Medicine Resident On-Call (MROC)

Purpose:

The purpose of the MROC is to provide additional support on an as-needed basis for the internal medicine house staff, including during Dr. Cart events, patient care responsibilities, and occasional assistance with admitting to house staff 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 if available.
  • Serve as the Ambulatory Triage Group (ATG) responding physician Monday-Thursday (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 adhere to duty hours.
  • Fill out the MROC stats before leaving at the end of your MROC shift
  • MROC Schedule

Weekday MROC Schedule (Monday-Thursday)

  • 7 AM: Sign into the ATG pager (6631).
  • 7 AM – 5 PM: Respond to urgent triage questions regarding residents’ patients whose pagers are signed over to the ATG pager (i.e., those who are on vacation, elective, etc.).
  • 5 PM: Sign into the MROC pager (1212) and physically be present in the hospital if not already there.
  • 5 PM – 7 AM: Respond to both ATG and MROC duties.

Reminder for ALL blocks of the 2023-24 year:

  • MROC should be physically present in the hospital (In-house) overnight.
  • If you are on a consult service or ambulatory you are expected to go to that service during the day of your MROC shift but are excused the day after.

Admitting:

  • Admitting cap is 5 patients. Jeopardy may be called beyond this number at the discretion of the CROC.
  • MROC should be available as needed to provide assistance in MICU and CCU.
MROC Call room 10500-G

 

Weekend Float

Eligibility

  • Second and third year residents are eligible for 1-2 weekend floats per residency. All ambulatory, elective, and consult rotations are eligible although residents will be preferentially assigned during their +4 consult blocks in order to preserve. Trades are allowed. Please see schedule below.

Responsibilities

  • Responsibilities vary depending on day.
  • Friday night: weekend float will cover general medicine night float resident (please see general medicine service rules) – normal service rules apply
  • Saturday night: weekend float will cover CCU night float resident (please see CCU service rules) – normal service rules apply
  • Sunday night: weekend float will assist in the CCU primarily but may assist in other areas as needed by the inpatient teams. The CCU night float resident and the weekend float should discuss to divide tasks however the primary responsibility of the CCU will still be with the regularly scheduled CCU night float resident.
  • Weekend float schedule

Pager

  • Friday night: sign into the general medicine night float pager
  • Saturday night: sign into the CCU admitting pager
  • Sunday night: not holding a primary pager. 

Scheduling

  • It is expected that residents are in the hospital for their night float shifts on the weekend that they are assigned weekend float starting Friday night and continuing through Monday morning
  • Residents are not expected to go to their rotation on Friday day or Monday day
  • Residents will resume their normally scheduled rotation starting Tuesday after their weekend float day

ATG

  • ATG will NOT be covered by Weekend Float.
  • ATG will be covered by one resident on Friday at 7am until Monday at 7am.
  • Weekend ATG schedule

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/Ambo, 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 7:30am
  • The MIOC should depart the hospital by 8:30am on the following morning.
  • MIOC Schedule