We are a moderately sized pediatric teaching hospital with a level 4 NICU and designated as a level 1 Pediatric Trauma Center. We have a 66% Medicaid patient population. The vast majority of our physicians are employed by an independent University practice plan. Historically our subspecialists have taken call as part of their clinical responsibilities as members of the medical staff. Over the last 5 years many subspecialists have requested additional compensation to take call. We have provided some surgical specialists with call compensation in order to maintain our Level 1 Trauma Center status. However extending on-call compensation to the remainder of our surgical and medical specialties is not financially sustainable. On-call pay is an additional expense without any associated revenue. Our challenge is to maintain our current cohort of subspecialty coverage without adding significant added expense.
Current call compensation is provided for: Neurosurgery, EEG, Cardiology, Hand Trauma, ENT, General Surgery, Psychiatry
Call compensation is NOT currently provided for: Pulmonology, Infectious Disease, Hematology/Oncology, Allergy/Immunology, Gastroenterology, Ophthalmology, Orthopedics, General Neurology, Urology, Endocrinology, Genetics/Metabolism, Nephrology, Rheumatology, Dermatology