lsu pediatrics welcome new interns!!!
TRANSCRIPT
LSU Pediatrics
Welcome New Interns!!!
http://www.medschool.lsuhsc.edu/pediatrics/
LSU Website
• Policies and Procedure Manual
• Goals and Objectives
http://www.medschool.lsuhsc.edu/pediatrics/residency.aspx
Chief Resident Page
New Innovations
• Evaluations• Duty Hours• Core Modules• Login/Password
• TBA• Institution
• lsuhscno
http://www.new-innov.com/login/
ACGME
• Clinic log• Procedure
log• Username –
TBA• Password -
TBA
https://www.acgme.org
Overview of Curriculum
• See handout – Schedule by Year and IEU
Intern Year
• 4 Ward Months• Purple
• Hospitalist• General Pediatricians• Allergy/Immunology
• Green• Hospitalist• General Pediatricians• Rheumatology
Intern Year
• 4 Ward Months• Gold (team of 3 starting in August)
• Neurology• Rehab• GI
• Heme/Onc (team of 3 starting in Oct)• Guidelines
Intern Year
• Ward Teams• Checkout
• 6:30am/6:30pm• One intern and one upper level will stay
until checkout to night float is complete (~7pm-8pm)
• Weekday schedule to be decided by team• Other days leave when work is done, aim for
3pm• Weekends scheduled in amion
• Long and short weekend with cross coverage• Gold & Heme/Onc• Purple & Green
Intern Year
• Wards• Interns will receive all floor calls
• Keep both team and personal pager at all times
• Don’t forget to pass off the team pagers at checkouts
• Help upper level with admits
Intern Year
• Night Float• Arrive at 6:30pm for checkout• Floor call for 2 teams
• Upper level always present• Help with admits
• Night Float Rounds (7:30am or 9am)• Night Float Morning Report• Excused for daytime activities and
clinic on pre- and post-night float days
• See handout
Intern Year
• ER• 16 eight hour shifts- 6-8pts/shift (don’t forget to
log!!)• 7a-3p• 3p-11p• 1p-9p
• 1 weekend of night float, 1 weekend ER shifts• Case Presentation• Procedure Time
• Friday Mornings – 7:30am in Anesthesia• Attempt at least 5 intubations, need 3
successful• Attempt at least 5 LPs, need 3 successful
• Policy and Procedure handout
Intern Year
• Well Baby• Touro (on Prytania)• Emailed Schedule and Orientation
Packet• Present all mornings (unless you have
clinic)• Only 1 resident per afternoon • Subspecialty clinics (Ortho, ENT, Dental)
• Delivery log• 12/month• ICD9/CPT code: 99464
Intern Year
• Development• Contact person – Kelly Allerton
([email protected])• Schedule will be emailed to you• Multiple Projects
Subspecialty Electives
• Major Electives• Cardiology• ID• Renal• Pulmonary• A/I• Rheumatology• Heme/Onc clinic• Endocrine• GI• Genetics
• Contact the office 1-2 days prior
• Sign up by email or at housestaff 1-2 months prior
Minimal Call• All months except Wards, ICU• 1-2 weekends of night float
• Floor call for 2 teams (Fri, Sat & Sun night)• Help with admits as well
• Excused on Friday and Monday day duties• Note float
• While on weekend night float, may be asked to stay on Saturday/Sunday to help with notes
• When: 22+patients on team or otherwise decided by upper levels/chiefs
• Out by 9AM
Miscellaneous
• Interns switch on the first day of the month• Upper levels switch on the last day of
the month• You must get checkout the day
prior to starting a ward or ICU team• Noon conference prior to upper level
switch day designated for signout
Miscellaneous
• Student Notes• You will often see patients with a
medical student• You must review/sign their note as
well as write your own note• Your note must contain:
• A subjective, at least 2 vital signs, your own physical exam, any pertinent labs, and your own assessment and plan
Step 3
• Take it early!!• Non-ward or ICU month• Must be taken by end of intern
year• Must be passed by end of second
year• Let us know when you want to take
it• Let Susan know when you have
taken it and if you passed• http://www.fsmb.org/m_usmlestep3.html
Licensing
• LSBME• http://www.lsbme.la.gov/index.html• 504-568-6820 ext 271 or 200 (American
Grads) ext 234 or 267 (FMGs)• Federation of State Medical Boards - https://s1.fsmb.org/fcvsnet/default.aspx
• May use training license for entire residency; needs to be renewed yearly in June
• Need full license to moonlight(outside CHNOLA)
Meal Tickets
• Distributed the first week of every month
• Number based on rotation and calls
• You will not get meal tickets if you have delinquent charts!
• If no meal card, tell the cafeteria worker you are a resident• $1.50 for most meals
Conferences
• SIGN IN!!• Attendance is logged and you will
need 150 conferences (12.5/month) to advance to second year
• Schedule• Emailed every month• Posted
• Lounge, ER, NICU, 2 center, on chief resident page
Conferences
• Morning Report• M/T/Th/F • 8-9am; must arrive by 8:10 to get credit• Always in 2 center
• Given by chiefs• You will be scheduled to provide cases for
morning reports throughout the year• Keep copies of interesting H&Ps or the
patient name/MR#
Conferences• Noon Conference
• M/T/Th/F • 12:00!, must arrive by 12:10 to get
credit• 2 center; given by faculty
• Grand Rounds• 1st, 3rd, 5th Wednesday • Auditorium ; 8-9am• Faculty from LSU and visiting faculty• Susan will email dates/topics
Conferences
• Case conference/M&M• Wednesdays in Auditorium or 2 center at
12pm• Given by upper level residents
• Housestaff• 3rd Wednesday of the month at 12pm• 2 centerLUNCH!! provided
• Class Housestaff• Every month, Rooms TBA
• Professionalism series (quarterly, mandatory)• Look for Intern Conference series!
Compliance
• Compliance is downloaded on the first weekday of the month
• Conferences: 12.5/month• Core Modules• Step 3 – must be taken by June of intern year• PREP
• 20 questions/month• www.pedialink.org• AAP ID and Password – TBA• July – paper copy of questions
• Duty hours
Compliance• Continuity Clinic
• 3 clinics/month = 36 clinics/year • 3 patients/clinic = 9 patients/month• 1st qtr = 27pts, 2nd = 54, 3rd = 81, 4th
= 108• Held accountable quarterly for
clinic/pt #• Can make up clinics during lighter
months• Board Review (see Handout)
• Two Observed H/P’s• 1 by end of Dec, 2 total by end of May
Professionalism Score
• See policy• Tracked monthly; reset quarterly• Low scoring residents (-20 points)
on two quarters in one academic year will be reported as “unprofessional” to the American Board of Pediatrics
• Non-compliant residents will be assigned additional clinical duties (weekend night float)
Duty Hours
• 80 hours/week (averaged over 1 mo)
• 16 hour shift or shorter• Goal 10 hours off after day shift
(but must be 8)• 4 days off (averaged over 1
month)
Other
• Sick Days• Call us!• Call your team!• Call your clinic!
• Code Gray – Hurricane Policy• No interns will be involved
• PACT: call 3228
Other
• LSU Holidays (except christmas/NY)• Ward Teams
• Decision amongst the team• ICUs
• All team members are expected to come in
• Electives• Free from duty
• If you are on the schedule for ER, NF, etc. you are expected to work
Other• In-service: 7/10 and 7/11
• And peds program in-service in Jan/Feb
• Mock Codes and Code Training (ER)• Important learning opportunity!• Respond to and participate!
• How do I get in??• Parking• Code for Lounge• Code for keypads• Code for doors
Working with Upper Levels
• First day: expectations reviewed• Rules, timelines, rounds, etc.
• Should see ALL patients with/behind you
• Constructive feedback! Seek it out!• Teach you!• Help you in every way that they
can!
GOOD LUCK!!
• Use your upper levels• They are a wealth of information
• Call us or stop by…ACC 2304• We have candy
• You will all do great!!!
Be Careful!!
• Emily Harrison• Cell: 504-390-7739
• Marcie Houser • Cell: 504-912-3260