Carrying the pager.

This experience of implementing a formalized inpatient radiation oncology consult (IROC) service at MSKCC reveals measurable improvements in quality of metrics. What practically changed with IROC? Metastatic disease experts in delivery of ablative radiation were made readily available on a rotating weekly schedule to respond quickly to urgent inpatient consults. When comparing outcomes for inpatients recommended to receive radiation from January to June 2019 (pre-IROC) versus those in the same period in 2020 (post-IROC), median hospital stay was significantly decreased from 14.5 days to 11 days, respectively. | Xu & Yerramili, JCO Oncol Pract 2021

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