I just wanted to fume a bit about weekend call at my hospital as I am to the point that I am ready to look elsewhere. I feel that weekends and off hours should be reserved for true, emergency surgeries-I.e. 'life or limb' so as not to over-tax the call team(s). However, Saturdays and Sundays are routinely a constant stream of toe amputations, BKA/AKAs, I&Ds, laminectomies...... I get the appendiceal perforations, common bile duct obstructions, testicular torsions... but anymore, weekends are just another working day without the resources. Also, when working on call, the expectation is that nurses carry and answer the charge phone. This creates a serious compromise in patient care with numerous, numerous interruptions while circulating -many calls from the outside with no secretary or anyone to screen. Not answering the calls is not an option either because often a surgeon will be wanting to schedule a surgery and will be plenty angry after trying 3-4 times unsuccessfully to get through. Thoughts??