MDACC ORIENTATION FOR UT MEDICINE
HOUSE STAFF
LBJ Resident/Intern Assignments
CALL COVERAGE RESPONSIBILITIES
Welcome to MD
Before
you receive a badge, you need to go through orientation. Housestaff
orientation will be with Dr. Vince Cataldo (Chief
Education Fellow) or another MDACC fellow in the Green Zone (
You
will receive meal tickets for call nights.
All housestaff
taking call at MDACC must attend orientation (this means the LBJ housestaff too!).
On or before your first day of work at MDACC, you will
need an ID badge and dictation number. You can obtain these
by contacting Angela Flagg at
713-563-9531, or Denise Lagrone at 745-0939, or by going to Ms. Lagrone’s office in the Houston Main Building (HMB) room
16.151 during office hours (directions will be given during orientation). She
can also help with parking issues. You
should complete this on the morning of your first day of work here, if not
beforehand. At the completion of your
rotation, you are expected to return your badge to Angela Flagg or Denise Lagrone.
Our office is located on Green Zone 11th
Floor: G11.3315. Additional work space and computer access is available in the
Research Medical Library, Yellow Zone 2nd floor. During office
hours, you are welcome to use our library for access to books, journals, and
copy machine. Unfortunately, due to recent security issues, we cannot
provide housestaff with the door code. All
materials can only be used in the office. Fellows have priority for these
facilities.
Didactic Teaching Schedule
Tues |
8:00AM |
Hickey Rose 11 |
Cancer Medicine Grand Rounds |
Tues |
12:00PM |
See schedule |
Fellows’ Didactic Lecture Series |
Tues |
1:00PM |
Fellows’ Office |
MDACC Chief Teaching Conference |
Lectures are
mandatory for all rotating residents. Please sign in at all didactic
conferences! You will
receive a lecture schedule at Orientation.
We also encourage residents to attend the Institutional
Grand Rounds at Friday noon at the Hickey Auditorium (same location as Cancer
Medicine Grand Rounds-Lunch provided) as well as any conferences/meetings held
by the department in which they are rotating.
Housetaff are excused at noon on their post-call days. At all other times, they are expected to be attending to their clinical responsibilities. Any other absence must be cleared with both the UT CMR and the MDACC Chief Teaching Fellow in advance.
The intern’s primary responsibility will be to provide
consultation for oncology issues at LBJ hospital. The intern will receive
backup from the resident assigned to the hematology service. Likewise, the resident’s primary
responsibility will be to provide consultation for benign hematology issues at
LBJ. Following orientation, you will be
directed to the LBJ fellows assigned to these services who will assist you in
getting started. All hematology and oncology
All consults are discussed with the fellow. Staff rounds with the resident and fellow on
a regular basis. Duties include:
The residents/interns assigned to the Hermann
Hematology Service will be under the direction of the MDACC Fellow assigned to
that service. This information can be
obtained from the UT Chief Residetns.
A schedule will be provided at orientation. This
schedule includes Dr. Juneja’s Benign Hematology
Clinic on Thursdays. We are constantly
seeking to improve the housestaff experience so your
feedback regarding clinic preceptors is very valuable. You are excused from
clinic for assigned lectures as noted above.
At all other times, you should be in clinic for the designated times. At
orientation, the Chief Fellow will show you how to check the clinic schedule in
advance so you know what time to arrive in the morning. If a clinic is
cancelled for any reason, FIND AN ALTERNATE ATTENDING TO WORK WITH IN THE
SAME DEPARTMENT.
The afternoons will be dedicated to rounds on the inpatient
hematology consult service each weekday. Interns are expected to cover these
patients on the weekends when the resident is off.
MDACC Benign
Hematology Consult Service
The primary responsibility of the resident assigned to
the benign hematology consult service will be to provide consult services for
benign hematology issues at MDACC. The
resident is expected to round with the hematology attending and the interns
assigned to MDACC according to the schedule set forth by the hematology
attending.
In addition to consultation services, the resident
is also to attend Dr. Juneja’s Thursday Hematology
clinic held in the 8th floor
The housestaff are
required to participate in a rotating call schedule at MDACC. Call hours are
5:30pm-7:30 am.. You will cover only the solid tumor
floors (not leukemia, lymphoma or BMT).
There is daily in-house backup by an Internal Medicine Attending (including
weekends) from 5:30 PM – 10:00 PM. The page operator should know this
person as the “GIM Hospitalist.” After
10 PM, your supervisor/backup is the
“In-House” internist on most Mondays through Thursdays (if available),
and the Malignant Heme Moonlighting Fellow on
the other days (or if the “In-House Internist” is not available). You will receive typically 10-30 calls per
night and see 5 patients on average. Always leave a note about your evaluation and about any planned
interventions. Notify the attending of
any significant change in clinical status, especially transfers to the ICU or
deaths. You are covering patients
from many different primary services. Ask the clerk to page the attending for
the patient you evaluated and discuss the case with them (they know the pt
better and can be very helpful). Please follow-up on any test ordered. If a
patient is in critical condition awaiting transfer to the ICU, please stay with
the patient until transfer is complete.
The on-call radiologist can be paged for help. The call room is located on the 10th
floor in the Purple Zone (Room #P10.3156). The lock combination is 9,8,5,4,1,#. Monday
through Friday, please pick up the call pager before 5:30 PM from the G11 Fellows’
Office from the desk of Alison Allen.
Drop off the pager onto this desk at 7:30 a.m. On weekends or holidays, the pager is to
be picked up (5:30 p.m.) and dropped off (7:30 a.m.) with the fellow covering
the liquid tumors (Heme floors). He/she can be paged through the page operator. Please page Dr. Vince Cataldo
with questions (713-404-2113).
You will occasionally be called to pull an intra-arterial catheter after hours. You should only do so in an emergency, and you should only do so with the assistance and supervision of your in-house back-up staff (hospitalist or MICU fellow). If you are uncomfortable performing the procedure, ask your back-up to do it.
These are small bore catheters that are used to deliver chemo locally to the liver. They must be pulled when the treatment is finished. Make sure to hold pressure for at least 15 minutes yourself with instructions to the nurse to hold pressure for an additional 5-10 minutes before the sandbag is placed.
Changes to the call schedule are occasionally permitted when circumstances warrant. Change Requests should be obtained from the UT Chief Resident and must be completed fully and signed by both residents, the UT CMR, and the MDACC chief fellow before they are considered valid (you can email your call change, with CMR approval, to Dr. Vince Cataldo.
You will receive two meal tickets for every call
night. They can be used at the MDACC cafeteria ($8 each)
Page operator: (713) 792-2121. Within the hospital,
dial the last 5 numbers (eg 2-2121 for the page operator).
Calling from the outside, the starting prefixes are 792 or 745. All pagers of
MDACC faculty /fellows start with the prefix 404 (e.g. 713-404-XXXX).
Contact Denise Lagrone at 745-0939 or
Angela Flagg at 713-563-9531 for access to Clinic Station. All terminals on the floors have Internet
Explorer. Through Internet Explorer, you can access “ClinicStation”
(can also be found from the MDACC website) which will give you access to not
only the information you may find on Netpass, but
also direct access to actual radiographic images, pharmacy info etc. To log-in,
you may use your Netpass 5-digit number and password. To log onto Windows (e.g., when turning a
computer on), you can use the id “Fellow,” and the password, “texas12!”.
Call Dr. Vince Cataldo,
Chief Teaching Fellow (pager: 713-404-2113).
Operator (paging) 27090
Code Blue 27099
Fellow’s Office 22740
ER 23722
Security 22890
Car problems 50000
Translator 27930
P4A 26350
P4B 26355
P6A 26550
P6B 26555
P7A 26650
P7B 26655
P8A 26750
P8B 26755
P9A 26850
P9B 26855
Call Coverage Responsibilities
Your coverage on-call includes:
Division of
Cancer Medicine Departments:
Breast Medical
Oncology
Community
Oncology
Gastrointestinal
Medical Oncology
Genitourinary
Medical Oncology
Gynecological
Medical Oncology
Melanoma
Medical Oncology
Neuro-Oncology
Palliative
Care
Rehabilitation
Medicine
Sarcoma
Medical Oncology
Thoracic/Head
& Neck Medical Oncology
Division of
Internal Medicine:
Dermatology
Endocrine Neoplasia & Hormonal Disorders
Gastrointestinal
Medicine & Nutrition
Infection
Control, Infectious Diseases
General
Internal Medicine
Pulmonary
Medicine
Your coverage on-call does not include:
Blood and Marrow
Transplantation
Leukemia
Lymphoma/Myeloma
Surgical Oncology or
Surgical Subspecialty Patients
Outpatients
Revised 7/30/07