R1 Orientation July 2014

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