Most rotations occur in blocks of 4 weeks; there are 13 blocks each year. In addition, each fellow has clinics at the UW and VA.
The following rotation schedule is typical, but there may be minor changes from year-to-year. Further, the schedule can be modified at any time by the Chair or Program Director to meet service requirements or catastrophic emergencies. The training requirements mandated by the ACGME will be maintained at all times.
|Training year||Rotation||No. of Blocks|
|Vascular Neurosurgery Clinics||1|
|Elective / Vacation||3|
After discussion with the program director the fellow will propose electives in writing to the director for approval in keeping with the overall goals of the program and resource availability.
The fellow will take after-hours and weekend call only for the vascular neurology service and not for the other services. All after-hours and weekend call will be home call. This will be scheduled throughout the year to be every fourth day, on average. On weekdays this will begin at 4PM and end at 8AM the following day. Two of these call periods per month will be on the weekend, on average, starting Friday at 4PM until 8PM the following day.
While on other services the fellow will be assigned to a specific faculty member each day, round and/or attend clinic with that service, and participate in the clinical and educational activities of that service each weekday (Monday to Friday), but not the weekends.
Vascular neurology call will consist of the fellow staffing patients at the UWHC and the VAH with the neurology residents, responding by telephone to internal and external clinicians seeking advice for stroke patients, and performing telestroke consults. The fellow is expected to come in if either they or the attending believe that the clinical situation merits an in-person evaluation by the fellow. Because of the time-sensitive nature of our field, pages on call must be returned within five minutes and the fellow ideally should be able to be bedside within 20 minutes of a page if necessary.
Fellows are also expected to work 1 major and 2 minor holidays over the course of their training. This is during the day shift (8am-4pm) and if it happens to fall on their overnight call day, they are expected to work that shift as well. With notice to the attending and coordinator, this overnight shift could be made up on a different day during that week.
On Call Activities
In-house call occurs no more frequently than every third night, averaged over a four-week period. Continuous on-site duty, including in-house call, does not exceed 24 consecutive hours, and in the unlikely event that this should occur, the fellow immediately pages the supervising faculty member to sign out. Fellows may remain on duty for up to four additional hours to participate in didactic activities, transfer care of patients, conduct outpatient clinics, and maintain continuity of medical and surgical care, at which point the fellow immediately pages the supervising faculty member to sign out. No new patients are accepted after 24 hours of continuous duty. The frequency of at-home call is not subject to the every-third night, or 24+4 limitation. However, at-home call is not so frequent as to preclude rest and reasonable personal time for each fellow. Fellows taking at-home call are provided with one day in seven completely free from all educational and clinical responsibilities, averaged over a four-week period. When fellows are called into the hospital from home, the hours fellows spend in-house are counted toward the 80-hour limit.
Latest revision: 8/07/2023
Jamie Elliott, MD, PhD