Medicine Resident On-Call (MROC)

Purpose:

The purpose of the MROC is to provide extra manpower on an as needed basis for the internal medicine housestaff including during Dr. Cart events, patient care responsibilities, and to occasionally help with admitting to housestaff services.

Eligibility

  • Second and third year residents are eligible for 1-2 MROCs per 2 week period of ambulatory, geriatrics, consults, dayfloat, or elective-o

Responsibilities

  • Take over the MROC (1212) pager.
  • Act as assist Dr. Cart in CCD and Mitchell if available.
  • Serve as the Ambulatory Triage Group (ATG) responding physician (see duties here) – click here for a list of attendings on call
  • Help busy admitting teams with procedures, triage of patients, road trips, or other patient care requests.
  • Help make sure that admitting teams stay within duty hours.
  • Fill out the MROC stats before leaving at the end of your MROC

Schedule

Weekday MROC Schedule

  • 7AM: Sign into the ATG pager (6631)
  • 7AM – 5PM: Answer any urgent triage questions regarding residents’ patients whose pagers are signed over to the ATG pager (ie those who are on vacation, elective, etc). *You are not required to be on campus and respond to MROC related pages until 5pm
  • 5PM: Sign into the MROC pager (1212)
  • 5PM – 7AM: Respond to both ATG and MROC duties; the MROC stays later if one has to present a patient admitted overnight

Weekend Schedule

  • 7AM: Sign into both the ATG (6631) and MROC (1212) pager (it is preferable if the previous night MROC does this for the resident but should touch base the night before to ensure that someone does it)
  • 7AM – Noon:  Respond to ATG and MROC duties as needed
  • Noon – next day 7AM: MROC is expected to be in the hospital and respond to ATG and MROC duties. May need to stay later if presenting patients the following day.
  • Note: on Saturday night, the MROC will act as the CCU NF. Please see CCU service rules for the duties of the CCU NF.

Admitting:

  • Admitting Cap is 5 patients. Jeopardy may be called beyond this number at the discretion of the CROC.
  • MICU: The MROC should be available as needed to provide assistance.
  • CCU: The MROC should be available as needed to provide assistance.

Medicine Intern On Call (MIOC)

Purpose

The purpose of the MIOC is to give the Cardiology night float intern a day off.

Eligibility

Interns are eligible for 1 MIOC per 2 week block of Urgent Care, Geriatrics or consults, for a total of 1-2 MIOCs during the course of the year.

Responsibilities

  • Arrive at 8 pm to take over Cardiology intern duties (admitting, Dr. Cart intern, cross-cover) and receive sign out from the day intern. In addition to admitting up to 5 new cardiology patients, you will be doing cross-cover on cardiology team A, B, C, D, and T-team. The on-call resident will be available to help you.
  • Check the amion schedule to find out who the cardiology resident is on call and page them when you get to the cardiology 4th floor work rooms so that you can meet up with the on-call resident and intern.
  • The MIOC should take over the night intern pager (4279) as soon as they arrive.
  • If you have not yet done cardiology, you can log into Epic and review AgileMD pathways (located in patient chart next to order tab and you must be in PVD cardiology context at login) for ACS, heart failure, and atrial fibrillation to become familiar with these before your first MIOC.
  • While on call overnight, you will also respond to Dr. Cart events with the call resident as outlined in the most recent iteration of the UCH and program policies on Dr. Cart coverage areas.
  • The MIOC should admit patients with the on-call resident and complete all documentation (H&Ps and sign out) prior to morning rounds at 7:30 am
  • The MIOC should depart the hospital by 8:30 am on the following morning.

 

Updated 8/12/22