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FLUOROSCOPY


FLUORO ROTATION

Faculty representative: Dr. Benjamin Bashist

Hours: 8am – until attending dismissal

Location: 
BI: 2-Karpas 42, Station 5
W: 4th floor ballroom
SL: 3rd floor Clark building
PACC: 4th floor RR and X-ray Core

Technicians:
BI: 38-6191
W: 23-7498 
SL: 23-4272/ 23-4275

Rotation Schedule:
On the prior day, please provide technicians with your pager number.

MONDAY - MS West

TUESDAY -Inpatient floating fluoro resident. Resident needs to coordinate with Fluoro techs at 3 hospitals on Monday for Tuesday’s schedule.

Backup Body CT- While waiting for fluoro studies, as fluoro is often slow, the resident should help with Body CT, including protocolling, and touch base with the CT attending at whichever site they are currently located.

WEDNESDAY- MS St. Luke's in the morning. Resident takes 1130 Jitney to West for conference.

THURSDAY- DUS for outpatient fluoro studies.  Inpatient fluoro can be scheduled as time allows, otherwise inpatients will be covered by residents at the various sites

Backup CHEST S - While waiting for fluoro studies, as fluoro is often slow, the resident should help with Chest CT S, including protocolling, and touch base with the CT attending at DUS.

FRIDAY - DUS for outpatient fluoro studies.  Inpatient fluoro can be scheduled as time allows, otherwise inpatients will be covered by residents at the various sites

Backup CHEST S - While waiting for fluoro studies, as fluoro is often slow, the resident should help with Chest CT S, including protocolling, and touch base with the CT attending at DUS.

Scheduling Outpatients:

Outpatient add-ons for Tuesdays, Thursdays, and  Fridays must be approved first by Attendings covering fluoroscopy at their respective sites. 

At Beth Israel, outpatients should only be scheduled on Mondays and Wednesdays. 
At Roosevelt, outpatients should only be scheduled on Mondays. 
At St Luke's, outpatients should only be scheduled on Wednesdays.

Inpatients/MBS 

Given the scheduling complexity for the fluoroscopy resident, Inpatient emergent fluoroscopy studies (r/o leak after bypass, etc) as well as any Modified Barium Swallow study can be performed by an onsite resident in place of the fluoroscopy resident.  However, if the fluoro resident happens to be on site when the study is requested, they should do it.

At SLW, the fluoroscopy coverage is: 1) Body CT W, 2) Chest W, 3) Neuro W, 4) Nucs W, 5) Body MR. 
At BI, the fluoroscopy coverage is: 1) Body CT S, 2) Neuro BI, 3) Nucs BI

GOALS AND EXPECTATIONS

Goals:
Residents will become proficient in performing many non-interventional fluoroscopic examinations including but not limited to upper GI studies, barium swallows, esophagrams, small bowel follow through, barium enema, diaphragmatic sniff test, intussusception reductions, enteric tube placement, and fistulograms.

Expectations: 
  • Dressing in scrubs is appropriate
  • Give your pager number to techs at 3 sites at the start of your rotation.  Use IDX to see the schedule for the next day, and coordinate with the techs so that the patient's are scheduled at a time when you will be on site.
  • The schedule for each day should have been finalized/planned the previous day.
  • Complete fluoroscopy studies, initially with attending guidance and later on your own
  • Backup Body/Chest CT - As fluoro is sometimes slow, while waiting for fluoro studies (or when there simply are none), touch base with Body/Chest CT attending at the site you are currently located, and read Body CT cases, including protocolling,.



Resources:


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Charles,
Jul 4, 2018, 7:59 PM