You have accessJournal of UrologyEducation Research V (PD33)1 Sep 2021PD33-12 EVALUATION OF THE CHARACTERISTICS AND URGENCY OF HOME-CALL PAGER COMMUNICATIONS AND UROLOGY TRAINEE-PERCEPTION OF THE HOME-CALL EXPERIENCE Katherine Fero, Thomas Gaither, Cindy Gu, Arielle Radparvar, Delaney Basile, Mostyn Fero, Karim Chamie, Steven Lerman, and Jonathan Bergman Katherine FeroKatherine Fero More articles by this author , Thomas GaitherThomas Gaither More articles by this author , Cindy GuCindy Gu More articles by this author , Arielle RadparvarArielle Radparvar More articles by this author , Delaney BasileDelaney Basile More articles by this author , Mostyn FeroMostyn Fero More articles by this author , Karim ChamieKarim Chamie More articles by this author , Steven LermanSteven Lerman More articles by this author , and Jonathan BergmanJonathan Bergman More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002037.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There is a dearth of research on the subject of pager communications after-hours in the setting of home call. Without a “post-call day”, trainees who take home-call learn and work the day after being on-call. We aimed to characterize the volume and type of pages received overnight, evaluate the urgency of each communication, and report trainee perceptions of their home call experience. METHODS: Pager data was obtained for residents on home call overnight at a single academic hospital from 8/2019- 1/2020. Overnight coverage was defined as 17:00-05:00. The on-call resident is the first responder for consults and urology inpatients. The date, time, type/origin of the page was abstracted. For pages from 23:00-04:00 we prioritized the page subject. All consults were high priority, as were pages about abnormal vital signs, critical lab results and new symptoms. Low priority pages included ‘FYI’ pages about stable patients, administrative requests and questions about future orders. Residents who have rotated at this site were surveyed for their perceptions of the home-call experience. RESULTS: Over 6 months, 979 pages were received by the on-call resident overnight, corresponding to 5 pages per night. Most were regarding patients admitted to urology (56.3%), followed by patient phone calls (15.5%), inpatient consultations (14.8%), ED consultations (11.1%) and other sources (2.3%). Over half of the nights studied (57%) trainees were paged at least once between 23:00-04:00; during those hours 37.9% of pages were low priority, 18.7% medium, and 35.9% high; 7.6% were unable to be characterized. 63% of residents surveyed reported feeling overwhelmed by the volume of overnight pages at least “sometimes”. Most residents (88.9%) underestimated the number of pages received per night. CONCLUSIONS: Residents on home call are frequently paged overnight, though they underestimate the frequency likely representing normalization of receipt of pages. Most pages relate to inpatient needs, but more than a third are low priority and non-urgent. These data should be used to inform quality improvement projects and policy aimed to improve efficiency and quality of healthcare provider communication and patient care, while minimizing disruption and reducing work-related fatigue and stress. Source of Funding: KEF is supported by H&H Lee UCLA Surgical Scholars © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e581-e581 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Katherine Fero More articles by this author Thomas Gaither More articles by this author Cindy Gu More articles by this author Arielle Radparvar More articles by this author Delaney Basile More articles by this author Mostyn Fero More articles by this author Karim Chamie More articles by this author Steven Lerman More articles by this author Jonathan Bergman More articles by this author Expand All Advertisement Loading ...