Matt Sibley, Adela Matejcek
&
Kris Kang
Pediatric
Chief Residents
R1 OrientationJuly 2014
• Who we are• Who’s who in the department• R1 curriculum• CTU• NF• Call • Vacation/Conference Requests• Academic Half Day• Journal Club• …• … …
Welcome!
Everything you wanted to know…
and then some…
Activity Time!
• 2 truths and a lie
• Objectives…officially…
–Liaison between the residents and the
administration of the hospital
–Liaison between the residents and the
Postgraduate Medical Education Program
–Provide clinical guidance and support to residents
–Provide case-based, didactic and bedside
teaching to both residents and medical students,
and administrative leadership
Chiefs
Chiefs
• What that really means…
–We’re here for YOU!• When you’ve had a good day… when you’ve had a bad day…• When you’re confused… when you’ve got a great idea but am not sure who to talk to…• Office hours Monday 13:00-15:00, Wednesday 14:30-17:00 (E411 - local 4943)
–We’re the link between the department and YOU• We meet with the PDs weekly• Relay important information Expect monthly “Chief Update” emails, and
“Chief AHD Updates”
–We assist in putting together monthly CTU call schedules and the Master Schedule
–Organize CTU teaching schedules…• Lead morning report Monday, Tuesday, Thursday
Chiefs
• Three R3/R4s
• 1 year term (Feb-Feb)
• Selected Fall/Winter of each year–Nominated by the residents–Final selection by the RTC
• Dedicated “Chief Months” divided among the Chiefs
Chiefs
• R2/3s
• 1 year term (Feb-Feb)–Followed by 1 year term as chiefs
• Role:–Academic Half-Day
• Coordinates speakers and residents • Reviews/revises AHD curriculum
–Retreats x 2• Fall/Winter – full weekend• Spring – full day
–“Acting” chiefs if we are away….
Associate Chiefs
Putting it all together…
Rotations
CTU Blue Jr
CTU Green Jr
Gen Peds/Night Float
Night Float/Social Peds
Intermediate Nursery
NICU (Surrey Memorial Hospital)
Resp/Allergy/CF
Endocrinology
Cardiology
Gastroenterology
Neurology Jr
Surgery
ER
R1 curriculum
How do I know where to go?!
One45
• https://www.one45.med.ubc.ca/
Resident Website
• http://residents.pediatrics.med.ubc.ca/
• Contact your services at least 2 weeks before you start for reporting instructions – many will contact you
• Services with in-house call requirements will/should contact you in advance for your call requests (ex. Surgery, IN)
• CTU and NF –No need to contact anyone… you will learn quickly where to go each time
–CTU: report Mon-Thurs 7:00 to 3M, Fri 7:30–NF: report Sun 18:00 to 3M
How do I know where to go?!
• CTU Blue – cardiology, neurology, surgical
•CTU Green – endocrinology, nephrology, metabolics
• Rheum, GI, Resp, Heme….
CTU
CTU
CTU Team =–Attending
–Senior Resident / team
–Junior Resident x 2-3 / team
–Medical Students x 2-3 / team
Consult Senior
CTU – WHO?
Day:Monday - Thursday 7:00-18:00
Friday 0730-1700
–Weekend – i.e. Call:
•Friday + Sunday–Friday 17:00 - Saturday 8:45
–Sunday 8:45 – 18:00
•Saturday–Saturday 8:45 - Sunday 8:45
CTU – HOW?
• General timelines:
1. Morning report (7:00)
2. Handover (7:30)
3. Pre-round: discharge patients, important phone calls
4. Rounds (8:30)• ~2-3 hours
• Family-centered; Work rounds
5. Work time: • follow up on investigations/consults; review patient status; write notes; discharge planning; teaching
6. Evening handover (18:00)
CTU – What?
• You are a compliment to the day team; You are not here to “band-aid” problems work with the day team to continue care
• Night Float team
–Senior Resident–Junior Resident x 1 / team –Medical Student x 1 / team
• 5 nights/week – 1800-0800–Sunday pm - Friday am
Document, Document, Document
Night Float
• I-PASS initiative
– see orientation manual
Handover
CTU/NF – Policies and procedures
CTU/NF – Policies and procedures
…Also on Resident website