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Call Stipend Rules

The table below contains a list of Call Stipend Rules organized by category.

#DescriptionCall Stipend Category
1Resident starts the in-hospital call sometime after the regular rotation and ends before 11 pm (weekday or weekend)

Note: It was clarified that the trainee should have been on rotation before the call in order to qualify for any stipend.
Home Call stipend, Shortened Call
2Resident starts the in-hospital call sometime after the regular rotation and extends beyond 11 pm (weekday or weekend).

Note: 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.
In-Hospital Call stipend
3Resident who is scheduled on home call but who works more than four hours in hospital during the call period, of which more than one hour is past midnight and before 6 amConverted Call stipend (must have started as a Home Call)
4Resident is on a shift-based rotation 8-12 hour night shift such as Emergency or ICU and works 1 full hour between midnight and 6 a.m. (see #13a or #13b if shift is worked after a half day clinic)

Note: No payment for 12 hour daytime shifts.
Qualifying Shift stipend
5
Residents not on call but who are scheduled or are required to round on weekends, and attend in hospital.
Home Call stipend
6Resident arranges to work home call over a full weekend (Friday to Monday morning) or to work three 24-hour calls.Home Call stipend (3 home call stipends)
7Resident arranges to work a full week of home call, inclusive of weekends.Home Call stipend for each call (Maximum = 10 home call per month)
8OB Family Medicine Call Language:

Resident carries a pager for obstetrics call and is required or expected to respond to the page by providing medical care or attendance: the amount of such call stipends not to exceed the maximums specified in the collective agreement (approx 10 home calls, 7 In-Hospital).
Home Call stipend or Converted Call stipend (depending on the time in attendance at a delivery; if beyond 11 pm, this becomes a converted call stipend).
9aThe Home Call Stipend rate will be paid in the following scenarios where the call does not extend beyond 11 pm:

A Family Medicine resident who has worked 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. (normal 5 day week as per each program)
Home Call stipend
9bThe In-Hospital Call Stipend rate will be paid in the following scenarios where the call extends beyond 11 pm:

A Family Medicine resident who has worked a normal 5 day week of clinical duties and then works a shift on a weekday or weekend which extends beyond 11 pm. (normal 5 day week as per each program)
In-Hospital Call stipend
10Where 24-hour weekend in-hospital call (or 24-hour statutory holiday call) is split into two shifts, only the resident working the night call shift will receive the in-house call stipend, unless the employer has already determined or determines in future that each resident will receive the Home Call Stipend. For clarity, the total amount paid for each 24-hour in-hospital call worked will be $105

Note: This rule applies mostly to Psychiatry, where the weekend call is split into 12-hour shifts.
In-Hospital Call stipend for overnight resident only; or Home Call stipend for each resident, if agreed upon in advance.
11“Buddy” call – Junior Resident accompanies Senior Resident on In-Hospital call schedule for a portion of the call period.

Note: This rule was developed for Radiology and Psychiatry where PGY1s are "buddied" with senior residents.
Home Call stipend for Junior Resident
12
Post Call/Home after Handover (Section 16.4)- Resident is relieved of all service and educational duties at handover. The length of the handover is defined as not exceeding 2 hours after the 24 hour period. For Surgery at UofT, the handover time is 12 noon. For Anesthesia and ObGyn, it is 1 hour. For ICU and CCU it is 1.5 hours of handover.
See #3 for call conversion (if resident comes in from home call)
13aResident is required to work a half day of clinic or other formally scheduled duties, followed by working a regularly scheduled shift, where that shift ends before 11 pm.Home Call stipend
13bResident is required to work a half day of clinic or other formally scheduled duties, followed by working a regularly scheduled shift, where that shift extends beyond 11 pm.In-Hospital Call stipend

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