wrong, though we may not be on call to ER we are available to our own patients 24/7 unless we sign out. I sign out when I am away. So if one of my patients that I did a procedure on early in the day arrives in the ER at 2am, guess what? I get paged. If my patient on the ward gets confused at 4am or chest pain etc: I get paged. For someone who thinks they know  a lot, you do not (actually).