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Beginning in July 2004, a neurology night float system was instituted at SMH, covering all neurology consultations called in between 8:00 p.m. and 8:00 a.m. Sunday through Friday. The night float rotation is two weeks in length. Second-year neurology residents spend six weeks as the night float, and third-year residents spend two weeks as the night float.
Evening call (4-8 p.m.) and weekend call are covered by second- and third-year neurology residents on the SMH inpatient rotation, the stroke and general neurology consultation services, and the pediatric neurology service. Evening call is limited to once per week and weekend call to once per month for second- and third-year residents only.
No night call is required during the Highland Hospital or Rochester General Hospital rotations. Fourth-year neurology residents are on pager call from home for 8 weeks during their chief resident rotation.
Beginning in July 2011, an Urgent Care – Evening Float (UCEF) Rotation has been instituted to address the increased volume and acuity of general neurology consultations in the afternoon and evening hours as well as the shortage of outpatient appointments for new patients with urgent neurologic complaints. This rotation provides a rich educational experience for the resident, while simultaneously decreasing the workload of the residents covering the stroke and general consultation services during the day and during evening and night shifts. The UCEF rotation is two weeks in length and the hours for the rotation are noon until 10 PM, Monday through Friday. Second year residents spend six weeks on the UCEF rotation, and third year residents spend two weeks on this rotation.
The night float resident and the evening call and weekend call neurology residents at SMH are responsible for all adult Emergency Department patients triaged to neurology, as well as for all adult and pediatric neurology consultations in the hospital, the ED, and the ICUs.