CHSD PICU Rotation for Pediatric ResidentsPlease review the following two documents prior to starting your rotation.
We welcome the participation of the pediatric residents from our partner institutions:
Balboa - Navy Residents
University of California, San Diego - UCSD Residents
Summary of Expectations of Residents During PICU Month
The PICU is staffed by two primary teams, the on call team and the back-up team. The on call team consists of an attending, fellow and nurse practitioner who will be rounding on the CVICU, Pod A and one additional pod either B or C. The backup team consists of an attending, fellow and nurse practitioner who will be rounding on the other pod, either B or C and the periphery PICU patients.
When you first start your rotation we will schedule you a half day with a bedside nurse and a respiratory therapist in the first week. This is a great opportunity to gain hands on bedside knowledge and skills and you are encouraged to ask them to teach you how to start a PIV, give a respiratory treatment, bag suction a patient, etc.…
Our fellows do a week evening shifts and you are encouraged to do this as well. We would like for you to schedule your PM week at the same time as your PICU fellow mentor when the schedule permits. During your PM week you would typically take Sunday call with the same PM fellow at the end of that week.
In general residents are allowed to pick what days they take calls with the following caveats:
· You are expected to take 4 overnight calls during your rotation with one call on a Friday, Saturday or Sunday.
· When possible take calls with either your PICU mentor or another second or third year fellow.
· Each resident is expected to cover each of the weekend days (i.e. if there are two residents, then each should cover four weekend days).
· Please print out a blank calendar and write in your call days, days off, as well as the weekend coverage days and post this calendar on the tack board in call room.
The typical daily schedule is as follows:
· Rounds start between 7:00 – 7:30 AM
· Radiology rounds are between 9:30 – 9:45 AM
· Sign out to the on call fellow typically occurs at 4:00 PM
If for any reason you will need to miss a day during your rotation please email Raveen Raviendran as soon as possible.
Didactics & Resident Modules
Residents are expected to attend all PICU didactic lectures and M&Ms. Lectures are every Tuesday and Thursday morning from 7:30 to 8:30 AM in the PICU office conference room located in MOB 113. The locations of the M&Ms vary and are listed on the monthly schedule. These are typically every Friday morning from 7:30 to 8:30 AM.
During most months we have scheduled a Friday morning to do mock code scenarios with you. If you happen to have a Friday morning clinic or will be unable to attend please let us know so that we can attempt to reschedule this when all residents are available.
We have created 10 modules that you will be expected to review during the course of your rotation. These modules were created to highlight some of the most important and frequent topics seen in our PICU as well as include topics noted in the ABP content specifications for the general certifying exam. You will be reviewing these modules with your fellow mentor throughout the month. Please make sure to set up a time early during your rotation to discuss this with them. We will provide you with pre and post-test at the beginning and end of your rotation in order to evaluate how well these modules are helping your educational experience.
The daily morning patient list is found in the fellow call room on the right as you enter the door. Residents are expected to round on 3-5 patients per day. We ask that you arrive around 6:45 AM in order to pre-round and review your patients past 24 hours. You are also expected to update your patient’s discharge summaries regularly.
· You can use the fellow call room to store your personal belongings during the day and there is a refrigerator there if you would like to use that as well.
· If you are interested in going on a CHET please let the primary CHET team know first thing in the morning. Before leaving on any CHET make sure to notify the on call fellow and attending. It is best to take this opportunity on your call days.
· If you are post-call and have not rounded with the team on your patients by radiology rounds, please let them know so that we can get you home before any duty hour violations occur.
· Please email or page Raveen Raviendran with any questions.
Please direct any questions about the rotation to your residency coordinator or our own coordinator:
Fellowship Coordinator and Secretary
Office: (858) 966-5863
Fax: (858) 279-8415