Sep. 8th, 2007 at 9:02 PM
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For peds, you can go to Mercy for the whole 6 weeks or go to CHOB for 3 weeks and then an office or clinic for 3 weeks. I wanted to have some down time so I went for CHOB since at Mercy you do call q4 (every 4th day) for 6 weeks whereas at CHOB you have call every 4th day but only for 3 weeks. Before your block starts, you'll get an email asking your choice for Mercy or CHOB , and days off that you want (you may or may not get it but you can switch when you do in or out patient with people on the first day). Teaching days are Wednesdays at Peds conf room in CHOB from 10am until 2 or 3pm. You have 2 patient write ups when you do in patient and you'll present topic(s) to your team.
At CHOB there are 4 colored teams:
Red and Blue are clinic patients (each team had 4 students, 5 residents/interns, and 2 attendings). I was blue team. New admit patients get divided between the teams and they try and keep the numbers even
Green is private patients (we had 3 med students on this team).
Purple are specialites (no students are assigned to this team).
Your day Mondays to Wednesdays:
7am - 9am: see your patients and or pick up patients, write a SOAP note or admit note, look up labs on the computer, hang out, etc.
9am - 10:30, 10:45am: Round as a pack (there were 4 med students, 4-5 residents, 1 or 2 attendings - that's a lot of people in 1 room). They do family centered rounds. So when you go into a patient's room, the parents are usually there and you have to present to (that is look at while you're talking) the attending, senior resident and parent at the same time. And you go from room to room on floors 7,8, and 10 depending on where your patients are. Attendings do some teaching at this time and this is usually where you'll get topics assigned and asked questions to look up and answer during rounds the next day. After rounds you check labs, make calls or do stuff that the senior resident and attending wants done for your patient until lunch lecture.
11:30-12:30: You go to lunch lectures that the residents have. Usually they are in Alford on the 1st floor or the Peds conf room.
12:30-1pm: We got lunch at this time.
1pm-2pm: Student presentations or teaching by the attendings.
2pm-2:20 or 3pm: Radiology rounds on the 2nd floor. Everybody and I mean EVERYBODY crams into the dark radiology rounds room - blue red and green team med students, interns/residents. attendings. Here people ask the radiologist to read patient's images and it's kind of interesting. I liked it.
3pm: start seeing your patients and getting the SOAP note info to present for sign out, but you don't write a note. Check labs etc.
4pm: is sign out rounds. This can take anywhere from 20 mins or an hr plus. Depends if you are waiting for people. Usually we just sat in the back room and signed out instead of going to the rooms.
Then you go home. If you are on call, you stay til 9pm and you do stuff that needed to be done for the patients that people wanted done, like check labs, read images, etc. They usually make you stay until you admit a patient or it's 8pmish. When I was on it was pretty slow or the red team needed patients so blue team didn't get any.
On Thursday and Friday, it's the same. Only that there is an additional lecture from 8am-9am, so make sure you see all your patients BEFORE 8am and ready to round when lecture is done. Some people went in early.
Weekend call: get in at 7am, round at 9am, hang out since there are no lectures and they usually let you go at noon or early afternoon.
PROS:
- Got used to looking up labs and why you do them.
- Learned how to write scripts and med dosing. More so than OB/GYN.
- Wrote lots of SOAP notes.
- There was a cute baby that I fed and played with =)
- Had to come up with a plan. The patients usually came from the ER or PICU (ped ICU) and already had a diagnosis and they already took a history and physical down there so you had some stuff to work with.
CONS:
- Only see patients twice a day sometimes.
- You write orders for other people to do stuff and then you go and record what they did or found!!!!! Lots of writing in the chart, documenting. No procedures really.
- No procedures.
- Lots of lectures. Some people liked that but I didn't so much.
- Babies can't answer questions so gotta ask mom.
- It's not just this rotation, but it sucks that you can't get stuff done during reglar business hours - how do people who work get stuff done????!!!
- Paying for parking. Usually didn't have time to find street parking. Some people who lived in the area walked.
- SLOW elevators and there are so many!!!
- TOO MANY MED STUDENTS. And we didn't have very many patients - like 6 or 7 on a team.
Can't think of anything else right now.
IMPRESSION: I don't want to do peds. I need procedures and do things myself. Too much note writing and not enough doing! I actually missed OB/GYN. Really glad in patient is over - hopefully at the office I can actually do more than write notes or do a physical exam…………