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CoachingTips:ResidentSchedules101
Lucy Lee & Carrie Loutit Monday, June 13, 2016
MY RESIDENT?
ObservationGoalsO To be provided by Coaching leadership O Interns may appreciate higher frequency of
observations early on
ObservationTemplate
PreparingforObservationsO Consider advance notice to residents and/or
faculty O Review and/or print forms; consider using
iPad to document observations, to save time
TipsfromResidentsO Try not to observe on first day of a new
rotation O Depending on resident, prompt reflection
and give feedback immediately afterwards O While walking to next patient’s room
O Some prefer time to reflect O May need to arrange phone call or email if
team is still rounding/busy
InternScheduleO Community
O Gardner Clinic: mixed into schedule O Excellent location to observe H&Ps, presentations O Specific intern schedule is sent out each month;
Lucy to email final schedule when available O Also available in the Cross-Cover schedule
O Well Baby Nursery O Pre-rounding starts at 7am; can observe H&Ps O Sit-rounds start around 9am in F1 workroom (when
facing the main nursing station, head right and the workroom is on the left side); can observe presentations
InternScheduleO Ward Teams (3rd floor)
O Blue = Gen Peds, Yellow = Pulm/Endo, Red = Renal/Rheum, Green = GI
O Rounds start at ~8:30am; observe presentations O Can meet resident outside Board Room after
morning report or find them in the lounge or workroom (Door codes 1-3-5-7-9)
O IPASS handoffs O Sign-out starts at 5pm in lounge, workroom, call
rooms O NOTE: During the summer, Thursday sign-out
starts later because of Intern Boot Camp
InternScheduleO PICN (resident sits at desk in well baby nursery)
O Rounds start ~9:30am; can observe presentations O Can be interrupted by deliveries O Not great for IPASS handoffs O No fellows or supervising residents, so good for
observing assessments and plans O Specialty Clinics (Endo, Pulm, GI, ID, DBP, Adol,
Cardiology) O Variable schedules and locations
O Check with intern O Can observe H&P, presentations
InternScheduleO PICU (2nd floor)
O Rounds start ~8:30am; can observe presentations O Many interruptions O Not good for IPASS handoffs
O ED O Variable schedules and locations
O Check with intern O Good for observing H&Ps, presentations
O Valley Outpatient O Can observe H&Ps, presentations (but fast-paced) O Some residents mentioned VOP not ideal location
to observe
JuniorScheduleO PICU (2nd floor)
O Rounds start ~8:30am; can observe presentations O Many interruptions
O ED (now in Madera unless opted to stay at LPCH ) O Variable schedules and locations O Good for observing H&Ps, presentations
O Yellow Team (Pulm/Endo) O Supervisory role during some months (Precepting) O Can observe: Presentations
JuniorScheduleO NICU (2nd floor)
O Rounds start ~8:30am; can observe presentations
O Valley (5th floor) O Rounds start at ~8:30am O Check ahead for Grand Rounds schedule,
medical staff meetings O Supervisory role O Good for observing Precepting
JuniorScheduleO Purple Team (Cardiology)
O Rounds start ~8:30am; can observe presentations; appointment-based rounds
O ECF (Elective Call-Free) O Check master schedule O Confirm with resident
O Check cross-cover schedule
JuniorScheduleO NEW this year, details to be determined
O Heme Onc A, B, C O Now moving to q4h schedule
O PC A, B
SeniorScheduleO Ward Teams (3rd floor)
O Blue = Gen Peds, Yellow = Pulm/Endo, Red = Renal/Rheum, Green = GI
O Rounds start at ~8:30am; observe Precepting O ACC/Gardner
O Excellent location to observe H&Ps, presentations
SeniorScheduleO Well Baby Nursery
O Pre-rounding starts at 7am; can observe H&Ps
O Sit-rounds start ~9am in F1; can observe presentations
O PICU (2nd floor) O Rounds start ~8:30am; can observe
presentations O Many interruptions
SeniorScheduleO Valley (5th floor)
O Rounds start at ~8:30am O Check ahead for Grand Rounds schedule, medical
staff meetings O Supervising is primarily by Junior, but can observe
teaching/supporting role O ECF (Elective Call-Free)
O Check master schedule O Confirm with resident
O VNICU (Valley NICU)? O Changes in rotation this coming year, TBD
SeniorScheduleO ED
O Variable schedules and locations O Check with intern
O Good for observing H&Ps, presentations O Check cross-cover schedule (especially for
Teaching Senior)
ContinuityClinicO Gardner
O Excellent location to observe H&Ps, presentations
ScheduleChallengesO Boot Camp (summer only) O Check cross-cover schedule O Holiday Schedule (late Dec – early Jan) O CAPE, ED Sim Sessions, Splinting and
Suturing Workshop O No patients at clinic (towards end of clinic
AM/PM) O Residents sent home early if low census
Cross-CoverSchedule
Helpful schedules: • Cross-cover • Holiday • Electives
