6:00 to 7:00am
Bedside work rounds on the inpatient units
Residents discuss each patient on their service, as well as the daily plan and progress. The team consists of first-year residents and medical students who are supervised by senior residents and the chief resident.
7:00 to 7:30am
Residents and attending physicians use this time to discuss continuation of care for inpatients. This is the perfect opportunity to review findings, management and the plan for the day. Labor and delivery management plans for each patient are also made during the turnover of the Labor and Delivery board at 7:00am.
The surgery teams head to the operating room to introduce themselves to the patients prior to surgery. The cases are assigned the day before according to skill level and PGY year. This enables the residents to prepare for cases the night before. Scheduled obstetrics cases start; the flow is dictated by the number and type of patients that are on the unit at any one time.
1:00 to 5:00pm
General patient care/surgery
Residents use this time to update patients’ treatment plans and discuss treatments with patients’ families, as well as to provide ongoing care. Surgical patients are admitted to the units from the recovery room.
5:00pm to 7:00am
The PGY-1 through PGY-3 residents are on call weeknights through a night float system. Weekend call responsibilities are shared amongst all residents except those on night float. Responsibilities include the management of labor and delivery, post-op, postpartum patients and emergency department consults. A senior resident is also on call and is always available for supervision, consultation and support.