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FLUOROSCOPY


FLUORO ROTATION

Faculty representative: Dr. Benjamin Bashist

Hours: 8am – until attending dismissal (approximately 5:00 pm)

Location: 
BI: 2-Karpas 42, Station 5
W: 4th floor ballroom
SL: 3rd floor Clark building

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 with morning at BI and afternoon SLW. Resident needs to coordinate with Fluoro techs at 3 hospitals on Monday for Tuesday’s schedule.

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

THURSDAY- Inpatient floating fluoro resident with morning at BI and afternoon SLW. Resident needs to coordinate with Fluoro techs at 3 hospitals on Wednesday for Thursday's schedule. If Dr Rackson is scheduled for Fluoro on Thursday, then Resident Floats between SL and W for inpatient exams.

FRIDAY - Inpatient floating fluoro resident with morning at BI and afternoon SLW. Resident needs to coordinate with Fluoro techs at 3 hospitals on Thursday for Friday’s schedule.

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

The fluoroscopy rotation will take place at the West, St. Luke's, and Beth Israel Hospitals. 

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: 
  • Be punctual. 
  • Dressing in scrubs is appropriate for this rotation unless the attending says otherwise. 
  • Become familiar with fluoroscopy instrumentation and protocols at each site
  • Review the scheduled daily cases and expected procedures
  • Communicate effectively with patients and their respective health care teams about the fluoroscopy studies
  • Complete fluoroscopy studies, initially with attending guidance and later on your own
  • 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.



Resources:


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Charles,
Jul 4, 2018, 7:59 PM