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Rudkin SE et al. – To reassess problems with on–call physician coverage in California, the authors repeated their anonymous 2000 survey of the California chapter of the American College of Emergency Physicians. Physicians responded from 77.4% of California emergency departments, 51.0% of ED directors, and 34% of those surveyed. Of 21 specialties, on–call availability worsened since 2000 for 9, was unchanged for 11, and improved for 1. Of ED directors, 54% report medical staff rules require on–call duty, down from 72% in 2000. Hospitals have increased specialist on–call payments.

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