4-day rolling rota for a hospitalists’ team
| Day 1 – long call | Day 2 – post call | Day 3 – short call | Day 4 – no call |
|---|---|---|---|
| 7am – 9pm | Focus on patients admitted on previous day | Usually 5 patients if long call team quota saturated | No new patients |
| Whole team on call | |||
| Based on own ward | No new patients | Max 14 new patients | |
| Admit patients from emergency department |
This 4-day block repeats itself continuously in multiple 4-day blocks usually lasting 1–2 weeks before a period of leave for the hospitalist or rotating into another service. Patients will remain under the hospitalists’ care for i) the duration of their inpatient stay, ii) until discharge, or iii) are handed over to another hospitalist when their initial hospitalist has time off. The rest of the team remains constant, preserving the continuity of care.