The mission of our 294-bed community teaching hospital is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research.
Inpatient Pediatric Rotation
Introduction
One second-year and one third-year resident per month will make up the MHRI inpatient pediatric team. Call is every fourth night, and no vacation/comp time is permitted on this rotation. The third year resident will present Pediatric Grand Rounds once during the service month. The resident should work with a faculty member to prepare their presentation. A laptop computer and LCD projector will be available. The use of a PowerPoint presentation, slide handout, and other printed material is encouraged.
Goals • To develop competency in evaluating and managing ill children.
Objectives • Formulate a clinical question applying the principles of Evidence-Based Medicine • Present and facilitate discussion of the EBM project in small-group (R2) or Grand Rounds (R3) venue
Evaluation Methods • Complete and submit a written outline of personal educational objectives that will be provided prior to the start of the Pediatrics rotation. • Inpatient Attending and fellow resident will submit an evaluation at the conclusion of the rotation based on performance directly observed during the rotation. • Maintain and submit a Procedure Log of all procedures performed during the rotation.
Clinical responsibilities Clinical care of Wood 4 pediatric patients (exceptions: patients admitted to the surgery service and one day surgery admissions). There are no off-teaching admissions for general pediatrics.
Floor coverage assignments will be provided at the beginning of the rotation. Responsibilities when covering the floor: • Complete and document history, physical examination, assessment, and management plan for each patient admitted. • Communicate plan of care (and any changes in the plan) to admitting physician. • Complete daily progress notes. • Attend morning teaching rounds Monday – Thursday (see above). • Dictate discharge summary (or complete short-stay form) on each patient. • Sign out to overnight or weekend covering resident. • Provide back up for first-year resident on Wood-2 (particularly when on-call). The MCH intern will be reviewing all cases with you prior to contacting the attending. • Attend C sections or high-risk deliveries when requested by MCH service.
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