IP57-22 A NIGHT IN THE LIFE OF A UROLOGY RESIDENT: THE ON CALL EXPERIENCE AT A TERTIARY CARE ACADEMIC HOSPITAL IN A RURAL STATE

Reid Stubbee; Ryan Steinberg

doi:10.1097/01.JU.0001191624.06470.8f.22

INTRODUCTION AND OBJECTIVES: Call coverage is a critical part of urologic training in preparation for independent practice. The manner in which residency programs structure such coverage varies significantly. In this study, we characterize the communication and work of a single on call resident at an academic safety net hospital in a rural state. METHODS: All pages, consults and operative procedures completed by a single junior resident providing primary urologic coverage during after-hours time periods from July 2022 to March 2024 were retrospectively reviewed. Coverage provided was for an 800 bed academic tertiary care adult hospital with connected 190 bed children’s hospital in a state without other academic centers. A night float system was utilized from Sunday through Thursday nights (1700-0700); weekend shifts included Friday night (1700-0600), 24 hour Saturday (0600-0600) and Sunday day (0600-0700). Descriptive statistics were generated. RESULTS: 2611 pages, 339 consults and admissions and 66 operations were performed across 84 night float, 17 Friday, 13 Saturday, and 16 Sunday shifts. The average time between pages on an overnight shift was 46 minutes +/- 61 minutes. The average maximum time between pages was 225 minutes +/- 98 minutes. Day of the week was not significantly associated with differences in paging volume. During night float, 1700-2000 were the busiest hours of the night (Figure 1a). 50% of pages were received each night by 2100 and 31% of total pages were received between 0000-0700 (Figure 1b). The majority of operative cases were cystoscopy with ureteral stent placement (55%) and only 10% of the surgical volume was from the pediatric service. CONCLUSIONS: After hours urology call coverage at a rural academic safety net hospital is very busy with communications received at least once an hour with 1 of every 2 shifts requiring a procedure. Further study of on call patterns and duties is necessary to optimize coverage patterns and mitigate resident fatigue and burnout.

IP57-22 A NIGHT IN THE LIFE OF A UROLOGY RESIDENT: THE ON CALL EXPERIENCE AT A TERTIARY CARE ACADEMIC HOSPITAL IN A RURAL STATE

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