Online (Yawkey 6E) - These guidelines apply to ALL Online rotations
1. MR/CT are read during the AM, XRs are read during the PM. MR/CT arthrograms are read by the interventional fellow who performed the injections (Procs).
2. Ultrasounds done anywhere in the Main Campus are read all day. Please check separate tab about the US/Education rotation for more details.
3. Please note that MR/CT/XR AM/PM split with Waltham is not a hard and fast rule. We are all responsible for all studies, and if your queue is clear, then jump in and start helping out the other queues, especially in the late morning and late afternoon.
4. Please also read cases sequentially, in the order in which they were performed. It is very tempting to selectively pick up some of the more desirable/less common cross sectional types (e.g. MRI of the wrist), but this is not fair to your colleagues. Some attendings will read CT’s and spine MRI’s first, but the reverse (skipping those studies and choosing the joints and/or pre-toggling choice studies) is frowned upon. It’s just not nice. Similarly, do not skip over all the ugly lumbar spine scoliosis radiographs and skeletal surveys and leave them for your colleagues. Read sequentially (might seem obvious, but it’s happened before in the past).
5. Final Signing: Clinical fellows will begin to final sign radiographs once they are fully credentialed by MGH (late August/early September) and have been given the OK by the fellowship director. No need to final sign cross-sectional or intervention.
6. Wet reads have priority. Until you final sign, ask staff to review/finalize ASAP, especially after lunch when wet reads may have been waiting an hour or more.
7. When the fellow covering contrast injections (consult fellow) needs to leave Yawkey 6 for an extended period of time, sign out to a colleague and communicate directly with the nurse and techs – this is a matter of patient safety. In addition, the nurses and techs are anxious if they cannot figure out who is covering contrast.
8. Although Contrast Reaction coverage is covered by a resident on the main campus, if you are called upon to help with a reaction during the day, please go evaluate the situation. Patient care comes first.
9. Please remember that these roles are “assigned”, but also everyone can and should jump into help out as needed – e.g. if someone is already on the phone or covering an ultrasound or out sick, etc.
*updated 06/2025