Hours
| Sun-Thurs | Fri-Sat |
|---|
| Resident | 1600-1900 | 1600-2100 (no pts after 2015) |
| Routine consults | None | Until 0300 |
| Admits | All (unless 👀 by resident) | All |
| ICU | All | All |
| HF/Txp | All | All |
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.