At present, the on-call schedule for the fellows includes late calls on Mondays and Wednesdays, which tend to be the days in the week with the heaviest pediatric surgery caseloads, in particular neonatal cases. This maximizes the fellows’ opportunities to experience a wide variety of cases. Late call begins at 0630, and cases typically are completed by early evening. Fellows’ will also be on-call one weekend of each month. When on weekend call, the fellows will be called in for all cases for which the Pediatric Anesthesia attending is required. Additionally, fellows will be called in for all pediatric solid organ transplants and any important index or complex cases, even if not on late call. This is the only way to ensure that fellows gain exposure to rare cases that may not present another opportunity during the fellows’ training. Whenever fellows are called in for a case after midnight, they will be relieved of OR duties the following day (except when on weekend call, unless called in after midnight on Sunday). The fellows are not subject to late call and weekend call responsibilities when on specialty rotations (i.e., NICU, PICU, Pain Management, Ambulatory, Echocardiography, Research). Presently, the fellows are not required to take in-house calls. Although the call hours and schedules are subject to change, to meet future requirements of the ACGME and the duties of the Department of Anesthesiology, these call requirements will be in effect for the foreseeable future.