1. Matt Sibley, Adela Matejcek & Kris Kang Pediatric Chief Residents
R1 Orientation July 2014

2. Welcome! Who we are Who’s who in the department R1 curriculum CTU NF
Call
Vacation/Conference Requests
Academic Half Day
Journal Club …
… …
Everything you wanted to know… and then some…

3. Activity Time!
2 truths and a lie

4. Chiefs 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

5. Chiefs

6. 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” s, 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

7. 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

8. Associate Chiefs R2/3s 1 year term (Feb-Feb) Role:
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….

9. Putting it all together…
Program Director
Chiefs
Associate Chiefs
Committee Members

10. R1 curriculum 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

11. How do I know where to go?!

12. One45

13. Resident Website

14. How do I know where to go?!
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

15. CTU CTU Green – endocrinology, nephrology, metabolics
CTU Blue – cardiology, neurology, surgical
CTU Green – endocrinology, nephrology, metabolics
Rheum, GI, Resp, Heme….

16. CTU

17. CTU – WHO? CTU Team = Consult Senior Attending Senior Resident / team
Junior Resident x 2-3 / team
Medical Students x 2-3 / team
Consult Senior

18. CTU – HOW? Day: Weekend – i.e. Call: Monday - Thursday 7:00-18:00
Friday
Weekend – i.e. Call:
Friday + Sunday
Friday 17:00 - Saturday 8:45
Sunday 8:45 – 18:00
Saturday
Saturday 8:45 - Sunday 8:45 18

19. CTU – What? General timelines: Morning report (7:00) Handover (7:30)
Pre-round: discharge patients, important phone calls
Rounds (8:30)
~2-3 hours
Family-centered; Work rounds
Work time:
follow up on investigations/consults; review patient status; write notes; discharge planning; teaching
Evening handover (18:00) 19

20. Night Float Document, Document, Document
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 –
Sunday pm - Friday am
Document, Document, Document

21. Handover
I-PASS initiative
see orientation manual

22. CTU/NF – Policies and procedures

23. CTU/NF – Policies and procedures
…Also on Resident website