Table 1 Program-wide paging burden, by year of training and service

Service type	Service	R1 (n = 91)	R2 (n = 71)	R3 (n = 68)	Total	Percentage (%)	Resident-days	Average per resident per day
Inpatient-Wards	Wards (University)	89,740	14,164	17,961	121,865	24.3	7245	16.8
Inpatient-Wards	Wards (VA)	49,618	22,726	16,630	88,974	17.7	7149	12.4
Inpatient-Night Float	Nights (University)	41,731	31,051	24,706	97,488	19.4	3961	24.6
Inpatient-Night Float	Nights (VA)	12,478	15,596	10,998	39,072	7.8	2018	19.4
Inpatient-Subspecialty	Oncology	30,430	2815	1787	35,032	7.0	2497	14.0
Inpatient-Subspecialty	Hematology	14,077	5552	4725	24,354	4.8	1818	13.4
Inpatient-Subspecialty	Cardiology	13,905	4343	2466	20,714	4.1	1754	11.8
Critical care	CCU	4052	19,278	7833	31,163	6.2	2777	11.2
Critical care	ICU (University)		9714	4253	13,967	2.8	2168	6.4
Critical care	ICU (VA)	3051	282	206	3539	0.7	1776	2.0
Other	Consult	2906	4161	4835	11,902	2.4	4103	2.9
Other	Outpatient	2475	2468	2814	7757	1.5	2673	2.9
Other	Elective (nonclinical)		637	834	1471	0.3	706	2.1
Other	Elective (inpatient)		1016	310	1326	0.3	208	6.4
Other	ED	424	285	541	1250	0.2	717	1.7
Other	Misc	1179	701	539	2419	0.5	1066	2.3
	Total	266,066	134,789	101,438	502,293	100	42,636	11.8
	Average, per resident per year	2924	1898	1492	2184

502,293 pages were analyzed over the two-year period of the study. Interns received 53.0% of all pages during the study period. On average, interns received 2924 pages per year, compared with 1898 for a second-year resident and 1492 for a third-year resident. 85.1 percent of all pages were sent to residents on inpatient wards (42.0%), night float (27.2%), and inpatient subspecialty (15.9%) services
CCU coronary care unit, ICU intensive care unit, ED emergency department

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