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Call Stipends FAQs


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Please use the FAQ index below to browse inquiry categories.

FAQ Index

Section 1: General Questions:

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Q: What is the Resident Call Stipend Input system?

A: Resident Call Stipend Input is the online system in which UofT residents enter their own call directly into POWER. This replaced the paper based system on February 1st, 2015.

Q: What browser versions are accessible?

A: Call Stipend submission is compatible with Internet Explorer versions 8+, Chrome, and Firefox. You may be able to access the module using different browsers, for example, Safari, but the functionality is not guaranteed and data may be lost.

Q: Can I use my mobile device to log my call?

A: Not yet. There are functions, such as the SAVE button, which may not work resulting in a loss of data and no payment. PGME hopes to offer this option in the future.

Q: Is the system user-friendly?

A: Yes, this is a 3 step process: using the “Add Date” calendar:

  1. Select each date AND type of call.
  2. Save your entries as you go.
  3. The system will automatically submit call for the calendar month including any call from the previous month if you missed the 1st deadline.

Q: Is the system similar to the one previously used by SMH?

A: Yes, but you can only enter the current and previous month as mandated by the PARO-CAHO Agreement. No payment for earlier call is eligible.

Q: What if I am a sponsored resident or fellow?

A: All residents, including those sponsored by governments and external sources, should enter their call record in the online system. If required by the sponsor, the call record will be forwarded on a quarterly schedule. The form and method of call payment to the resident is set by the sponsoring government or agency. The MOH does not compensate fellows, however, so no recording of call is necessary for this group.

Q: How do I enter call if I am a UofT resident doing an elective at another hospital outside of Ontario?

A: Continue to enter your call using the online system. If necessary, you can edit the On Call Hospital or the Service column on the right by hovering your cursor over the area. You can also select “click here to add another scheduled rotation” and use the dropdown lists to choose the closest rotation description and hospital.

Q: Do I enter call if I am a visiting resident doing an elective at UofT?

A: No, you should report your call to your home hospital as they are responsible for payment. They may require your call schedule for verification.

Section 2: 13 Block versus 12 months:

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Q: How do I enter my call when I am on a 13 block rotation?

A: The Ministry of Health pays call stipends monthly. Therefore, you enter call for the entire month regardless of the number of blocks or rotations within a month. Your calendar displays 1 month at a time with all rotations listed. To input call if you have 2 rotations, click on the Add Date icon for the correct rotation. If your rotation continues to the next month, then enter any additional call dates in the next month’s calendar. See below for further instructions.

Section 3: Entering Call Stipends in POWER:

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Q: How exactly do I enter my stipends?

A: For instructions with screenshots, refer to the instructions on inputting call stipends into POWER. Otherwise, follow the steps outlined below.

In POWER, you will see an On Call Stipends icon on the left with two options: Data Entry and Call Statement. Select Data Entry and then click on the top bar to begin.

Select the Add Date button to get an empty cell. Click in the cell to get the calendar. Select date AND select 1 of the 4 call categories using a new line for each day. If you had a Home Call that was converted, you would only mark a Converted Call. When you are finished selecting a date AND type of call, click on the SAVE button on the top right of your screen or SAVE when you have finished entering all your call. You will receive a prompt that “your call(s) have been successfully saved”.

Q: What happens if I forget to SAVE my call?

A: It is your responsibility to SAVE call data each time you use the system. If you forget to click on SAVE, your call disappears and you will not be paid. To avoid this, there is a system prompt “are you sure you want to leave this page?”

Q: What if I make a mistake while entering?

A: You can adjust dates or type of call in the Add Date mode any time before the deadline. Delete any line by using the trash can icon to the extreme right of each line.

Q: If my rotation is at CAMH but I did call at SHSC, do I edit the site in right column?

A: Yes, your hospital site in the far right column defaults to where you are doing your rotation. Therefore, you should edit the “On Call Hospital” column by hovering over it with your cursor and keying in Sunnybrook to show you did call there.

Q: What if one of my rotations is incorrect or missing in POWER?

A: If your rotation is incorrect, contact your Program Administrator to have this corrected immediately. The On Call Stipends module is based on what has been already entered by your program. If time does not permit, you can edit an incorrect rotation by placing your cursor over the “service” column on the right. Enter at least 3 letters to begin searching the field. If you cannot find your exact rotation, select the rotation name that best matches your experience, then enter and SAVE your call dates.

To add a missing rotation, select “click here to add another scheduled rotation”. This gives you a blank template where you enter rotation and location using the dropdown list, which includes general rotations only. Select the rotation name that best matches your experience and SAVE after entering your call dates.

Q: What if the dates on the calendar are unavailable/greyed out?

A: Either they do not match the date range in the rotation listed on the left or they have already been selected/paid in the previous month. Check your Call Statement module.

Q: If I forgot to add my call dates can I enter them in the next month?

A: Yes, but you can only claim the previous month’s call, according to the PARO CAHO Agreement. Any earlier call is not eligible for payment. For example, if you forgot to claim your September dates in the September calendar, you can claim them in your October calendar by clicking the calendar itself back a month. Both Sept and Oct, therefore, would be paid together at the end of November.

Section 4: Deadlines and Email reminders

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Q: When do I need to enter my call stipends?

A: You will be able to start entering your stipends on the 1st day of each month up to the current date. For example, on July 15th, you can enter call up to and including July 15th and any June that you missed submitting in your June calendar.

Q: Can I enter my call all at once at the end of the month?

A: Yes. Select each date and type of call from the calendar and be sure to SAVE. If you do not SAVE, your call disappears and you do not get paid.

Q: Can I enter late stipends?

A: Only for the previous month as noted in Section 3. Nothing else is eligible according to the PARO CAHO Agreement.

Q: Are there any reminders to the residents to enter call stipends?

A: Yes, 3 email reminders per month are sent to the email address you provided on POWER: on the first and the last day of each month plus a final reminder on the 6th of the following month. For example, on June 1st, you will get an invitation to begin entering your June call. On June 30th, you will get a reminder that you have approximately a week left to finish entering your June call. On July 6th, you will get a final reminder that you have until midnight on July 7th to enter June call. Any May call can also be entered at this time. Anything before this is no longer eligible. For one week at the beginning of each month, you will have 2 calendars available.

Q: What if I cannot enter my stipends at the end of the month due to technical problems, being out of town, or an emergency?

A: You have an extra 30 days, as described above, to enter your call from the month before. If there are any problems, contact your Medical Education Office (or Jill Kinsella at callstipends@utoronto.ca). Emergencies and extenuating circumstances will always be considered but notifying your Medical Education Office as soon as possible is expected.

Q: Is forgetting to enter stipends considered an extenuating circumstance?

A: No it is not. This will result in non-payment with no option to submit if you have already missed both deadlines. Remember, you always have 2 months to enter call.

Section 5: Types of Call – 4 Categories:

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Q: What are the 4 types of call that residents do?

A: The 4 categories are defined below:

In Hospital Call Stipend: The resident is scheduled to begin the In Hospital call sometime after a regular rotation and the call extends beyond 11 pm on a weekday or weekend. (See other examples in Section 12)

Home Call/Shortened Call Stipend: This covers several categories:

  1. A resident is scheduled to do Home Call or;
  2. Resident starts the in-hospital call sometime after the regular rotation but is relieved of duties at or before 11 pm. (This is “shortened call”). The resident must have been on rotation before the call in order to qualify or;
  3. A resident who is not on call but who is required to round on weekends, and attend in hospital. (See other examples in Section 13)

Converted Call Stipend: The resident is scheduled for Home Call but comes in

  1. more than 4 hours in hospital during the call period, AND
  2. at least 1 hour is past midnight and before 6:00 am.

Note: When you mark a “Converted Call”, a comments box is triggered for you to mark your hours (not your activities) that relate to the 2 conditions above. Working for 4 hours during the day on a Mon-Friday, for example, is not part of call hours. If you are not clear, you will receive an email requesting clarification.

Qualifying Shift Stipend: A qualifying shift pertains only to those rotations which involve In Hospital shift work (e.g. emergency department, intensive care). A resident is paid this type of stipend if, and only if, 1 full hour is worked between midnight and 6:00 am. (There is no payment for 12 hour daytime shifts as your regular pay covers this).

Section 6: Maximum Call and Exceeding Maximums:

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Q: What are the monthly maximums for each category of call?

A: The maximum for each type of call, as determined by MOH, is below:
In Hospital call is 1 in 4 days per month. Since most rotations are between 27 and 29 days, the maximum for this category is 7. Other maximums are:

19-22 Days = 5 calls 30-34 Days = 8 calls
23-26 Days = 6 calls 35-38 Days = 9 calls
27-29 Days = 7 calls

Home Call is 1 in 3 days per month, or 10 per 30 days and cannot be averaged over multiple months with the exception of non-traditional call models. A resident cannot be on Home Call on 2 consecutive weekends.

17-19 Days=6 calls 26-28 Days=9 calls
20-22 Days=7 calls 29-30 Days=10 calls
23-25 Days=8 calls

Converted Call: Since a converted call begins as a Home Call, the maximum is the same as Home Call is 1 in 3 days or 10 call per month.

Qualifying Shifts: The guidelines for determining Maximum Duty Hours of work is a sixty (60) hour week including other scheduled responsibilities such as academic half days or alternately five (5) shifts of twelve (12) hours each.

Q: Will I be paid if I did more than 7 In Hospital Call or more than 10 Home/Converted Call?

A: It depends. Certain programs have been identified as having non-traditional hours or schedules which vary from the norm. Neuroradiology and GREI, for example, allow averaging of Home Call over several months and OB/GYN includes a Night Float model. If prior authorization for calls beyond the maximum has not been obtained by a Letter of Understanding, they may not be allowed. Program Directors, Administrators, Chief Residents etc. should be aware of the maximum calls allowed by the PARO-CAHO Agreement. If you are scheduled beyond the maximum, alert your Chief Resident.

If you go over the maximum, you will be prompted for an explanation. Write a short note in the comments box which will be flagged and reviewed by your hospital Medical Education staff member and PGME.

Q: What if I am asked to cover for another resident who is sick or away?

A: This is acceptable and you would enter this in the comments box.

Q: If I volunteer to do extra call, will I be compensated?

A: No, as mandated in the Agreement, you must be scheduled to do call.

Section 7: Authorization/Validation:

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Q: Do I need to obtain an electronic authorization or validation from my Chief Resident or other authorized person?

A: No, you are not required to get any signatures or authorization. However, this is an honour system which means you are responsible for submitting all calls absolutely accurately. Your stipends are reviewed and validated by the hospital Medical Education staff and PGME. Discrepancies will be investigated when necessary.

Section 8: Compensation and Call Statement Module (formerly Payment History):

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Q: What is the rate of pay for Call Stipends?

A:

  • In-Hospital + Converted Calls = $116.00 (increased July 1, 2015)
  • Home Call + Qualifying Shifts = $58.00 (increased July 1, 2015)

Q: When do I receive payment for my call?

A: Stipends are paid once a month at the end of the month following the call month; for example, November stipends are paid at the end of December.

Q: Will I still see my stipends itemized on my pay slip?

A: Yes, stipends are itemized below your regular pay and reflect the previous month’s call (or 1 month prior if you submitted late).

Q: Will taxes be deducted for call stipends?

A: Yes, like salaries, call stipends are subject to deductions.

Q: Where is the Call Statement module in POWER?

A: It is under your Data Entry module in your On-Call Stipends menu.

Q: Will I see payment details for each calendar month?

A: Yes, check your Call Statement module (formerly Payment History) where you can see the status for each month: PAID, PROCESSING FOR PAYMENT (the call will be paid at the end of the month) or NOT PAID (you had no call).

Q: What if I see NOT PAID” for a month that I submitted call?

A: If you submitted call 1 month late (30 days grace rule), these call dates will appear in the next month’s calendar; for example, if you used the October calendar for both September and October, all dates will appear under October. Click on any month to expand details.

If you submitted dates but forgot to select the type of call, those calls would indicate 0 and would not be paid.

Q: What if I notice errors after I have been paid; for example, I chose the wrong type of call?

A: Contact callstipends@utoronto.ca immediately to make the adjustments, which will be reflected on the next end of month pay. In the meantime, you will see PARTIALLY PAID status for that month on your Call Statement.

Section 9: Keeping Records/Audits:

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Q: Will I ever be audited? Do I need to keep any records?

A: Your Call Statement module under Data Entry itemizes all call dates with payment so nothing else is required. You are required, however, to maintain 100% accuracy.

Section 10: Statutory Holidays and Call Stipends:

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Q: When I work a Statutory Holiday (excluding Christmas to New Year’s holiday) do I mark a Call stipend?

A: No, not unless you are scheduled for call that day. If so, you would receive both a lieu day and the appropriate call stipend. If you work a regular clinical day or regular hours on a statutory holiday that falls between Monday to Friday and no call, you would only get the lieu day because you did not do any call.

If you are the “rounding resident” on a statutory holiday that falls on a weekend, you would get the Home Call stipend as well as the lieu day. Please contact callstipends@utoronto.ca or check the PARO website for more details.

Q: Will I receive a stipend if I am scheduled for call over the Christmas and New Year’s holidays?

A: Yes, if you are scheduled for call, you receive the appropriate stipend but not a lieu day. The Agreements states: “all house staff shall be entitled to at least five (5) consecutive days off during a twelve (12) day period that encompasses Christmas Day, New Year’s Day and two (2) full weekends. These five (5) days off are to account for the three (3) statutory holidays (Christmas Day, Boxing Day, New Year’s Day), and two (2) weekend days. If a resident is scheduled to work on a recognized holiday, he/she shall be entitled to a paid day off in lieu of the holiday to be taken at a time mutually convenient within ninety (90) days of the holiday worked.” Please visit the PARO website for more details.

Section 11: Specific Call Issues:

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Q: What should I enter if my call includes visiting several locations?

A: You should enter your base hospital or one of the locations only. You can edit the On Call Hospital on the right column in Data Entry.

Q: Should I still select Home Call when I do a ‘Shortened In Hospital’ call?

A: Yes, if you are scheduled to be in hospital after your regular daytime rotation and work up until 11:00 pm, you should mark Home Call. This is really a Shortened In Hospital Call but is categorized as Home Call.

Q: Are weekend rounds considered Home Call?

A: Yes, only if you are not on call and required to round on weekends. If you are already on call, you cannot claim weekend rounds.

Q: Does a “qualifying shift” mean that we qualify for a stipend?

A: No, a qualifying shift indicates a shift based rotation which is usually between 8 and 12 hours and includes 1 hour beyond midnight. This relates to Emergency and Critical Care rotations.

Q: Do I check a qualifying shift if I worked beyond midnight?

A: Only if you worked at least 1 hour between midnight and 6:00 am on a shift-based rotation such as ER and CCU. (FM residents – see Section 12/Section 13)

Q: Will we be paid for evening or weekend clinics?

A: Clinics are not considered call. There is no stipend payable when you are required to work an evening clinic up to 8pm. This is covered by your salary. However, weekend clinics are paid and you would enter “Home Call/Shortened Call”.

Q: Is there Call Stipend information on the PARO website?

A: Yes, you can access call stipend information on the PARO website or simply select the PARO link on your Data Entry screen.

Q: What if I have other questions about category of call?

A: Check specific situations below in Section 12 and Section 15. Check with your Medical Education office or our Call Stipends Assistant at: callstipends@utoronto.ca

Section 12: Other Situations considered In Hospital Call:

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The following are types of call within specific departments that have special consideration and are considered In-hospital call:

Split Call: (Psychiatry/12 hour shifts) Where 24-hour weekend In Hospital call (or 24-hour statutory holiday call) is spit into 2 shifts, only the resident who works the night call shift will receive the In-house call stipend, unless it has already been determined that each resident receives the Home Call stipend. (Radiology has opted for Home Call for both day/evening residents).
Weekend Hospital Call: When a resident is on weekend In Hospital call but does not stay overnight (e.g. 8 am to 9 pm), and it is not a split weekend call (i.e. no resident is covering after the resident leaves at 9 pm), the resident is entitled to the In Hospital stipend if they work 12 hours or more in hospital, even though the call does not extend past 11pm.

Half Day Clinic + Shift: When a resident is required to work a half day clinic or other formally scheduled duties, followed by working a regularly scheduled shift on the same day where that shift extends beyond 11 pm. Example: if you have a clinic from 8:00 am to 1:00 pm and then work an ER shift from 4 pm to midnight. This is to compensate for an extra-long day/night.

Clinical Duties + Shift: When an FM resident works a normal 5 day week of clinical duties AND then works a shift such as ER on a weekday or weekend which extends beyond 11 pm. When a resident does NOT work a full 5 day week of clinical duties AND works a shift in ER, for example, from 4pm-12pm, during the week or on a weekend, no stipend will be paid.

Section 13: Other situations Considered Home Call:

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Weekend Rounds: Resident is not on call but is required to round on weekends and attend in hospital.

Buddy Call: (Radiology and Psychiatry) Junior Resident – (PGY1) accompanies Senior Resident on In Hospital call schedule for a portion of the call period.

Home Call over a full weekend or full week: Resident works home call over a full weekend (Friday to Monday morning) or works 3 consecutive 24 hour calls OR resident works a full week of Home Call, inclusive of weekends (maximum =10 Home Call per month).

Half Day Clinic + Shift: Resident is required to work a half day of clinic or other formally scheduled duties, followed by working a regularly scheduled shift on the same day, where that shift ends at or before 11 pm. Example: if you have a clinic from 8:00 am to 1:00 pm and then work an ER shift from 4 pm to 11:00 pm. This is to compensate for an extra-long day/evening.

Clinical duties + Shift: An FM resident works a normal 5 day week of clinical duties AND then works a shift on a weekday or weekend which does not extend beyond 11 pm. When a resident does NOT work a full 5 day week of clinical duties AND works a shift in ER, for example, from 4pm-12pm, during the week or on a weekend, no stipend will be paid.

OB Family Medicine Call: Residents carries a pager for obstetrics call and is required respond to the page by providing medical care or attendance – before 11 pm.

OB Family Medicine Call: When on a Research Day or half day – resident is off site and still carrying the pager and expected to respond.

OB Family Medicine Call: The postpartum check-up is considered part of weekend rounds to check on the patient.

Bayview Clinic: NYGH Family Medicine residents can claim 1 home call when they attend the Bayview Clinic during their rotation ONLY up to a maximum of 4 home calls per month. Calls above 4 will not be paid.

Family Medicine Saturday Half Day Clinics: (twice a month) are eligible when on FM block – Note: You do NOT, however, get a stipend for the 2 evening clinics you do during the week for each month.

Section 14: Qualifying Shifts:

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(At least 1 hour is between midnight and 6:00 am)
A resident is strictly on a shift based rotation (eg. Emergency Medicine), the only call stipend applicable is the qualifying shift. All examples below are applicable.

  • A resident does an ER shift from 8:00 pm to 8:00 am
  • A resident is on their EM rotation and works a night shift in the ED
  • A resident in ER starts at 7:30 pm and finishes at 3:30 am
  • An FM resident doing an ER shift only (no previous clinic or other) starts at 11:30 pm and finishes at 7:30 am

Note: When a FM resident is on a shift based rotation, eg. ER and also has other clinical responsibilities such as a clinic during the same day, see Section 12 and Section 13.

Note: No Call stipend when a FM resident works a weekday shift, for example, 4pm to midnight, with no clinical duties during the day leading up to their evening shift. Call is only paid after a regular rotation. (This is a shift covered by regular pay).

Section 15: Examples of Other Call Categories

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  • An EM or Family Medicine resident is on their OBS/GYN rotation and stays in hospital overnight for deliveries = In Hospital call
  • A resident is on Home Call and is called in to the hospital from 11:00 pm to 3:00 am = Converted Call (4 hours with 1 hour after midnight)
  • A resident is on Home Call and is called in to the hospital from 11:00 to 2:00 am = Home Call (under 4 hours in hospital)
  • A resident in Radiology works Saturday, Sunday or a statutory holiday, either the day or night = Home Call (previous arrangement)

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