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Resident On-Call Responsibilities

Residents provide after-hours radiology coverage for the University of New Mexico Hospital, the state's only Level 1 trauma center.  Weekend days are staffed by in-house general radiology and neuroradiology attendings, as well as on-call interventional radiology attendings.  Emergency Radiology attendings are in-house 24/7, 365 days/year. Overnight, residents are always supported by a team of  faculty members (general radiology, neuroradiology, and interventional radiology) available in-person consultation if needed.  Interventional radiology attending physicians always perform and/or directly supervise all interventional cases. 

Our current call schedule is listed below. The number and frequency of on-call shifts will vary depending on the number of residents in each class and the total number of residents in the program.

Year Description Approximate Frequency
R1
(PGY 2)
UNMH evening/weekend in-house shift (no overnight call) q 7 days x 10-12 mos.
R2
(PGY 3)

UNMH Night Float (7-night shift)

UNMH Day Shift (weekend days and weekday evenings)

q 7 weeks x 12 mo. (average 7-8 weeks/yr)

q 7 days x 12 mo. (average 7-8 weeks/yr)

R3-4

(PGY4-5)

UNMH Sr. Night Float (7-night shift)

UNMH Sr. Short Call;

13 hour shift Saturday/Sunday nights)

Approximately 3 weeks per year

q 12 days (average 3 days per month)

Approximately 3-4 weekends per year


R1 - After approximately two months of training, R1 (PGY2) residents begin assisting upper level residents with evening/weekend responsibilities. This allows R1 residents to develop skills necessary for independent call in their R2 year. Evening/weekend shifts typically begin in early September, with R1 residents rotating weekdays (from 4:30 PM until ~10:00 PM, or earlier) and weekend days (from 8:00 AM until ~8:00 PM) at UNMH. Duties include graduated responsibility in interpreting emergency department and inpatient studies with direct supervision, helping with protocols, and performing emergent fluoroscopy exams after sufficient training.  Attendings and/or upper-level residents directly supervise these R1 residents.

R1 residents also take weekend and holiday Neuroradiology day shifts. These sessions are conducted under direct Neuroradiology faculty supervision and last from approximately 8:00 a.m. to 5:00 p.m.

R2  – R2 residents take in-house night float at UNMH for 7-night shifts , in compliance with ACGME requirements (no more than 7 nights of night float in a row). They are accompanied by senior residents in-house overnight, as well as Emergency Radiology attendings, and general radiology attendings on weekend days.  R2 residents are responsible for preliminary interpretation of exams from all imaging modalities such as radiographs, CT, ultrasound, MRI, and nuclear medicine. Preliminary interpretations are reviewed in a timely fashion by in-house weekend day shift attendings or evening Emergency Radiology attendings, and by no later than the morning for overnight interpretations.  On-call faculty are available 24 hours a day by pager for assistance as needed.

R3-4 -  On weekdays, these residents take 10-hour shifts, sharing the R2 resident workload overnight.  On weekends evenings (Saturday/Sunday), these shifts are 13 hours (7 p.m. to 8 a.m.).  For R3s, a reduced-call or call-free period is provided prior to taking the ABR core exam.

Paid Internal Moonlighting Opportunities
Residents receive generous additional financial compensation for the following internal moonlighting opportunities:

  • Interventional Radiology Moonlighting - R2-4 residents are paid to voluntarily cover interventional call shifts during weeks not covered by fellows. All interventional radiology cases are performed with the on-call interventional radiology attending physician.
  • Neuroradiology Moonlighting - R2-4 residents who have gained proficiency in neuroradiology are given a paid, voluntary opportunity to assist faculty neuroradiologists on weekend and holiday day shifts. These sessions are conducted under direct faculty supervision and last from approximately 8:00 a.m. to 5:00 p.m.
  • OSIS Moonlighting - MRI Contrast Coverage – R2-4 residents can volunteer for paid ~12-hour weekend shifts at our Outpatient Surgery and Imaging Services (OSIS) as the physician on-duty in the event of an MRI contrast reaction.  These paid shifts provide ample time for studying.