We have mandatory call on my small LDRP unit, and since we're short-staffed right now we've ended up having to take a lot more overtime and calls recently. Our basic problem is that we have no good method of signing up for call time. A list of times is posted at the beginning of a new time block, and there is a rotation for who gets to sign up first, but beyond that the process is a crazy free-for-all that turns grown women into vicious 1st graders who don't consider anyone's needs but their own. It's very difficult to get to get times that work for your schedule if you don't get to the call sheet immediately (or to even find times when you're not already scheduled to work), and it's a huge stress for everyone in an already stressful work situation.
We also have a problem with day shifters taking night calls because they feel they have less of a chance of being called in at night (true, because we're more self-sufficient), leaving night people to take day call, which is rough. Another issue is that call time is in 4-hour blocks, so people who want to lump their blocks together to spread the call over fewer days can't always do so if people who prefer single 4-hour blocks get to the sheet first.
I know this is not the most exciting OB issue to discuss, but I was just wondering if any units have a different way of approaching the sign-up process, or methods of making it fair. It inherently stinks to devote so much non-working time to sitting around waiting, but to have so little control over the process makes it even worse.