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A day in the life of a resident…. a coordinator's perspective. Natalie Moore Education Program Manager University of Utah Department of Obstetrics and Gynecology. A day in the life.

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a day in the life of a resident a coordinator s perspective

A day in the life of a resident….a coordinator's perspective

Natalie Moore

Education Program Manager

University of Utah

Department of Obstetrics and Gynecology

a day in the life
A day in the life

“Residency is an essential dimension of the transformation of the medical student to the independent practitioner along the continuum of medical education. It is physically, emotionally, and intellectually demanding, and requires longitudinally-concentrated effort on the part of the resident”

- ACGME Common Program Requirements

a day in the life1
A day in the life

We KNOW the WORDS of the Competencies:

  • Medical Knowledge/Surgical Skills
  • Patient Care
  • Professionalism
  • Interpersonal and Communication Skills
  • Practice - based learning and improvement
  • Systems - based practice
a day in the life2
A day in the life

My Goals

  • Gain a better understanding of the demands and limitations of residency training
  • Not be in the way 
gyn service
GYN service
  • 5:00 AM: Begin rounding
  • Student teaching, patient reports and assessments
  • 9:00 AM: Tired already and have a headache
  • Procedure in clinic
  • Preparation for surgery
  • More rounds!
  • 12:00 - No lunch in sight!
gyn service1
GYN service
  • Patient consents for surgery
  • Orders, paperwork, and pain meds – oh my!
  • Follow up on clinic procedure and patient in L&D
  • 1:00 PM: Still no lunch!
  • Surgery – LAVH
  • Surgery – Vaginal tumor
  • 3:00 PM: Lunch – FINALLY!
gyn service2
GYN service
  • ER consultations
  • Rounds on post-op patients
  • 5:45 PM: Heading home!
labor and delivery
labor and delivery
  • 5:45 AM: Antepartum rounds
  • 6:30 AM: Orders and notes
  • 6:45 AM: Board check out
  • 7:00 AM: Started running!
  • Triage patients
  • Labor checks
  • Deliveries
  • C-sections
labor and delivery1
Labor and delivery
  • 1:00 PM: Lunch! (I couldn’t believe it)
  • 1:30 PM: Antepartum rounds with attending
  • More running from room to room!
  • Notes, orders, nurse questions, phone calls
labor and delivery2
labor and delivery
  • 5:30 PM: Board checkout starts
  • End of the day:
    • 7 Vaginal deliveries
      • 2 Unmedicated
    • 2 C-sections
  • 5:45 PM: Heading home!
a day in the life3
A day in the life

And on top of ALL that….

  • M&M list preparation
  • Dictations
  • Case log entry
  • Grand Rounds/lecture preparation
  • Research project
  • Reading/studying
a day in the life4
A day in the life
  • Life long learning
  • Preparation for patient education, minute to minute
  • Electronic medical records
  • Communication with attending (sometimes grumpy)
  • Schedules/coverage
  • Manpower distribution and on-the-fly team administration
what did i learn
What did I learn?
  • Greater respect for the residents as people
  • Personal sacrifices being made every day
  • Stressful, hard, overwhelming, intense clinical and personal situations
  • Demanding schedule
  • Emotionally and physically draining
  • Really, when do they eat??
going forward
Going forward
  • Don’t compare your Chapter 1 to someone else’s Chapter 20
  • Hard times define the physician they will be
  • Show encouragement and compassion
  • Build relationships with strong foundations of mutual respect and appreciation
going forward1
Going forward

It is our job to ensure that the residents are the BEST they can be

  • Boxes checked/accreditation?
  • Boxes checked /needs of resident met?
  • LOOK outside the paperwork and boxes!
  • Find a relationship with each that is respectful, supportive and compassionate