Emergency Medicine Shifts & Stipends

1. After an overnight Emergency Medicine shift, am I entitled to a post-call day?
2. When is a resident physician performing an Emergency Medicine shift entitled to an Emergency Medicine shift stipend?
3. 3. If I am entitled to an Emergency Medicine shift stipend, do I receive the stipend rate for the day the shift starts or the day it ends?

1. After an overnight Emergency Medicine shift, am I entitled to a post-call day?

Post-call days described in Articles 14.04(e) and 14.05(f) relate specifically to in-house and home call, not Emergency Medicine; Emergency Medicine hours fall under Regular Duty Hours in Article 14.02(b) which states "Residents on Emergency Medicine rotations who are scheduled for shifts shall not exceed a total of 60 hours of shifts per week." Resident physicians that have service, education, or other expectations the morning following an overnight Emergency Medicine shift should consider contacting their program to ask if alternate arrangements can be made.

2. When is a resident physician performing an Emergency Medicine shift entitled to an Emergency Medicine shift stipend?

Resident physicians who perform Emergency Medicine shifts are entitled to a stipend when "one full hour worked on the shift occurs between midnight and 6 a.m." [Articles 14.08(b)i & 14.08(b)ii]

3. If I am entitled to an Emergency Medicine shift stipend, do I receive the stipend rate for the day the shift starts or the day it ends?

Unlike the call stipend rates that are determined based on the day the shift commences, the Emergency Medicine shift rate is tied to the day on which "one full hour worked on the shift occurs between midnight and 6 a.m." [Articles 14.08(b)i & 14.08(b)ii] For example, an Emergency Medicine shift that commences at 11pm on Friday and is completed at 7am on Saturday is eligible for the weekend Emergency Medicine stipend rate, because the "one full hour worked..between midnight and 6 a.m." is on Saturday.