Orthopaedic faculty trauma call policies: a survey of accredited orthopaedic residency programs.
The purpose of the study was to determine the practices and policies for trauma call for orthopaedic faculty at residency training programs. A 2-page survey was mailed to the chairs of 141 nonmilitary, accredited residency programs. Responses were received from 106 (75% response rate). Of the responders, 97 (91.5%) of the programs were associated with a Level 1 trauma center. All faculty took trauma call in 44% of programs. The chair took trauma call in 60% of the programs. In 35% of programs, full-time faculty earned additional compensation for taking call. The source of this compensation for full-time faculty was the hospital alone in 72%. In 32 programs, a per-diem stipend (mean $696, range $100-1,500) was provided. In 59% of programs, there was a specific orthopaedic "trauma team" that took over patient care from other faculty members after call. Thirty-three percent of programs had a policy concerning age when a full-time faculty member went off trauma call. Of these, faculty came off call at age 50 years in 11% of programs; at age 55 years in 29%; at age 60 years in 40%; at age 65 years in 9%; and "other" in 11%. Twenty percent of chairs responded that trauma call adversely affected the chair's ability to recruit new faculty. There was a wide variety of policies concerning orthopaedic faculty trauma call. Additional studies on faculty trauma call are warranted.
Lachiewicz
Paul F
PF
Department of Orthopaedics, University of North Carolina, Chapel Hill, NC 27599-7055, USA. paul_lachiewicz@med.unc.edu
Dirschl
Douglas R
DR
Soileau
Elizabeth
E
D003625:Data Collection; D005180:Faculty, Medical; D006784:Hospitals, Teaching / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007396:Internship and Residency; D008505:Medical Staff, Hospital / Q000592:standards; D009985:Orthopedics / Q000193:education / Q000458:organization & administration* / Q000592:standards; D010561:Personnel Staffing and Scheduling / Q000592:standards*; D014940:Work Schedule Tolerance; D014947:Wounds and Injuries