Overview of Call Structure and Responsibilities


  • "HMHI" refers to the Huntsman Mental Health Institute, which is the home base of our residency and houses most of the inpatient psychiatric units and outpatient clinics
  • “5W” refers to the 5-West inpatient psychiatric unit that is part of the University of Utah main hospital
  • “VA” or “VA IPU” refers to the inpatient psychiatric unit at the George E. Wahlen VA Medical Center

PGY1

  • 5W/VA Short Call: 5pm-8pm on Monday through Friday. Responsible for admissions to VA and 5W units. Supervised by PGY3.
  • HMHI III Short Call: 5pm-7pm Monday and Friday afternoons. Responsible for admitting up to three patients to Huntsman Mental Health Institute (formerly UNI) to offload workload from higher volume on those days. Supervised by PGY3.

PGY2

  • Daytime Long Call: 8am-8pm Saturday and Sunday. Responsible for admission and cross-cover issues for patients at 5W and VA IPU. Also helps with ED co-management if a psychiatric patient is boarding in the ED from 5pm-8pm but this is rare.
  • HMHI Overnight Call (aka Night Float): 7pm-7am for 1-2 week stretch (6 days/week). Responsible for accepting and admitting all adult patients who arrive to HMHI during the shift. Before midnight, resident completes full admissions up to 5 patients; after midnight, resident is responsible for medical evaluation and orders only. Also responsible for addressing cross-cover issues, emergencies, and requests for discharge by adult patients overnight.
  • Weekend Main Hospital Consult Coverage: Primarily covered by moonlighting resident. If no moonlight are available, consult responsibility as default PGY2 resident on call.

PGY3

  • Supervisory Call: One-week blocks of home call after junior residents have been "signed off", supervising the PGY1/2 call shifts. Supervisory resident will be present during initial PGY1 shifts. Weekdays during short call hours (see “Short call” above). Accepts new ad-missions to VA IPU and 5W, then supervises and staffs the admission with the intern who personally admits the patient. On weekends, back-up for PGY2 on Daytime Long Call.

Moonlighting

  • For those interested and in good standing within the residency, there are a number of opportunities for moonlighting, starting in the PGY2 year. Residents moonlight both within our hospital system as well as throughout the Salt Lake City area. Moonlighting is not required.