Advertisement

Emergency Radiology

, Volume 23, Issue 1, pp 63–66 | Cite as

Reshaping the emergency radiology call experience after the merger of two programs: the Yale experience

  • Michael S. KelleherJrEmail author
  • Michael F. Rolen
  • S. A. Jamal Bokhari
Original Article
  • 132 Downloads

Abstract

In the summer of 2013, 16 radiology residents from the Hospital of Saint Raphael (HSR) joined the 38 residents of Yale-New Haven Hospital (YNHH) to become a single 54-resident program. This posed a significant challenge given the number of residents and very different call structures of the two institutions. After evaluating the emergency radiology volume at both hospitals, it was determined that implementing YNHH’s traditional call system at HSR would increase call by approximately 25 %. In order to negate this increase, the SRC rotation was created at HSR. This Monday–Friday rotation covered by R3s starts at 1 p.m. with afternoon conference. Residents then read cases on a subspecialty service from 2–5 p.m. and then cover the entire hospital until 10 p.m. with a single attending. Because of this rotation, call did not increase for the YNHH residents and third year residents were provided with increased responsibility. For programs not undergoing a merger, call rotations can also be extremely beneficial. These rotations allow third year residents to have more “call-free” weeks prior to the ABR core exam. Also, patient care can be improved, as the shift length for on-call residents is reduced, which has been shown to improve accuracy.

Keywords

Resident education Program mergers Resident call 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Xu T, Wu AW, Makary MA (2015) The potential hazards of hospital consolidation: implications for quality, access, and price. JAMA 314(13):1337–8PubMedCrossRefGoogle Scholar
  2. 2.
    DeStigter KK, Mainiero MB, Janower ML, Resnik CS (2012) Resident clinical duties while preparing for the ABR core examination: position statement of the Association of Program Directors in Radiology. J Am Coll Radiol 9(11):832–4PubMedCrossRefGoogle Scholar
  3. 3.
    Krupinski EA, Berbaum KS, Caldwell RT, Schartz KM, Kim J (2010) Long radiology workdays reduce detection and accommodation accuracy. J Am Coll Radiol 7(9):698–704PubMedPubMedCentralCrossRefGoogle Scholar
  4. 4.
    Krupinski EA, Berbaum KS, Caldwell RT, Schartz KM, Madsen MT, Kramer DJ (2012) Do long radiology workdays affect nodule detection in dynamic CT interpretation? J Am Coll Radiol 9(3):191–8PubMedPubMedCentralCrossRefGoogle Scholar
  5. 5.
    Berko NS, Levin TL, Scheinfield MH (2015) The impact of on-site attending radiologist overnight coverage on radiology resident learning: a a preliminary assessment. Emerg Radiol 22(1):1–6PubMedCrossRefGoogle Scholar

Copyright information

© American Society of Emergency Radiology 2015

Authors and Affiliations

  • Michael S. KelleherJr
    • 1
    • 2
    Email author
  • Michael F. Rolen
    • 1
  • S. A. Jamal Bokhari
    • 1
  1. 1.Yale School of MedicineNew HavenUSA
  2. 2.Yale New Haven HospitalNew HavenUSA

Personalised recommendations