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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

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Lsu pediatrics

LSU Pediatrics

Welcome New Interns!!!



Lsu website
LSU Website

  • Policies and Procedure Manual

  • Goals and Objectives

http://www.medschool.lsuhsc.edu/pediatrics/residency.aspx



New innovations
New Innovations

  • Evaluations

  • Duty Hours

  • Core Modules

  • Login/Password

    • TBA

  • Institution

    • lsuhscno

http://www.new-innov.com/login/


Acgme
ACGME

  • Clinic log

  • Procedure log

  • Username – TBA

  • Password - TBA

https://www.acgme.org


Monthly schedule
Monthly Schedule

www.amion.com


Overview of curriculum
Overview of Curriculum

  • See handout – Schedule by Year and IEU


Intern year
Intern Year

  • 4 Ward Months

    • Purple

      • Hospitalist

      • General Pediatricians

      • Allergy/Immunology

    • Green

      • Hospitalist

      • General Pediatricians

      • Rheumatology


Intern year1
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 year2
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 year3
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 year4
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 year5
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 year6
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 year7
Intern Year

  • Development

    • Contact person – Kelly Allerton ([email protected])

    • Schedule will be emailed to you

    • Multiple Projects


Subspecialty electives
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
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
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


Miscellaneous1
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
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
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
    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
    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


    Conferences1
    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#


    Conferences2
    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


    Conferences3
    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 center

        LUNCH!! provided

    • Class Housestaff

      • Every month, Rooms TBA

    • Professionalism series (quarterly, mandatory)

    • Look for Intern Conference series!


    Compliance
    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


    Compliance1
    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
    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
    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
    Other

    • Sick Days

      • Call us!

      • Call your team!

      • Call your clinic!

    • Code Gray – Hurricane Policy

      • No interns will be involved

    • PACT: call 3228


    Other1
    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


    Other2
    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
    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
    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!!!




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