I’ve realized that being “on call” at my hospital as a first year doctor is different than what my other friends are doing in the UK, and it’s a whole lot different than what my friends in North America are doing. In North America, being on call usually means you are supposed to be around and available for 24 hours, if not longer. My other friends in the UK are usually on until 10pm, and if they’re on call, it means they’re on call from 8am-10pm, or something along those lines.
For me, being an on call first year doctor in surgery, means that I only answer my pager from 5pm until 9pm. I come in in the morning and work with my regular team from 7:30 until 6pm. At 5pm, I pick up the on call pager and I have an hour overlap between both jobs, which is usually manageable.
Since most of the surgical teams work until 6pm, I don’t often get paged anyway, unless it’s a nurse from one of the wards that needs medications prescribed. I really enjoy being on call because it’s where I get to pick up a lot of my practical skills.
This week in particular. I’ve successfully taken ABGs and analyzed them. I’ve perfected my cannulation skills. Taking bloods is a breeze. And this week, I’ve changed my first suprapubic catheter. These are things I don’t often do when I’m not on call, as breast and endocrine surgery usually has relatively stable patients that don’t stay in the hospital for long.
And now after a Monday-Friday of working from 7:30 to 9pm, I am off for a full week. Hello vacation =)