away on vacation are as follows:

§       1-6 days on service -     1 in-house call

§       7-10 days on service -   2 in-house calls

§       11-14 days on service - 3 in-house calls

§       15-18 days on service - 4 in-house calls

§       19-22 days on service - 5 in-house calls

§       23-26 days on service - 6 in-house calls

§       27-30 days on service - 7 in-house calls

§       31-34 days on service - 8 in-house calls

·       Effective July 1, 2006: No Resident shall be scheduled for in-house call duty on any portion of more than two weekends out of any fours weekends

o       until June 30, 2006: Scheduled by calendar month, no Resident shall be scheduled for in-house call duty on any portion of more than three weekends out of any five weekends during that calendar month

·       Effective July 1, 2006: Sign-over of patient care responsibilities and pertinent patient information shall begin no later than the 24th consecutive hour of duty. Apart from handover of patient care responsibilities, no Resident shall be required to assume new clinical responsibilities following the 24th hour of duty.  Such handover shall not exceed 2 hours.

o       Until June 30, 2006: No Resident shall be on duty or carry clinical responsibilities for more than 28 consecutive hours as a result of in-house call.  Patient information must be passed on beginning no later than the 25th hour on duty.

·       Effective July 1, 2006:

o       The following clause will be deleted:

§       The critical care units, neurosurgery, general surgery, and post-transplant care shall not comply with an on-call ratio of one-in-four for service provision reasons.  These Residents may not be on-call more than 10 times in any 28 day block.  Starting January 1, 2004: when scheduled by 28 day blocks, Residents shall receive additional remuneration at a rate of $206 for each scheduled in-house call in excess of 7 during that 28 day block.

·       Home Call

o       Home call is on a one-in three (1:3) basis.  The number of days on service subtracting anytime the Resident is away on vacation are as follows:

§       1-5 days on service -      1 home call

§       6-8 days on service -      2 home calls

§       9-11 days on service -    3 home calls

§       12-14 days on service -  4 home calls

§       15-17 days on service -  5 home calls

§       18-20 days on service -  6 home calls

§       21-23 days on service -  7 home calls

§       24-26 days on service -  8 home calls

§       27-29 days on service -  9 home calls

§       30-32 days on service - 11 home calls

o       Effective July 1, 2006: Any Resident on home call who stays in or returns to the hospital to attend to a patient between the hours of 12:00 am and 6:00 am is entitled to relieve themselves of all clinical responsibilities immediately after handover of patient care responsibilities.  Handover shall commence no later than the 24th hour of duty and shall not exceed 2 hours.

§       Until June 30, 2006: Any Resident on home call who stays in or returns to the hospital to attend to a patient between the hours of 12:00 am and 6:00 am  is entitled to relieve themselves of all clinical responsibilities by 12:00 pm that afternoon.

§       Effective July 1, 2006:                                                         The following clause will be deleted:

รบ        When scheduled by 28 day clocks, Resident performing home call shall receive additional remuneration at a rate of $130 for each scheduled on-call in excess of 9 during that 28 day block, to a maximum of 4 on-calls being remunerated.  When scheduled by calendar month, these Residents shall receive additional remuneration at a rate of $140 for each scheduled on call in excess of 10 during that calendar month, to a maximum of 4 on-calls being remunerated.  

·       See Call Stipends for new articles            

2002-2004

·       Regular Duty Hours:

o       No Resident shall be scheduled or required to perform more than 12 hours of clinical duties in any one day, unless scheduled as on-call.

o       Residents on Emergency Medicine rotations who are scheduled for shifts shall not exceed a total of 60 hours of shifts per week.

o       No Resident shall be scheduled to work any hours on Saturday, Sunday, or Named Holidays with the following exceptions:

§       Where the Resident is scheduled as on-call

§       Where the Resident is scheduled for an Emergency Medicine shift.

§       Where a Resident assigned to a hospital service is required to perform patient round on that service on a weekend day, and where that Resident is not scheduled as on-call that weekend day.

§       In this circumstance, a stipend of $65 will be paid to the Resident for each scheduled weekend day that the patient rounds are provided.  Any individual Resident shall collect no more than one stipend amount per day.

·       In-house call

o       No Resident shall be scheduled for in-house call duty more than 7 times in any 28 day block, or more than 8 times per calendar month.

o       No Resident shall be schedules for in-house call duty, or a combination of in-house and home call duty, on two consecutive days. 

o       When scheduled by 28 day blocks, no Resident shall be scheduled for in-house call duty on any portion of more than two weekends out of any four weekends; when scheduled by calendar month, no Resident shall be scheduled for in-house call duty on any portion of more than three weekends out of any five weekends during that calendar month.

o       No Resident shall be scheduled for any in-house call duty on any portion of more than two consecutive weekends. 

o       No Resident shall be on duty or carry clinical responsibilities for more than 28 consecutive hours as a result of in-house call.  Patient information must be passed on beginning no later than the 25th hour on duty.

o       The critical care units, neurosurgery, general surgery, and post-transplant care shall not comply with an on-call ratio of one-in-four for service provision reasons.  These Residents may not be on-call more than 10 times in any 28 day block.  Starting January 1, 2004: when scheduled by 28 day blocks, Residents shall receive additional remuneration at a rate of $206 for each scheduled in-house call in excess of 7 during that 28 day block.

·       Home Call

o       No Resident shall be scheduled for home call duty more than 10 times in any 28 day clock, or more than 11 times per calendar month.

o       No Resident shall be scheduled for home call more than 3 consecutive days.

o       No Resident shall be scheduled for home call duty on any portion of more than two weekends out of any fours weekends.  When scheduled by calendar month, no Resident shall be scheduled for in-house call duty on any portion of more than three weekends out of any five weekends during that calendar month.

o       No Resident shall be scheduled on any portion of more than 2 consecutive weekends.

o       Any Resident on home call who stays in or returns to the hospital to attend to a patient between the hours of 12:00 am and 6:00 am  is entitled to relieve themselves of all clinical responsibilities by 12:00 pm that afternoon.

o       Starting January 1, 2004: when scheduled by 28 day blocks, Residents performing home call shall receive additional remuneration at rate of $130 for each scheduled on-call in excess of 9 during that 28 day block, to a maximum 4 on-calls being remunerated. When scheduled by calendar month, these Residents shall receive additional remuneration at a rate of $140 for each scheduled on call in excess of 10 during that calendar month, to a maximum of 4 on-calls being remunerated.  

1999-2002

·       Unchanged from previous Collective Agreement

1997-1999

·       Unchanged from previous Collective Agreement

1995-1997

·       In-House:

o       No Resident shall be scheduled to be on call for the period of 5 p.m. to 8 a.m. or any portion thereof more than (10) nights in (30).

o       No Resident shall be schedules to be on call during the period 8 a.m. Saturday to 8 a.m. Monday, or any portion thereof, more than (2) weekends in (3).  Any on call during a weekend shall not exceed 28 consecutive hours.

·       Home Call:

o       No Resident shall be on call for more than (2) consecutive nights in a row, nor shall he or she be on call for more than (10) nights in a (30) night period, nor for more than (1) weekend in any (3) weekends.

·       All duty schedules shall be posted on a monthly basis and available at least (1) week prior to its effective date. 

·       In the event PARA feels that the limits stated are not being adhered to by the Authority, PARA may refer the issue to an Adjudication Board or an Arbitration Board.