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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 system?

A: This is the online system in which University of Toronto residents enter their own call directly into POWER in order to be paid for on call dates.

Q: What browser versions are accessible?

A: Call Stipend submission is compatible with 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: No. There are functions, such as the SAVE button, which may not work resulting in a loss of data and no payment. Double-check your entries in your Call Statement module, as these will not be paid retroactively.

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 a call stipend the same as working late?

A: No. In order to claim a stipend, you must be on the call schedule. Working late hours on your regular rotation is a program-related issue and covered by your salary. Similarly, you do not record a call for meetings or academic activities.

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

A: The MOH does not compensate fellows, so no recording of call is necessary. All others, including those sponsored by governments and external sources, should enter their calls 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.

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

A: Continue to enter your call using the online system. You should edit the On Call Hospital or the Service column on the right by hovering your cursor over the area. Click to edit and key in at least 3 letters to search hospital and service sites. If your rotation is missing, select the “click here to add another scheduled rotation”. If your rotation is not listed in search mode, choose the closest rotation description or program.

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

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.

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

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

Q: Will I be paid for evening or weekend Clinics?

A: There is no stipend payable when you are required to work a weeknight evening clinic up to 8pm. Weekend clinics, however, can be claimed as “Home Call”.

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: Because the Ministry of Health pays call stipends monthly, residents enter calls for the entire month regardless of the number of blocks or rotations within that month. Your monthly calendar displays all rotations listed. If you have 2 rotations, click on the Add Date icon for the corresponding rotation and enter dates. If your rotation continues to the next month, use the next month’s calendar. (See Section 6 to find out how this affects maximums calls permitted by block and month).

Section 3: Entering Call Stipends in POWER:

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Q: How exactly do I enter my stipends?

A: Instructions with screenshots can be found here, or access this link through the FAQ button on the top right of your Data Entry screen. Otherwise, continue with the instructions 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 your date of call AND select 1 of the 6 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.  Click on the SAVE button on the top right of your screen when you have finished entering all your calls. You will receive a prompt that states, “Your call(s) have been successfully saved”.

Q: Why are weekend calls recorded separately from weeknight calls?

A: Calls completed between Friday evening and Sunday night are paid at a slightly higher rate (10%) and therefore categorized separately.

Q: How do we record a Weekend Call?

A: If you were on the call schedule anytime between Friday evening and Sunday night, record your call in either of the 2 columns on the extreme right: Weekend Hospital/Converted Calls, or for all others, select Weekend Home/Other, which covers Home Calls, Shortened Hospital Calls, Weekend Rounding, Weekend Clinics and Qualifying Shifts (for Qualifying Shifts in ER you must have worked at least 1 hour between midnight and 6 a.m.).

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. If you receive the system prompt “Are you sure you want to leave this page?” it means you forgot to SAVE.

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. Please note, however, if you change a weekend call to a weeknight call (or vice versa), you must re-enter the call category as it deletes the type of call when changing. Delete any line completely by using the trash can icon to the extreme right of each line.

Q: If my rotation is different from my On Call site, do I edit the On Call site?

A: Yes, the system default is the rotational site on left.  To change the record to reflect the actual site of the call, hover your cursor over the hospital in the On Call Hospital column on right. Key in the first three letters to locate the correct site.  If you do not do this, your hospital coordinator may email you for clarification.

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

A: If your rotation is incorrect or missing, contact your Program Administrator to have this corrected. This is important as your ITERs are tied to your rotations. In the meantime, you can edit an incorrect rotation by hovering your cursor over the “service” column on the right. Key in 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.

To add a missing rotation, select “click here to add another scheduled rotation”. This blank template prompts you to ‘select rotation/location’. Key in 3 letters to select each field and SAVE after entering your call dates. If you choose this option, it is not necessary to adjust your rotation retroactively.

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

A: You cannot select future dates. You may have already already selected the dates in the previous month. Check your Call Statement module and click on any month to show previously claimed dates.

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 (Att. 22 2b). Any earlier call is not eligible for payment. To clarify, if you forgot to claim your September dates in the September calendar, you can claim them in your October calendar by clicking the calendar back a month. Both Sept and Oct would be paid together at the end of November. In your Call Statement module, your September calendar would remain “Not Paid” and both months would appear in your October calendar.

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 dates that you missed submitting in your June calendar.

Q: Can I enter all dates 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 will 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 (Att. 22 2b).

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 last day of each month plus a final reminder on the 6th of the following month. For example, on July 1st, you will get an invitation to begin entering your July call. On July 30th, you will get a reminder that you have a week left to finish entering your July call. On August 6th, you will get a final reminder that you have until midnight on August 7th to enter July call and any June call. Anything before this is no longer eligible. For one week at the beginning of each month, you will have 2 calendars.

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. Emergencies and extenuating circumstances will always be considered but notifying your Medical Education Office within a month 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.

Q: If I end my term in June, will I have access to the July calendar to input late call?

A: No, non-returning residents will not have a July calendar for the upcoming year. Therefore, you will need to enter June call dates in your June calendar by the July 7th deadline. The second deadline for late submission is no longer an option.

Section 5: Types of Call – 4 Main Categories + 2 Weekend Call Categories:

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Q: What are the types of call that residents claim?

A: The 4 main categories are defined below:

  1. In-Hospital Call Stipend: A 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 11.
  2. Home Call/Shortened Call Stipend: This covers several categories:
    • A resident is scheduled for Home Call;
    • A resident starts the in-hospital call sometime after the regular rotation but is relieved of duties at or before 11 pm (“shortened hospital call”). The resident must have been on rotation before the call in order to qualify;
    • A resident is scheduled for Back Up call. See other examples in Section 12.
  3. Converted Call Stipend: A resident is scheduled for Home Call (at home) but works more than 4 hours in hospital during the call period, AND at least 1 hour between midnight and 6:00 am. When you mark a “Converted Call”, you must confirm both conditions above in the comments box provided. You do not need to specify any activities. If your comments do not confirm both conditions, you will be emailed to clarify. Working for 4 hours during the day on a Monday to Friday does not contribute towards converted call hours as your salary covers this.
  4. Qualifying Shift Stipend: A qualifying shift pertains only to those rotations that involve In-Hospital shift work (e.g. emergency rotations). 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 or working up to midnight as regular salaries cover this.

NOTE:  Weekend categories pay residents an additional 10% for calls scheduled between Friday evening and Sunday night. As usual, this refers to residents on Call and does not refer to residents working late hours on their rotation. Click here for Weekend Call Instructions.

 

  1. WEEKEND In-Hospital/Converted: between Friday evening and Sunday night.
    • In-Hospital call after regular rotation where the call extends beyond 11 pm;
    • Converted Call where a resident works at least 4 hours in hospital during the call period with at least 1 hour beyond midnight.
  2. WEEKEND Home/Other: between Friday evening and Sunday night:
    • Home Call (at home); or Back Up call (at home);
    • In-Hospital call ending at or before 11pm (8am-6pm, for example);
    • Weekend clinic;
    • Weekend Rounding on Saturday/Sunday when a resident is not scheduled for call but attends in hospital; or
    • Qualifying Shift that extends 1 hour beyond midnight (all other qualifying shifts are covered by salaries and therefore not eligible for the increased rate).

Section 6: Maximum Call, Exceeding Maximums and Blended Call:

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Q: What are the block or monthly maximums set out by the PARO CAHO Agreement? 

A: The maximum for each type of call is listed below. However, many residents do a combination of Home/Hospital call (Blended Call), which combines maximums and is listed further below;

In Hospital call is 1 in 4 days. 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, or 10 per 30 days and cannot be averaged over multiple months with the exception of non-traditional call models. Weekend rounding contributes towards total Home Call. A resident cannot be on Home Call 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 for both Home and Converted Calls combined is 1 in 3 days or 10 calls 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.

Blended Call: Blended Call refers to the combination of in Hospital and Home Call and is calculated using the following formula:

(Number of Home Call) x 3 PLUS (Number of In-House Call) x 4 = NOT MORE than 30 over a 28 day period. For rotations that exceed 28 days, the same formula applies with the following totals in the chart below:

Number of Days Formula Total
29 31
30 32
31 33
32 34
33 35
34 36
35 38

Q: What if I am scheduled for call in back-to-back rotations occurring in the same month? Won’t that put me over the maximum?

A: Because the block system does not align perfectly with calendar months, often a month is split into two different blocks where your call dates are back-loaded in the 1st block and front loaded in the 2nd block.  Although you cannot be scheduled over 7 Hospital calls within a 28-day block, you may end up being scheduled more than 7 Hospital calls in a month. In this case, residents need to put a note in the comments section, as the system will trigger a flag for exceeding the maximums.  As per the Agreement, however, you cannot be scheduled for more than 9 calls in a single month. Program Directors, Chief and Senior Residents are aware of the maximum calls allowed by the Agreement. If you are scheduled beyond the maximum or blended call maximum, alert your Chief Resident or your scheduler before you complete the call. If you are self-scheduling, you must be sure not to exceed the maximums.

Q: Why do some programs permit working beyond the maximums per block/month?

A: Certain programs have been identified as having non-traditional schedules where call averaging over several months is approved in advance by PARO and the Program Director. Residents use the comment box to explain.

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. Every effort is made, however, by your Chiefs not to exceed maximums.

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

A: No. Although residents may wish to optimize their training opportunities, payment is only for scheduled call as it falls within the Ministry of Health’s budget.

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 honestly and 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:

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

A: See below for all categories. Note that Weekend Home Call + Other combines all other categories.

Weekday In-Hospital + Converted Calls = $127.60

Weekday Home Call + Qualifying Shift = $63.80

Weekend In-Hospital + Converted calls = $140.36

Weekend Home Call + Other (includes Qualifying Shift) = $70.18

Q: When do I receive payment for my call?

A: Stipends are paid once a month at the end of the month following call. 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 but reflect the previous month’s call.

Q: Will taxes be deducted for call stipends?

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

Q: Where can I access all my past call stipend data?

A: Select the Call Statement module, directly below the Data Entry module on the On-Call Stipends menu in POWER.

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

A: Yes, check your Call Statement module to 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 OR forgot to select the call category). Click on any month to expand all dates.

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

A: You probably submitted call 1 month late, for example, if you used the October calendar for both September and October, all dates will appear under October and your September calendar will be empty. Click on any month in Call Statement to show dates. If you submitted dates but forgot to select the type of call, the system indicates 0 call and calls would not be paid. Email callstipends@utoronto.ca directly.

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. Once adjusted, you will see PARTIALLY PAID status for that month on your Call Statement.

Section 9: Keeping Records/Audits:

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Q: Do I need to keep any records other than what is recorded in POWER?

A: No, your Call Statement module itemizes all monthly calls for each academic year.

Section 10: Statutory Holidays and Call Stipends:

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Q: When I work a Statutory Holiday, can I claim a Weekend call stipend?

A: No, most holidays fall on a weekday and are claimed as weekday stipends. However, in addition to the appropriate call stipend, you are entitled to a lieu day. If you work regular hours on a statutory holiday that falls between Monday to Friday, and are not on call, you would get the lieu day but not claim a call stipend.

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. For more details, please contact callstipends@utoronto.ca or check the PARO website.

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 PARO CAHO Agreement 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.”

Section 11: 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 calls. If you complete these on a Friday evening to Sunday night, record these as Weekend Hospital calls:

Split Call: (Psychiatry/12 hour shifts) Where 24-hour weekend In-Hospital call (or 24-hour statutory holiday call) is split 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.

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. If you work from 8 am to 6 pm or similar hours, this is not a hospital call but a home call.

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, a Hospital call can be claimed. For 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, a Hospital call be claimed. 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 12: Other situations Considered Home Call:

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If you complete these on a Friday evening to Sunday night, record these as Weekend Home/Other calls:

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 OR back up: 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). Most back up call is considered home call unless it is converted.

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 ends at or before 11 pm, a Home call can be claimed. For example, 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: When a 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, a Home call can be claimed. 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 as salary covers these hours.

OB Family Medicine Call: Resident carries a pager for obstetrics call and is required to 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.

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

Section 13: Qualifying Shifts:

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If a resident is strictly on a shift-based rotation (eg. Emergency Medicine), the only call stipend paid is the qualifying shift – if 1 hour is worked between midnight and 6:00 am.  If you complete these on a Friday evening to Sunday night, record these as Weekend Home/Other calls.

For example:

An EM resident does an Emergency shift from 6 pm to 2 am, or from midnight to 8 am

A Family Medicine resident does an ER shift only (no previous clinic or other) that starts at 11:30 pm and finishes at 7:30 am

Note: When a Family Medicine resident is on a shift-based rotation, eg., ER and also has other clinical responsibilities during the same day, see Sections 11/12.

Note: No Call stipend is paid when any resident works an ER shift, for example, 4pm to midnight, with no clinical duties during the day leading up to their evening shift. This is a shift covered by regular pay.

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