Fellows rotate responsibility for day-time consults and after hours calls/consults throughout the two year program. The call/consult experience involves the evaluation and management of both adult and pediatric inpatients. The fellow is the first contact person for all consults and patient calls after hours. Evening and weekend call is taken from home. If there is a consult, the fellow will see the patient first and then contact the assigned faculty member. The faculty member will then come in to the Hospital and see the patient with the fellow. Please note that work hours are not to exceed 80 hours per week averaged over four weeks and fellows have at least one full day out of seven away from program duties, averaged over a month's time.