Rotations & On-Call Information
Rotations & On-Call Information
Rotations
All required rotations take place at Rhode Island Hospital with the exception of 1 month at the Providence VA medical center.
Each resident has a continuity clinic for two weeks every six weeks (2+4 schedule). During those two weeks, each resident will have three half-day sessions of continuity clinic per week; then during the four weeks of mostly inpatient rotations, each resident will have zero sessions of continuity clinic. The resident clinic has the dedicated support from a clinic RN.
Each resident has three weeks of vacation during the PGY2 and PGY3 years, and four weeks of vacation during the PGY4 year. In addition residents rotate in our holiday schedule for 5-6 days on and 5-6 days off around the Christmas and New Year's holidays.
Each block in the diagram below is four weeks long:
Block | PGY-2 | PGY-3 | PGY-4 |
---|---|---|---|
1 | Inpatient wards - vascular | Inpatient consults | Inpatient wards - senior |
2 | Inpatient wards - vascular | Inpatient consults | Inpatient wards - senior |
3 | Inpatient wards - general | Inpatient consults | Inpatient consults - senior |
4 | Inpatient wards - general | Inpatient consults | Inpatient consults - senior |
5 | Neurocritical care | Inpatient consults | VA Medical Center Neurology Clinic |
6 | Neurocritical care | Night float | Elective |
7 | Inpatient consults | Child neurology | Elective |
8 | Night float | EMG & Neuromuscular Clinic | Elective |
9 | EEG (3 weeks) / Neuroradiology (1 week) | EMG & Neuromuscular Clinic | Elective |
10 | Outpatient subspecialty clinics (NOC) | Outpatient subspecialty clinics (NOC) | Neuropathology (2 weeks) / Elective (2 weeks) |
11 | Outpatient subspecialty clinics (NOC) | Elective | Neuropathology |
12 | Child neurology | Elective | Psychiatry CL inpatient (2 weeks) |
13 | Psychiatry CL inpatient (2 weeks) | Inpatient wards - senior | Child neurology |
Suggested Electives
Residents are encouraged to create original electives. These are provided by the program.
Elective | Details |
---|---|
Extramural | Must be approved by Program Director |
Neurodegenerative Disease | May be done at Rhode Island Hospital or Butler Hospital |
Neurointerventional Radiology | Dr. Mahesh Jayaraman; Emergent and elective endovascular cases |
Movement Disorders & Botox | May be done at Rhode Island Hospital or Butler Hospital |
Neuropsychiatry | Dr. Curt LaFrance; Neuropsychiatry clinic, focus on conversion disorder |
Physiatry | Inpatient and outpatient exposure including Botox administration |
Neuro-otology | Dr. Melissa B. Ramocki; Off-site subspeciality clinic |
Neuro-ophthalmology | Dr. Tatiana Bakaeva |
Sleep Medicine | |
Pain & Palliative Care |
Being On-Call
On Call Expectations
- Triage new consults at Rhode Island Hospital, Hasbro Children's Hospital, and Women & Infants Hospital
- See some consults yourself and distribute others to co-residents
- Support the 2 medicine residents and 1 APP covering the inpatient neurology services after hours
- Support the 1 APP covering the neurocritical care unit after hours
- The on call resident does not cover phone calls from outside hospitals or private patients of the attendings
- The on call resident does not cover consults at hospitals other than the ones listed above
Who's Your Back Up?
- Sunday through Friday nights: PGY-4 supports the on-call resident by home call. There is additional faculty back-up.
- Saturday day and night and Sunday during the day: Faculty members support the on-call resident by home call.
- If additional residents need to be called into the hospital, this must be cleared with the program director.
On-Call Shifts
Shift | Length | Allocation |
---|---|---|
Nightfloat | Saturday – Thursday 9:00pm-9:00am. | 4 -5 weeks/PGY-2 year (Jan-Jun) 4-5 weeks/PGY-3 (Jul-Dec) |
Short Call | weekdays 4:30pm-9:00pm | 24 calls/PGY-2 year 10 calls/PGY-3 year |
Weekend call | Sat OR Sun 8:00am-9:00pm | 3 days/PGY-2 13 days/PGY-3 |
Friday overnight call | 4:30pm-8:00am | 3 calls/PGY-2 6 calls/PGY-3 |
Holiday call | 8:00am-9:00pm | 3 calls/PGY-2 2 calls/PGY-3 |