The On-Call Experience
The resident on-call experience is busy, yet fully supported by 24/7 in-house attending coverage. Residents gain graduated responsibility in both junior and senior on-call roles, support one another in a collaborative environment, and learn to manage a high-volume consultation role. Feedback from attendings is at the core of our teaching mission, even on call.
Weeknight call is from 5:00 pm to 10:00 pm. Weekend call is from 9:00 am to 10:00 pm.
First-year residents cover ED plain film and general consultation under the direct supervision of an attending radiologist.
- First-year residents average Q9 call, including weeknight and weekend shifts.
- No call until September 1. First-year residents do not cover night float.
Senior (second-, third-, and fourth-year residents) call is taken at both the Moses and Weiler campuses, offers greater independence, and provides remote coverage for studies performed at other ED and urgent care sites. Senior call responsibilities include the following:
- Independent interpretation of all emergency department CT/MR/US studies and radiographs.
- Preliminary consultation of inpatient consults.
- Supervising the first-year residents.
- Residents do not perform ultrasounds on call. We have 24-hour ultrasound technologist coverage at the Moses, Wakefield and Weiler campuses.
- Senior call includes evening shifts, night float and weekend calls.
Vascular and Interventional Radiology (VIR) Call
Residents have six weeks of VIR call over the course of the first three years of training. VIR call is taken as overnight/weekend pager call from home, and it is shared among both diagnostic and interventional residents and VIR fellows. All on-call VIR procedures are performed under the direct supervision of a VIR attending radiologist.
Night float is one of the most important educational experiences during residency, when residents can practice with independence. Residents have a total of six weeks of night float, four weeks in the second year and two weeks in the third year. These are completed in two-week blocks. Night float is 10:00 pm to 8:30 am. The night float resident gains experience through the following:
- Independently pre-dictates ED CAT and US studies, and a variable number of ED plain films.
- Provides preliminary reports for all ED MRI studies and all inpatient consults at the main hospital center.
- Is supervised by our team of in-house, emergency attending radiologists, each with subspecialty training.
- Receives regular feedback on interpretive and consultation skills.
The Department of Radiology understands the financial stresses placed on residents. To this end, we have integrated moonlighting into the on-call experience. In-house weeknight and weekend calls at Weiler Hospital offer paid moonlighting, and these are shared among second-, third-, and fourth-year residents. To put it another way — after the first year, half of all a resident's calls are paid! This amounts to a substantial increase in resident compensation and offers an opportunity to work in a more independent setting. These calls are not mandatory and are freely shared among willing residents.