<h3>Purpose/Objective(s)</h3> Among internal medicine (IM) physicians, limited knowledge of radiation oncology emergencies may delay consultations placed for emergent radiation and prolongs hospitalizations. We hypothesized that presenting a radiation oncology emergencies lecture to IM residents would expedite initial management, time to consultation, and shorten hospitalization duration for patients needing emergent radiation. <h3>Materials/Methods</h3> Following a lecture given on August 26th, 2021, to our institution's IM residency program, we tracked the timing of emergent consultations placed to our radiation oncology department from IM residents up until January 20th, 2022. Time to consultation was calculated relative to the latter of either time of admission to the academic IM service or confirmatory imaging of oncologic emergency. For cases of cord compression or brain metastases, we tracked the timing of dexamethasone initiation. We compared these metrics and hospitalization duration to a matched historical cohort of consultations that took place from August 26th, 2019, to January 20th, 2020. A p-value of <0.05 was used to determine statistical significance on two-tailed t-test for independent samples. <h3>Results</h3> The pre-lecture (2019-2020) historical control cohort comprised of 42 emergent consultations. Mean time to consultation was 65.8 hours. Mean duration of hospitalization was 13.7 days. 19 patients required dexamethasone, with a mean initiation time of 22.8 hours. The post-lecture (2021-2022) cohort comprised of 28 emergent consultations. Mean time to consultation was 38.3 hours. Mean duration of hospitalization was 8.9 days. 12 patients required dexamethasone, with a mean initiation time of 18.4 hours. The post-lecture cohort experienced faster times to consultation (p=0.018) and shorter hospitalizations (p=0.016). Time to dexamethasone initiation did not reach statistical significance (p=0.66). <h3>Conclusion</h3> A radiation emergencies lecture directed at IM residents improved time to consultation, decreases hospitalization duration, and potentially expedites dexamethasone initiation. Such initiatives should be widespread at all hospitals to improve the outcomes of hospitalized cancer patients.