Specialist On-Call

Specialists who provide on-call services for RHAs may be compensated in accordance with the On-Call Specialist/Doc of the Day Agreement .

The basic per diem for 24 hours of off-site on-call by a “Specialist” in Winnipeg is currently $500.00.  Physicians who provide these services in Brandon, Rural and Northern areas will receive these fees plus the appropriate Fee Differentials.

Physicians are reminded that the On-Call Specialist Agreement sets out the terms and conditions for this service.  In particular, on-call is a service where a specialist (or otherwise qualified medical practitioner) has agreed to remain on stand-by in order to respond to urgent or emergent telephone calls from hospital staff, Residents and other physicians requesting advice about a patient and/or to go to the hospital to examine and treat a patient.   The per diem applies to on-call coverage requirements as they are determined to be by the RHA.

Frequency Premium

In addition to the basic rates specialists who provide on-call coverage in excess of 1 in 5 are eligible for a frequency premium of between 5%-15%.  A premium will apply to the 75th day of call and each day of on call thereafter provided during the same fiscal year (April 1 through to March 31 of the following calendar year).  Frequency premiums are set out in the table below.  No premium is payable for the first seventy-four (74) days of service.

Days “On-Call” Frequency Premium
– Paid in addition to your applicable daily rate for days beyond 74th day
1st to 74th day of on-call coverage No premium – Paid the applicable daily rate.
75th to 91st day of on-call coverage 5%
92nd to 122nd day of on-call coverage 7.5%
123rd to 183rd day of on-call coverage 10.0%
Greater than 183 days of on-call coverage 15.0%

Billing Note:

  • Frequency premiums are applicable only to on-call services provided pursuant to the On-Call Specialist Agreement for the same RHA, exclusive of Doctor of the Day coverage. Services provided to other RHAs or pursuant to other alternate funded or fee-for-service agreements where on-call is component of the service e.g., CTUs, ICUs, In-house Obstetrics, Trauma Services, Anesthesia, Personal Care Home On-Call, do not count towards an individual’s on-call frequency.


Ian Foster
(204) 985-5854


Updated: September 2020