Residents cover the emergency department from 10 p.m to 8 a.m. as a 6-day block, for a total of 6 weeks during the course of residency. When the Consult resident (see below) leaves at 12:30 a.m., the Night Float resident also assumes the inpatient radiology pager, which is in use until the reading rooms open at 8 a.m. Although the Emergency Radiology Division is staffed by an attending 24 hours/day, the Night Float resident is provided plenty of autonomy, as the resident reading room is physically connected to the emergency department, and is separate from the attending reading room area, but benefits from continuous readouts, direct feedback and teaching throughout the night.
Consult is our after-hours inpatient rotation. One resident provides preliminary reads for all inpatient CT studies performed from 5:30 p.m. to 12:30 a.m. on weekdays. The resident works independently on this rotation, but attending back-up is available (in-house by the Emergency Radiology division and for each individual section by pager). Each resident will complete 6 weeks of Consult during the course of his or her training. First year residents do not participate in Consult coverage.
In-House Weekend Call
Our In-House weekend shift is scheduled for Saturdays, Sundays, and Holidays from 8 a.m. to 9 p.m. The resident spends the morning in neuroradiology working with an attending, the afternoon in abdominal radiology working with a fellow and attending, and in the evening, assumes the responsibility of the “Consult” resident (see above). Each resident will complete 4-5 In-House shifts per year. First year residents do not participate in In-House coverage.
Radiology Residency Call System
Residents participate in in-house overnight and weekend call while on rotation at Boston Children’s Hospital (13 consecutive weeks in the second year). Call frequency varies depending on the number of residents rotation through Children’s per season; group size varies from 7 to 14 residents. Residents cover radiographs and assist the overnight attending in performing and interpreting cross-sectional imaging and other studies. While at Children’s Hospital, residents do not have any overlapping BWH call responsibilities.
Residents assigned to the Angio/IR rotation participate in the home call pool with the Angio/IR fellows. Residents are assigned one weekend of call per month of service. Residents and fellows field calls from home related to emergency cases and care of all post-procedure Angio/IR patients. When assigned call on the weekend, the resident will also round on post-procedure patients as necessary. While on Angio/IR, residents do not have any overlapping BWH diagnostic call responsibilities.