Technical difficulties: Contact the MEIS Help Desk at 934-6620 or meis@uab.edu

Issues concerning schedule content: Contact Kylene T. Goodwin at 975-6425 or ktgoodwin@uabmc.edu

To search for call people after 12 AM, please use the preceding date.

Updated Call Responsibilities for Radiologists beginning 7/3/2019

1. CALL GENERAL CHECKOUT AM/PM

Provides in-house coverage for radiographic studies on weekends and holidays, working with the first call resident.

AM Shift: This radiologist will read all conventional radiographs posted on the weekend work list between 5 p.m. the preceding Friday and 3 a.m. Saturday for Saturday AM call, and between 3 p.m. the preceding Saturday and 5 a.m. for Sunday AM call. The expected arrival time is no later than 8:00 a.m.

PM Shift: This radiologist will read all conventional radiographs posted on the weekend work list between 3 a.m. and 3 p.m. on Saturday and between 5 a.m. and 3 p.m. Sunday. The expected arrival time is no later than 12:00 p.m.

Shifts        Worklist Coverage
SAT AM      5PM – 3 AM
SAT PM      3AM – 3 PM
SUN AM     3PM – 5 AM
SUN PM     5AM – 3 PM

Please note that these times are often altered on holidays in order to maintain an equitable distribution of workload. These adjustments will be sent to the assigned radiologists via email in advance.

2. CALL CT/US CHECKOUT

This Body Imaging radiologist will read chest and abdomen/pelvis CTs, non-neuro CT angiograms, and all sonograms done between 7:30 a.m. and 5 p.m. on weekends and holidays, working with the second call resident. In addition, the attending will oversee GI fluoroscopic studies performed by the first call resident.

3. CALL CT/US/GENERAL

This Body Imaging radiologist will be available to provide backup to in-house attendings between 5 p.m. and 7:30 p.m. when assigned.

GUIDELINES FOR GENERAL EVENING ATTENDING COVERAGE

The Evening Attending shift was originally created to help relieve the call burden for our residents. As well, it is now aligned with our goal to provide on-site attending-level coverage at all times. Although important, teaching is somewhat secondary in this situation. Additional compensation is provided for this shift because it is considered to be in addition to the typical faculty or fellow job responsibilities.

Qualifications
The work of the radiologist on the evening general rotation consists primarily of interpretation of chest, abdominal and pelvic CT, ultrasound, and general radiographs on patients in the UED and some in-patients, including UAB Highlands, the evening shift begins at 5:00 p.m.

While many radiologists in our department have the skills and recent body imaging experience needed to do this work, not all do. The following criteria determine initial eligibility to cover the evening general rotation:

  1. A current faculty appointment in the Body (Abdominal) Imaging Section of our department. or

  2. A current faculty appointment in another section in our department, with certification in Diagnostic Radiology by the American Board of Radiology (ABR) within the last four years. or

  3. A UAB clinical appointment in radiology at the instructor level (i.e., serving in a non ACGME-accredited fellowship), with certification in Diagnostic Radiology by the ABR within the last four years.

Requests by UAB radiologists who meet none of the above criteria will be reviewed by an ad hoc committee appointed by the department chair that shall consist of one member of the Cardiopulmonary Section and two members of the Body (Abdominal) Imaging Section. At the review committee’s discretion, such applicant may be authorized to join the general evening attending pool after successfully completing a probationary period during which some or all of their evening CT and ultrasound cases will be reviewed.

Hours
In-house Evening Attending coverage spans 5:00 p.m. to 10:00 p.m. If the clinical work on your daytime assignment prevents you from beginning your evening shift on time, page the Radiologist Assistant or second-call resident (via the second call pager) to let them know you are in-house available by pager, and will join the resident as soon as possible.

Duties
1. Periodic checkout of ED radiography cases independent of the first-call resident throughout the evening. A single checkout session at the end of the shift is not sufficient. Before you depart at 10:00 p.m., be sure that you have reviewed and signed all ED cases that have reached the PACS by 9:30 p.m. Consult with the first-call resident if there is a disagreement with their preliminary interpretation or about difficult cases.

2. Periodic checkout of body CT cases independent of the second-call resident frequently throughout the evening. A single checkout session at the end of the shift is not sufficient. Before you leave at 10:00 p.m., make certain that you have reviewed and signed all cases that have reached the PACS by 9:30 p.m. Consult with the second-call resident if there is a disagreement with their preliminary interpretation or about difficult cases.

It is important that you perform your periodic checkouts independent of the call residents. It is helpful if you do this in the same room so that you can discuss problematic cases with them. However, most cases can be checked out by simply referring to the resident’s report, which will improve your and the residents’ workflow. You should also plan to dictate at least one-quarter of the cases by yourself. It will also be helpful if you pitch in with calling referring clinicians with urgent findings.

3. Daytime attending assignments in CT and ultrasound end at 5 p.m. The ED evening/swing shift begins at 4 p.m. This overlap usually allows for all exams performed prior to 5 p.m. to be read and finalized prior to the shift. If, by chance, there are circumstaces that do not allow for all of the exams to be completed, the Radiologist Assistant will notify the Evening Attending about these cases.

4. The Evening Attending is responsible for interpretation of all sonograms performed on UED patients, as well as inpatient ultrasound exams without significant findings. Inpatient routine and non-emergent exams, that do not have emergent sonographic findings, will be dictated by the Body attending the following day. (The sonographers are aware of the findings that warrant immediate interpretation by the Evening Attending; if they page you, please respond quickly.)

During weekdays, a Sonography Radiology Assistant (SRA) will be present from 5-8 PM to assist in the performance and interpretation of ultrasound studies. If a female pelvic or scrotal US is requested from the ED, the sonographer will page the second-call resident so that they can gain experience in interpreting these studies. The second-call resident will then discuss the findings with the Evening Attending.

5. As above, the Evening Attending should share the workload with the first- and second-call residents. For example, if the service is busy it may be advantageous for the Evening Attending to cover ultrasound while the second-call resident covers CT, or vice versa. The residents should profit from your experience in learning how to effectively manage their time.

6. There is an additional ED Section attending onservice during this shift, that will help with both first and second call worklists, as well as the the Neuro CT worklist. It is expected that the Evening Call and ED swing shift radiologists will be able to handle most cases without additional assistance. However, there is attending backup available in all subspecialty areas should the need arise (natural disasters, etc.).

7. The Overnight Attending shift begins at 10 p.m. Prior to departure at the end of the shift, it is essential to communicate with the ED swing shift radiologist any pending studies or issues, to ensure a smooth handoff and allow you to depart as close as possible to 10 p.m., while not unfairly burdening either radiologist.

Sign-Up
Every shift must be covered. The shifts are initially filled on a first-come, first-served, voluntary basis. Kylene Goodwin (ktgoodwin@uabmc.edu) handles the sign-up process. Instructions for sign-up will be provided well in advance of each sign-up period.

If shifts are unfilled at the end of a sign-up period, the shifts will be distributed to the sections as appropriate. The section chiefs will then distribute extra shifts to their faculty.

You are responsible for finding alternative coverage if you are unable to cover a shift that you chose to cover during the sign-up process or were assigned to cover per the random selection process above. If you swap an evening obligation with someone in advance, please notify Kylene promptly.

In the event of an extreme emergency that arises after hours, page Kylene Goodwin through UAB paging (934-3411, pager 0683) and she will assist in finding replacement coverage. Please also notify the first- and second-call residents.

The Department of Radiology greatly appreciates your contribution to this effort, which enhances our ability to provide excellent patient care at all times.