So, perhaps I'm naive or old-skool (I'll confess to the latter) but I don't understand the importance people place on the ancillary services. In my experience, doing the ECG or a blood draw yourself is usually the fastest way to get it done (ECGs are hard to do now though... the techs hog the carts). I always do my own urine dipsticks and microscopy (if the lab lets me, seems to vary hospital by hospital) because I can have the diagnosis in 5 minutes instead of 3 hours. I also review (but admittedly not make) blood smears from my patients. I don't buy the "busy busy intern" argument (from personal observations and otherwise). With night float in most places cross-cover is becoming less of a horrid beast and most of these ancillary things take only a few minutes. Btw, the props you get from a patient when you leave with their urine and come back in 15 min with a diagnosis feel gooood.