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how does the no attendings at night workout?
One attending and one mid-level? Seeing 40 pts in 8 hrs? This does not sound remotely safe. I remember breaking 40 patients on a 9 hr overnight when I was an attending at a local academic center but that was with a pgy 1, 2 and 3 working with me. Even then that felt brutal.
My main place I’m seeing usually 25-30 between 2200 and 0600, I get 2 hours to clean up once the am Dr arrives. I’d never try to sleep lol.
That's some serious nocturnist koolaid drinking. Whoever sold you that position needs to go work for one of the major CMGs hiring for their fire fighter positions. Let them loose on the job floor at ACEP and they are guaranteed to mop up. I've never even remotely worked at a gig where nocturnists were the super soldiers of the group and/or where FMDs or RMDs were born. It's where docs go to be left alone. They might be fast docs...but the beauty is that they don't have to be. Their metrics can suck and nobody cares because....they're nocturnists and nobody else wants the job. No c-suite watching over their shoulders. They can have better schedule control, etc.. There's a better chance to work part time +/- night differential and extra compensation. It's certainly NOT seal team 6, future leaders of America breeding ground. Your job might be an exception but I kind of doubt it.
I got about 30 min of sleep on my overnight last night. Was woken up to see a 23 yr old girl who had gotten into an argument with someone over the phone, agreed to meet up in person to "settle things" and then was unhappily surprised when the other party pulled out a knife and slashed the back of her hand. Several sutures and a comment about "not bringing fists to a knife fight" (she didn't like that one) and I was fully unable to get back to sleep.
Probably part of a big health system where the films were sent to the mother ship.
Fwiw you dont need in house rads for final reads. Most telerad services offer a final read service as well. I've never worked somewhere that uses it but I know it's an option.
I don't understand this. What are prelim reads? The only time I dealt with prelim reads before a final read was during residency.
Yeah, it's legit a scam.
I wouldn't take a job without 24 hour reads from sub specialty rads.
Even at our rural sites we have the same sub specialty radiology reads 24 hours/day. They aren't necessarily on site. I don't need a neuro rad sitting in the rural facility, I just need them reading and available. At night they read from home or their office in the city, but the reads come in and I can call them anytime.
It's actually a lot more common than you think and is almost a regional standard of care in my area. Every hospital in this area (11) gets (at best) a wet read by a radiology resident and/or wet reads by attendings in a private group, all of which are over read for a final read at 7am
Yikes. Not our standard.
Sure, if your comparison is 9-5 w/ a 2 hr lunch break, a swing kinda sucks. But it's not a night. It's just not.
My ~45k place and our freestanding ~20k place have telerad for ct, US and MRI after 2300 and on weekends, sometimes after 1400. Some of the tele people are great. Some are terrible and constantly miss things. Sometimes I call them. Hey can you add the {PE, orbital tumor, 6 consecutive rib fractures} to your report. Of course one of our radiologists is also terrible and they all miss things occasionally. I have most definitely gotten sharper at looking at imaging since moving to midnights since telerad reports can take 2 hours and I don’t like surprises lol
I actually loved the 6a-2p shift one place I moonlit at. It was my preferred shift. Leave my house at 0530am, hit the door right on time. Overnight doc technically stayed until 0700 and the overnight PA until 0800, so they got a lot tied up before signing out. Still could usually get them out “Early” but they’d go have that one tricky conversation while I saw some new things. Then an AM PA showed up at 0800, another doc at 0900, another PA at 11, another doc at noon, and finally your replacement at 2.
So do radiologists ever get sued? I rarely hear of them being sued and they miss stuff ALL THE TIME.
off site reads can be final reads.
