Until consistent second-line coverage is established, a temporary emergency backup process is required. Since the UIP began, the workload has exceeded the safe capacity of one physician on only a few occasions, but a formal process is needed to ensure patient safety and program sustainability.

Option 1 – Rotating DoD list

  • Physicians are placed on a rotating list.
  • When backup is needed, the next physician on the list accepts the next unassigned admission until the workload is manageable.
  • Based on current experience, this would average approximately one additional inpatient per physician per year (some physicians may receive a second patient).
  • Advantage: Workload is spread across multiple physicians.
  • Disadvantage: You will not know in advance when you may be called.

Option 2 – Shadow schedule

  • Physicians are assigned approximately one backup week for the remainder of 2026 and one to two weeks during 2027.
  • If workload exceeds safe capacity during your assigned week, you may be asked to assume up to five inpatients.
  • Based on current schedules, the estimated chance of being activated is approximately 10% for one assigned week or 19% for two assigned weeks.
  • Advantage: You know in advance when you may be called.
  • Disadvantage: If activated, you may assume several patients at once.
The emergency backup will start September 2026

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1. Which option do you prefer?

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2. Please provide your name:

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3. Comments:

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