7:00 to 8:00am
PGY-1s and subinterns present their patients on rounds with the entire floor team and chief residents. The PGY-1 on night shift presents the new admissions who arrived during the night. The goal of handoff rounds is to discuss the daily plan of care for each patient on the inpatient service.
8:00 to 8:45am
All inpatient, PICU and subspecialty residents participate in this review of the most recent admissions with an emphasis on medical decision-making and evidence-based medicine. Faculty members from general pediatrics and subspecialties join the discussion.
9:30 to 11:00am
Patient- and Family-Centered Rounds
Led by the PGY-2 and 3 residents, bedside rounds are made with the entire floor team and the inpatient hospitalist. Patients and families are included in the discussion. Nursing and pharmacy staff members are invited to attend to provide a truly multidisciplinary approach to patient care.
11:00am to Noon
Led by a member of the Valerie Fund Children’s Center faculty, hematology-oncology rounds involve detailed discussion of all inpatient hematology-oncology patients, including diagnosis, pathology, management and side effects of treatment.
2:00 to 3:00pm
Led by a general pediatrician and/or a subspecialist, the floor team meets to discuss case presentations and differential diagnosis with emphasis on pathophysiology.
Afternoon to 5:30pm (evening hand-off time)
General Patient Care
Residents use this time to provide direct patient care. New patients are admitted throughout the day and are distributed by senior residents. Direct observation of history and physical exam skills is done by members of the hospitalist and medical education faculty.
5:30pm to 8:00am
Each intern, a member of the floor team, spends one week on this shift working with a senior resident to admit patients, continue management of inpatient service, and evaluate patients in the emergency department for possible admission.