Stipends for Call

Article 9.1

Home Heavy call defined as:

• A home call where during the period of 5:00 pm and 8:00 am, the resident has to spend more than 4 hours after 5:00 pm and/or 2 hours after midnight out of home (i.e., in the hospital) more than 50% of the time and over a given call period.

• A home call during a weekday or stat holiday, where the resident has to spend 12 hours or more during a 24-hour period in the hospital more than 50% of the time over a given call period.

Please note that every hour in the hospital after midnight will count as 2 hours for the calculation. This formula is used to determine the call designation for each specific program and each specific call period. Any Home call not meeting the above definition is Home Light.

Home Heavy:

Effective January 1, 2018 per duty period: $107 weekday

Effective January 1, 2019 per duty period: $107 weekday

Effective January 1, 2020 per duty period: $108 weekday

Effective January 1, 2021 per duty period: $110 weekday; $126 weekend

Effective January 1, 2022 per duty period: $111 weekday; $128 weekend

Home Light:

Effective January 1, 2018 per duty period: $70 weekday

Effective January 1, 2019 per duty period: $70 weekday

Effective January 1, 2020 per duty period: $71 weekday

Effective January 1, 2021 per duty period: $72 weekday; $83 weekend

Effective January 1, 2022 per duty period: $73 weekday; $84 weekend

In House:

Effective January 1, 2018 per duty period: $162 weekday.

Effective January 1, 2019 per duty period: $162 weekday

Effective January 1, 2020 per duty period: $164 weekday

Effective January 1, 2021 per duty period: $166 weekday; $191 weekend

Effective January 1, 2022 per duty period: $169 weekday; $194 weekend

ICU/CCU:

Effective January 1, 2018 per duty period: $162 weekday

Effective January 1, 2019 per duty period: $162 weekday

Effective January 1, 2020 per duty period: $164 weekday

Effective January 1, 2021 per duty period: $166 weekday; $191 weekend

Effective January 1, 2022 per duty period: $169 weekday; $194 weekend

CONVERSION SHALL APPLY

Effective on the date of implementation, a Resident who is scheduled for Home Call but who works more than four (4) hours in the hospital during the call period, of which more than one (1) hour is past midnight and before 0600 hours, shall be remunerated at the In-House call rate for that call duty period. The Employer shall have the right to implement reasonable rules to verify that the Resident qualifies for call conversion for that call duty period.

Note:

Whereas the weekend premium provisions for all call periods except excess call are new introductions to this Agreement and the cost magnitude of them cannot be adequately predicted, and whereas that cost magnitude is material to the overall settlement, the parties agree that the funding to support new weekend stipends in 2021 and 2022 will be capped at $100,000.00 each year. If the premium payments for new weekend stipends exceed the cap in either year, such premium payments will be suspended for the balance of that year and resumed in the following year. The Employer will advise the union at such time as the cap comes into effect. If the yearly cap is not exceeded, no surplus will accrue for subsequent year’s use.

The parties also agree that the future funding of the new weekend premium stipends and the amounts thereof will be the subject of negotiations in 2023 for the renewal of this collective agreement. The yearly cap of $100,000.00 will remain in force and effect until such time as the parties negotiate otherwise. This protocol will have no application to the existing excess call weekend premium stipend.

Article 9.2

Both parties hereto accept that, in order to provide adequate service and care to patients and to enhance the medical education of Residents and so facilitate the realization of their educational objectives, that duty hours be limited to provide a balance of patient care, clinical experience and academics. No Resident will be required to do more than 1 in 4 in-house call averaged over an academic rotation. The duty period referred to is from 1700 - 0800 hours Monday through Friday, and 0800 - 0800 hours Saturday, Sunday and statutory holidays. This duty period shall be referred to as “in-house-on-call” duty.

In services where in-house call is scheduled as partial or split-shifts (scheduled as less than 1700-0800 weekdays or 0800-0800 weekends), each part of the partial call shift or split-shift constitutes one call duty period for the purposes of call frequency maximums and call stipends.

Exceptions, based on academic need or exceptional situations, will be monitored by RDoS and the College of Medicine. Where concerns arise, discussion will be held at a Joint Consultative Committee meeting.

In the event that a Resident performs In-House call duty in excess of 1 in 4 by assignment, such work will be paid at the following rates: (click here).

There will be no prorating of these amounts for partial duty periods. Extension of hours pertaining to a critical medical situation or completion of training or service requirements will also not be considered. In-House-on-call duty periods that result from any leave of absence granted to the Resident pursuant to this Collective Agreement will also not be considered. Extra rotations in excess of the principle of one (1) in four (4) averaged over an academic rotation will be voluntary and must have the mutual consent of the Resident and the Program Director.

Article 9.4

No resident will be required to do more than one (1) in four (4) ICU/CCU call averaged over an academic rotation.

In the event that a Resident works 24 hours on/24 hours off ICU/CCU, rotations in excess of the principle of one (1) occasion in four (4) days averaged over an academic rotation, he/she will be paid a stipend as follows: (click here)

There will be no prorating of this stipend, and partial duty periods will not be considered. Extended hours resulting from a critical medical situation or completion of training or service requirements will not apply.

For the purposes of determining the remuneration for rotations in excess of the principle of one (1) in four (4) averaged over an academic rotation, the calculation will not include rotations that result from the granting of education leave, examination leave, compassionate leave, paternity leave, and the six (6) days off during the Christmas/New Year’s period to other residents on the service. With the agreement of the Program Director or the Administrative Resident where this duty has been delegated by the Program Director, the existing practice whereby residents may interchange duty hours amongst themselves is recognized, provided that adequate patient care is provided. Additional remuneration will not be provided in such cases. Permission for such interchange will not be unreasonably withheld, but consecutive twenty-four (24) hour shifts will never be considered. The reason for the rotation in excess of the principle of one (1) in four (4) averaged over an academic rotation must be clearly defined so as to be able to determine that the Resident doing the excess rotation is to be remunerated.

Extra rotations in excess of the principle of one (1) in four (4) averaged over an academic rotation will be voluntary and must have the mutual consent of the Resident and the Program Director.