Expectations

CLINIC EXPECTATIONS

All residents on the service are expected to:

  • read and become familiar with the Educational Goals and Objectives for the rotation
  • arrive on time for clinical experiences.
  • provide courteous care to patients.
  • take thorough histories and perform complete examinations
  • work as part of the pediatric ophthalmology team by sharing work with each other and the technical staff as needed
  • work closely with medical students and other trainees rotating with the service
  • complete timely, thorough and accurate documentation using the electronic medical records
  • when necessary, complete correspondence with patients’ and other health care providers
  • treat the technical and administrative staff with courtesy and respect
  • complete preliminary interpretations for all studies the resident has been involved with
  • when necessary, provide post encounter care for the patient by checking labs, filling out forms and corresponding with patients
  • read on a daily basis while on the service concentrating on topics brought to the forefront during clinical experiences
  • a weekly schedule for residents will be sent on Sunday evenings
In addition, second year residents are expected to:
  • assist in the supervision of the first year resident

SURGERY EXPECTATIONS

Prior to coming to the OR, all residents on the service are expected:

  1. To have reviewed the surgical manual that is available in hard copy in the clinic, or uploaded onto OphEd
  2. To have reviewed the patient’s chart, and the planned surgical procedure
  3. To independently develop a surgical plan to be discussed with the attending in the OR

THE CONSULT SERVICE

  1. Non-urgent consults should only be seen after 2:00pm on the day that they are referred. Urgent floor consults and ER consults will need to be seen immediately.
  2. After the consult has been completed, the resident should first discuss the case with the fellow, or even see the case with the fellow if time permits. At the end of the clinic day, a faculty member will round on all patients - this may include a brief discussion of the case with the attending if it is a follow up exam. There is a dedicated daily attending consult schedule available from the administrative staff.
  3. If an excessive number of consults are called in prior to 2 pm, this should be discussed with the consult attending, for permission to leave clinic early to start on the consults. 
  4. We encourage you to look out for consult cases that may be good for case reports as this will enhance your experience at CHP, and increase your publications as a resident.
  5. At the conclusion of consult rounds, the CHP resident should email out a list of all patients with ongoing medical problems who will require some sort of follow up the next day.
  6. Specific note types in Cerner must be used for initial and daily consults. The note types, and account set up are outlined below.


CHILDREN’S HOSPITAL OVERNIGHT AND WEEKEND CALL

  1. It is expected that the resident covering weekend call at CHP will communicate a comprehensive list of all patients seen, via telephone or email, with the attending physician on call on each day over the weekend.
  2. All surgical patients, or possible surgical patients, will be discussed with the attending on call, and plans will be made as to timing of surgery.
  3. If the resident is on primary call with a backup fellow physician, patients may be discussed with the fellow, however a comprehensive list must be communicated with the attending physician each day of the weekend. 
  4. The resident on weeknight call will email a sign out list of all patient’s consulted  overnight. This list will be addressed to all CHP attendings, fellows and residents on service, and outline which patients need to be seen, and when. It will also highlight any open issues that need to be addressed by the team the following day.
  5. A  shared call room is available at Childrens Hospital near the ED. If it is occupied, the resident should page the pediatric service chief resident at 24433 and ask if any of our pediatric resident call rooms are available. 

ROTATION TEACHING

  1. When there is no conflicting conference scheduled at EEI, residents on service are expected to attend the weekly departmental meetings (Typically teaching sessions – Tuesdays, Dry Lab – Wednesdays, Imaging rounds – Thursdays) at 7:00 AM, contact Susan Goins for more details at kostenkos@upmc.edu, 412-692-9896.

  2. When there is no conflicting conference scheduled at EEI, residents on service are expected to attend Journal Club if scheduled during the rotation - time and location to be specified by Susan Goins, kostenkos@upmc.edu 412-692-9896