Residents provide after-hours, in-house call coverage for the ED, inpatient and satellite urgent care clinics of Stanford Medicine. Most of the call volume comes from the main Stanford University Hospital, one of the busiest EDs in the Bay Area, featuring a level 1 trauma center, comprehensive stroke, and organ transplant centers. Additionally, call coverage includes urgent cases from the Lucile Packard Children's Hospital and Stanford ValleyCare Medical Center. The breadth and volume of call cases provide a robust educational experience. Our call system is carefully designed to optimize the balance of independence and support for high-acuity and complex cases, while providing outstanding radiology service and patient care. 

Independent call starts July of the R2 year. There is a stepwise increase in responsibilities in October with the start of swing shifts, with nightfloat starting the following January. Residents do a total of 4 weeks of nights and 8 weeks of swing throughout the R2 through R4 years, with the majority occurring in the latter half of R2 and first half of R3 years. In addition to nights/swing, residents also cover 20 weekday evening shifts and 20 weekend/holiday shifts scattered throughout the R2 and R3 years.