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CALL ROTATIONS


FACULTY CONTACTS

Night float faculty advisor:

Dairon Garcia

Any questions or concerns about the night float or evening call rotation can be directed to Dr. Garcia at dairon.garcia@mountsinai.org.


BI ED liason:

Elina Zaretsky

Any questions or concerns related to the ED should be directed to Dr. Zaretsky at elina.zaretsky@mountsinai.org.


BI ED follow-up:

Email BIEDfollowup@mountsinai.org if the attending changes the preliminary report with findings that affect management and the patient has already been discharged from the ED. Please also cc elina.zaretsky@mountsinai.org.


SLW ED liason:

Any questions or concerns related to the ED should be directed to Dr. Kagetsu at nolan.kagetsu@mountsinai.org.  


SLW follow-up:

Please call ED charge nurse if the attending changes the preliminary report with findings that affect management and the patient has already been discharged from the ED. Please also email stephen.zink@mountsinai.org.


Interesting cases:

Please send accessions to hong.ma@mountsinai.org and also cc elina.zaretsky@mountsinai.org. Dr. Ma will organize and distribute cases to residents.
    

CALL ROTATIONS

Hours: (Please note weekday vs weekend/holiday hours.) 

SLW ER: Mon-Fri 8am-4pm
BI JR Call: Mon-Fri 5p-10p after daytime rotation. Sat-Sun-Holidays 1p-9p.

SL EVE: Mon-Fri (except Wed) 4p-12a. Wed 11a-10p. Holidays 8a-7p.
W EVE: Mon-Fri 4p-12a + ED US pager call 12a-8a.
- Holidays have an AM and PM shift. [8a-4p] and [4p-12a + pager call 12a-8a].
BI EVE: Mon-Fri 4p-12a. no Holidays (see BI Weekend).

SL NF: Mon-Fri 10p-8a. Sat-Sun 7p-8a. [with Sun-Fri 6 day blocks]
BI NF: Mon-Fri 10p-8a. Sat-Sun 7p-8a. [with Sun-Fri 6 day blocks]

SL Weekend: Sat-Sun 8a-7pm. 
W Weekend: Sat-Sun 8a-12a + ED US pager call 12a-8a
- If you are on this shift Sunday night, you can arrive at your Monday rotation at 10 am [or] at least 10 hours after your last overnight ultrasound.
BI Weekend: Sat-Sun 8a-7p, Holidays 8a-7p

  • Please dictate all studies verified 15 minutes before the end of your shift. Please perform and dictate all US ordered 30 minutes before the end of your shift. 
  • “THIS IS A PRELIMINARY IMPRESSION BY THE RADIOLOGY RESIDENT ON CALL.” should be stated at the end of each preliminary report. 
  • Residents are responsible for protocoling studies through IDX.
  • Please report urgent findings to the ordering provider, responding clinician (resident, NP, PA) or the ER charge nurse as a last resort. The name and time of notification, along with name of radiologist who notified the physician should be documented. Template “Notification” under MSW can be used. 
Location: Varies. See below

Conference
SLW ER Resident goes to the SL Trauma conferences on the 3rd Friday each month at 7am.


SLW ER

Location:  SL Ballroom 
Pager: 33214

Time:  8:00 am – 4:00 pm

Reading:  
  • SL, West and Brodsky ER plain films (XR)
  • Any ER plain films not read by NF (usually after 7:00 am)
Other:  
  • Arrive PROMPTLY at 8:00 am to take pager from the NF resident (first priority) 
  • Carry pager until 4:00 pm (answer for both hospitals)
Conference (mandatory): 
  • Trauma Surgery Conference on the 3rd Friday (usually) at 7:00 am at Muhlenberg 4
  • Email Deb Travis, Trauma RN coordinator (deborah.travis@mountsinai.org) to confirm date/time and cases
ER attending coverage:  
  • If no attending is assigned to ER plain films at SLW (or assigned to late shift starting at noon), the ER attending at BI is required to cross cover SLW plain films.

BI JR

Location: Beth Israel, 2 Linsky-07

Time: 
    Weekday: 5pm-10pm after your normal day rotation
    Weekend: 1pm-9pm 

Expectations:
  • Field phone calls and answer clinician questions. BI JR will primarily be responsible for phone calls, with help from seniors as needed. 
  • If there is no US technician, BI JR will also primarily be responsible for US ordered 30 minutes prior to the end of their shift. Seniors will help as needed. 
  • Read emergency room xray's and CT's as time allows. 


SL EVE

Location:  SL Ballroom
Pager: 33214

Time:  
    M/T/Th/F: 1:00 pm - 10:00 pm 
    W: 11am-10:00pm
    Sat/Sun/Holidays: 8:00am - 7:00pm

Reading:  

M/T/Th/F
  • 1:00pm - 4:00pm
    • Read ER Body and Chest CT
  • 4:00pm - 10:00pm (studies verified before 10pm)
    • All SL ER plain films
    • All SL ER CTs after 4 pm, draft (R1) or prelim (R2+) 
    • All SL ER MRIs after 4 pm, draft (R1) or prelim (R2+)
  • After 5pm Neuro Head CT and MRI
  • After 6:30 pm - perform all ER ultrasounds ordered before 9:30pm        
Wednesdays
  • 11:30am - 4:00pm read ER xray from both SL and W
  • After 4pm is as above
Saturdays, Sundays, and Holidays
  • If both RH EVE and SL EVE weekend have upperclass residents, each covers their own site
  • With R1 on SL EVE:  
    • 8:00 am – 3:00 pm: R1 does all body CT’s from both sites (review with CT Attending)
    • Draft Neuro cases and review with upperclass resident at West
    • Perform and Draft all SL emergent US & review with upperclass resident at RH
  • 3:00 pm – 7:00 pm:  
    • R1 does all plain films from both sites (review with XR Attending)
    • Draft Neuro cases and review with upperclass resident at RH 
    • Perform and Draft all SL emergent US ordered before 6:30 & review with upperclass resident at RH

Other: 
  • Carry pager (33214) after 4:00 pm, hand off to Night Float resident
  • MR consents for outpatients
  • Protocol emergent SL CT/MR ER and inpatient studies

W EVE

Location:  
    West: RH Ballroom; Pager 35830

Time:          
Monday-Friday: 4:00 pm - 12:00 MN; hold pager 12:00 MN - 8am for scrotal US

Saturday/Sunday: 8:00 am - 12:00 MN; hold pager 12:00 MN - 8am for scrotal US

Holiday
-AM shift 8:00am - 4:00pm 
-PM shift 4:00pm - 12:00 MN shift; hold pager from 12:00 MN - 8am for scrotal US

Reading:      
  • West: MSW (and help with MSSL)
  • Prelim all ER XR/CT/US 
  • Prelim neuro cases (all ER and inpatients CTs, all ER MRIs, and critical inpatient MRIs)
  • Wet read for inpatient MSK CT or MRI for critical findings
  • NM on call cases from both sites until 12:00 MN
  • Perform US ordered before 11:30pm
  • Protocol cases
  • Field clinician questions to pager or phone.
                 
OPTION FOR WEEKENDS AT WEST IF R1 IS AT ST. LUKE's: 
  • 8:00 am - 3:00 pm:  SL ER and RH ER plain films (if R1 at SL)
  • 3:00 pm - 7:00 pm:  SL ER and RH ER CTs (if R1 at SL)
  • 8:00 pm - 12:00 MN:  Split by sites (RH/SL) 
    • If there is an upperclassman on SL EVE, you can split by site throughout the whole day
  • NM on call cases from both sites until 12:00 MN

BI EVE

Location:  
    BI: Beth Israel, 2 Linsky-07

Time:          
Monday - Friday: 4:00pm - 12:00 MN

Saturday/Sunday/Holiday: 8:00am - 8:00pm


Reading:      
  • MSBI 
  • Prelim all ER XR/CT/US 
  • Prelim neuro cases (all ER and inpatients CTs, all ER MRIs, and critical inpatient MRIs)
  • Wet read for inpatient MSK CT or MRI for critical findings
  • NM on call cases from both sites until 12:00 MN
  • Perform US ordered before 11:30pm
  • Protocol cases
  • Field clinician questions to pager or phone.

SL NF

Location:  
    MSSL St. Luke's Ballroom (pager 33214)

Time:
Monday - Friday: 10:00pm - 8:00am 

Saturday/Sunday/Holiday: 7:00pm - 8:00am (NF Sun- Fri. Sat NF covered by assigned resident. 

Reading: 
  • SL: 
    • 10:00 pm - 8:00 am:  Prelim all SL ER studies
    • 12:00 mn - 8:00 am:  Prelim all RH ER studies 
  • Inpatients:  
    • Prelim following cases: Neuro head CT and Critical neuro MRIs
    • Abbreviated report for the following cases as time allows: STAT CT cases (PE chest, dissection, fall out of bed), plain radiographs if asked by team (fell out of bed, change in condition) 
    • Look at all inpatient MSK CT or MRI and also provide wet read for critical findings
Other
  • Perform and dictate emergent ultrasounds ordered before 7:30am.
  • NM on call cases from both sites after midnight                   
  • If at West, contact RH Eve person for emergency testicular US at RH
  • Carry pager (answering for both sites after MN) 
  • At West, PHYSICALLY hand-off pager to incoming ER day shift resident
  • Protocol ER CT/MR studies and inpatient CT/MR studies as needed

BI NF

Location:  
    MSBI: Beth Israel, 2 Linsky-07

Time:
Monday - Friday: 10:00pm - 8:00am 

Saturday/Sunday/Holiday: 7:00pm - 8:00am (NF Sun- Fri. Sat NF covered by assigned resident. 

Reading: 
  • BI:
    • 10:00 pm - 8:00 am: Prelim all BI and KH ER studies
  • Inpatients:  
    • Prelim following cases: Neuro head CT and Critical neuro MRIs
    • Abbreviated report for the following cases as time allows: STAT CT cases (PE chest, dissection, fall out of bed), plain radiographs if asked by team (fell out of bed, change in condition) 
    • Look at all inpatient MSK CT or MRI and also provide wet read for critical findings
Other
  • Perform and dictate emergent ultrasounds ordered before 7:30am.
  • NM on call cases from both sites after midnight                   
  • Carry pager (answering for both sites after MN) 
  • Protocol ER CT/MR studies and inpatient CT/MR studies as needed

ATTENDING COVERAGE

  • See schedule on Qgenda for on call and Late shift Attendings
ATTENDINGS *intranet*
BI Nuclear Medicine
Neuroradiology (please refer to monthly email also)

BODY ON CALL ATTENDING
Please follow Qgenda schedule and call next day's attending. (On weekends, contact Monday attending.)
MSK ON-CALL ATTENDING

Please see document "+ MSK CALL MSHS" below.


*For overnight MR and NM studies, the overnight attending can look over studies and discuss findings with ED if requested. If a final read is requested immediately, please refer to the above on call schedule. Otherwise, the study will be finalized the next morning by the appropriate attending. 



RESOURCES



RADIOLOGY SUPERVISORS

  • Supervisors are on site until 11 pm if you need help 
  • Transferring images to PACS from an US machine
  • Getting in touch with RIS for system wide problems or if you can’t dictate

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