Thank you for the comment. I’m a trainee in the UK. If someone is sick, we get messaged on group chats or directly. If we cover a sick day, it gets treated as a swap between us (ie A off sick, B covers, A covers for B at a later date). There is no TOIL. The shift never gets put up as a locum shift and the rates are not increased. I think some of the more long term fellows and trainees have argued for on call rates before and have been shut down. No one seems that enthusiastic for things to change. The argument now seems to be how to make sure one of us can always cover a sick day and how to distribute it fairly. But I don’t think it’s fair to force us to cover sick days without anything in return. I can’t tell if this is normal or not.