FLUOROSCOPY

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FLUORO ROTATION

FACULTY REPRESENTATIVE: Dr. Benjamin Bashist

HOURS: 8am – until attending dismissal

LOCATION:

Beth Israel (2nd floor Linsky Building)

Morningside (3rd Floor Clark Building)

West (4th Floor Winston Building)

READING STATION:

BI-Main Reading Room (Body CT South station)

Morningside and West- Resident lounge

MORNINGSIDE-WEST FLUOROSCOPY COVERAGE:

Covered by Fluoroscopy resident

The Fluoro resident is responsible for confirming the scheduled the day prior on RIS-IC and should provide the fluoro techs with their cell phone and/or pager number.

BI FLUOROSCOPY COVERAGE:

Body CT S resident(s)

TECHNOLOGISTS CONTACT:

BI: 38-6191

M: 23-4272 / 23-4275

W: 23-7499 / 36-3382

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, and barium enema.

EXPECTATIONS:

Scrubs are appropriate attire
Give your pager and/or cell number to techs at Morningside and West sites at the start of your rotation.
Check RIS-IC to see the schedule for the next day, and coordinate with the techs in order to go to the site (West or Morningside) that maximizes your utility.
The schedule for each day should have been finalized/planned the previous day
Prior to each case gather clinical information & review prior correlative imaging
Complete fluoroscopy studies, initially with attending guidance and later independently

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

Courtesy of Dr. Bashist, Makoto Ogawa, Naveen Galla and Alon Slutzky:

G-Drive

g:\dept\rad1\rad\FLUORO ROTATION\

Books

Textbook of Gastrointestinal radiology Richard M Gore, Marc S. Levine (Levy Library)

Websites

FLUORO RESIDENT SCHEDULE

Fluoro resident will be responsible for cases at MORNINGSIDE OR WEST ONLY

Mondays: West

Tuesdays: Morningside or West

Wednesdays: Morningside

Thursdays: Morningside (Expect post-op leak studies on Thursdays)

Fridays: Morningside or West

Check RIS-IC and Confirm fluoro cases at Morningside (M) and West the day before to determine which site you should arrive to first on Tues and Fridays. If no cases are scheduled, go to West on Tuesdays and go to Morningside on Fridays.

Also note that MBS can be frequently ordered at MSW, so if no cases are ordered or if you've finished your scheduled cases at M, please remain or head to MSW for potential add-ons.

If an inpatient case gets added on at either site, your priority should be to travel immediately to that site. Inpatients always take priority.

EMERGENT FLUORO STUDIES

INPATIENTS & MBS:

Emergent fluoroscopy studies (r/o leak after bypass, etc), as well as any Modified Barium Swallow studies, will be performed by an onsite resident.

Should an emergent study arise and the Morningside-West Fluoro resident is performing cases at another site, resident coverage will be provided using the site-specific hierarchy below:

- BI: Body CT S

- M: Body CT W/MR --> US M (R2+ then R1) --> NeuroM

- W: Body CT W/MR --> Nucs W/PET --> Cardiac