On-Call duty is currently taken on a voluntary basis. However, when warranted and in the interest of County Operations, department heads may assign employees to “on-call” status. The County shall meet and confer with UAPD should on-call assignments become required of employees.

The call schedule is defined as Weeknight call (15 hours) from 5:00 p.m. – 8:00 a.m., Weekend call (24 hours) from 8:00 a.m. – 8:00 a.m., and Holiday call (24 hours) from 8:00 a.m. – 8:00 a.m. The standard on-call hourly rate is twenty dollars ($20.00) except as specified below.

The frequency of the on-call assignments will be determined by the total number of physicians assigned by the medical staff to provide call. The number of physicians on-call per shift will be determined by the medical staff. Physicians receiving callback pay shall not be entitled to “on-call” pay simultaneously. On-call will not be paid during the employee’s regular work hours.

  • Pediatricians assigned to be in on-call status shall be paid an hourly rate of Twenty- Five Dollars ($25.00).
  • Pediatricians, if required to physically report back to work while in an on-call status, shall be compensated for a minimum of three (3) hours of “call back rate” pay. The call back hourly rate is a flat rate of one hundred fifty ($150) per hour.
  • Psychiatrists assigned to be in on-call status shall be paid an hourly rate of Twenty- Five Dollars ($25.00).

Infectious Diseases & Long-Term Care

For these specialties, the on-call Physician must be contacted. In the unlikely event that a Physician not on-call is contacted during off-duty hours and provides consultation for patient care, they will be compensated two (2) hours at the on-call rate of twenty dollars ($20.00) for a maximum of forty dollars ($40.00). The Physician is required to document consultation notes and patient care provided in the appropriate medical record. Any physician required to report back to work will be compensated for actual hours worked. For Infectious Diseases, the on-call schedule will include holiday coverage.

Health Officer On-Call Coverage

The on-call shifts cover one week from Friday to Friday and are only for non-work hours from 5:00 p.m. to 8:00 a.m. except for Biowatch which includes responding to alerts and calls directly related to the San Francisco Airport which are 24 hours/7 days during the on-call week. The on-call schedule for all Assistant Health Officers and the Health Officer will include holiday coverage.