Hours

Sun-ThursFri-Sat
Resident1600-19001600-2100 (no pts after 2015)
Routine consultsNoneUntil 0300
AdmitsAll (unless 👀 by resident)All
ICUAllAll
HF/TxpAllAll

Onboarding

  • General fellows:
    • Shadow a more senior fellow for 2 shifts
    • 1 st shift: 6pm-midnight (unpaid)
    • 2nd shift: full 6pm-7am (50% paid) where the orienting fellow completes all in-house duties with a senior fellow in the hospital as backup
    • After this, can proceed to taking independent AM or PM shifts.
  • Research fellows:
    • Shadow a senior fellow for 2 weekend AM shifts
    • 1 st shift: 7am-4pm (unpaid)
    • 2nd shift: full 7am-7pm (50% paid) where the orienting fellow completes all in-house duties with a senior fellow as backup (in the hospital)
    • Will continue with weekend AM shifts only, until further approval from IH committee regarding PM shifts owing to the need for additional resources
  • Advanced fellows (IC, EP, Heart Failure, Imaging):
    • Shadow a senior general fellow for one weekend AM shift (7am-4pm)
    • Can proceed to an independent shift preferably starting with a few AM shifts (7am-7pm) before taking PM shifts.

Who do I see now?

  • Admits
    • Either you or the short call resident must see all new admits to Cardiology overnight.
    • As of July 2023, there will be no admissions to cardiology after 9PM, except ICU, HF/txp, outside transfers, direct admits.
  • Consults:
    • You are not expected to see routine consults Sun-Thurs after 4:30PM.
    • You are expected to see routine consults up until 3AM on Fri, Sat.
    • “STAT” consults should be discussed with ordering doc - most pre-op consults can wait until morning.
    • In general, neuro-lCU consults can wait until morning, but MSTICU consults should be seen overnight. These should be reviewed on a case-by-case basis.

Who else is around?

  • • Resident short call:
    • Sun-Thurs: 4-7PM (last time to give them a patient is 1900)
    • Fri-Sat: 4-9PM (last time to give them a patient is 2015)
    • Residents cap at 3 patients per short-call, 5 new patients in 24 hours, 8 new patients in 48 hours
    • Use their time effectively, both for their learning as well as for your efficiency, by assigning them admissions and interesting consults.