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Department of Otolaryngology - Head and Neck Surgery

Rotations

Master
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Weekday Call Assignments

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The fellow will participate in the after-hours emergency room consult call schedule for one week every month. During this call period, call begins at 5 p.m. and ends at 7 a.m. There is no in-house call. The pediatric otolaryngology fellow is not expected to remain in the hospital on call except as patient care dictates. A general otolaryngology fellow is always on “first call” and the pediatric otolaryngology fellow functions in a supervisory role on call to that resident. While the pediatric fellow has call responsibilities, a faculty member will be on call for consultation and for all cases requiring surgery. This on call experience is intended to give the fellow to the typical duties associated with pediatric otolaryngology, while providing support and guidance for the more complicated and demanding patients.

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Weekend Call Assignments

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As on weekday call, there is always a supervising faculty member on call. The fellows will alternate weeks of consult call (“on-service”) and non-consult clinical duties (“off-service”). Each fellow takes on-service weekend call every other weekend. Call begins at 5 p.m. on Friday and ends 7 a.m. Monday. The fellow who will be responsible for consults the following week will be responsible for weekend rounding with the general otolaryngology residents (PGY-2 or PGY-3). The fellow covering weekend rounds will assist with any highly specialized pediatric otolaryngology weekend consultations or surgeries that occur on their call weekend in conjunction with the on-call faculty.

As for weekday night call, the fellow is not expected to remain in the hospital on call; also, a general otolaryngology resident is always on “first call” with the pediatric otolaryngology fellow functioning in a supervisory role. The purpose of this call is to assist the weekend otolaryngology call team with the specialized pediatric otolaryngology cases, particularly emergency airway cases. Historically this call is non-taxing and, in addition to rounding, rarely requires more than one or two short trips to the hospital on a given weekend.

The ER Call Schedules will be available one week or more in advance and are made for one month at a time. Weekend call schedules are compiled and provided for six months at a time. The fellow will have input into weeks and weekends on call.

When the fellow is not covering hospital rounding duties on the weekend, he/she should not participate in clinical activities as this fulfills the required time off for the fellow from clinical duties.