Academics


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  • Call Information

    The Department of Radiology uses a two-tier call system. The first call goes to lower level residents, and the second goes to upper level residents.

    First call

    Begins after 6 months of training. Currently a modified float system - 12 shifts during weekdays done in two-week shifts that swap day/night about mid-month. Non-float residents in first call pool split the weekends/holidays in 24-hour shifts. Morning readout is at 7 a.m.; evening readout is at about 5-6 p.m.. First call resident covers all emergent CT, plain film, fluoroscopy and nuclear medicine studies.

    Second call

    Rotating 24-hour shifts in house. Resident covers ultrasound (sonographer back-up available if necessary), VIR, MRI and any questions from first call resident.

    First call analysis

    Float system Monday-Friday / 24-hour shifts Saturday and Sunday

    • Total call time (based on five-member class) - 6,785 hours collective
    • 1,357 (+/-24) per resident (based on five-resident class)
    • Non-plain film studies per 1,357 hours - about 1500
    • Call variation - evening call (4-7 p.m.) busiest with about three exams per hour. Night and 24-hours calls are similar with about two exams per hour.
    • Studies (average per call year)

      • CT head s/c - 750
      • Orbits/face s/c - 50
      • C/T/L-spine - 150
      • CT STN - 25
      • Chest c/s - 100
      • A/P c/s - 350
      • Extremity - 25
      • Fluoro -
      • GG esoph - less than 5
      • GG enema - less than 5
      • SBS - less than 5
      • RUG/cysto - less than 5
      • IVP - less than 5
      • *CT cysto - 10-20 as part of CT A/P
      • Nuclear medicine -
      • V/Q - less than 15
      • RBC (bleed) - less than 5
      • Renal - less than 5
      • Plain film: (not included in totals) - 300-500 (roughly)
    • Clinical reasons given

      • CT nead s/c
        • Trauma - 34%
        • Neurologic - 20%
        • MS change - 14%
        • Seizure - 11%
        • Shunt mal - 10%
        • HA - 7%
        • FUO - 2%
      • CT A/P c/s
        • Abd pain UO - 30%
        • Abd pain (spec) - 25%
        • Trauma - 30%
        • R/o stone - 3-5%
        • FUO - 2-3%
        • Mass - 2-3%

    Second call analysis

    Same amount of time on call split up q5 on weekdays and q5 entire weekends. Weekdays usually see one or two interventional procedures, MRI's or US's per call. Weekend days usually see two to three interventional procedures, 3-4 MRI and 2-3 ultrasounds per day.