Abstract
Background
Alternative work schedules can be desirable for trainees and provide more flexibility for service coverage needs. Continued evaluation is needed to ensure educational objectives are met and that the intended wellness components are fulfilled. Creativity and compromise are essential for balance among education, staffing, and personal needs.Methods
We conducted a retrospective review (July 2022-January 2026) of a pilot Sunday-Thursday "shifted week" neuroradiology rotation. Resident perception was evaluated through pre- and postimplementation surveys and end-of-rotation evaluations. Productivity was measured using daily case volume and work relative value units. Performance outcomes included Diagnostic Radiology In-Training Examination neuroradiology scores and report turnaround times.Key message
Shifting a neuroradiology resident service week to a Sunday-Thursday schedule met the educational experience, staffing, and contrast coverage needs while reducing the overall call frequency for residents. Residents reported high satisfaction with the shifted rotation, with most endorsing improved educational value and stable or improved quality of life. Faculty supervision, turnaround times, and actionable result communication were maintained at levels comparable with traditional schedules.