OB/GYN RESIDENT RESPONSIBILITIES 2011-2012 PGY-I GYNECOLOGY Arrive in-house no later than 6:00a.m. 1. Round on all personal surgical patients (gyn and c/section patients) 2. Assist with postpartum rounds on private patients and report complicated patients to the senior OB resident 3. Meet your Gyn team prior to 7:00 a.m. on B6. Assist with finishing Gyn rounds and obtain all updates on Gyn patients (since you are first call on all Gyn patient matters). 4. Attend Ambulatory and main OR cases as assigned 5. Attend weekly continuity clinics as scheduled 6. Attend Morning Report if available 7. Attend Chairman s rounds, Grand Rounds, Journal Club 8. Attend all scheduled lectures, Tumor Board 9. Collect ER pager from night float team no later than 6:30 a.m. 10. Prepare Gyn or other lectures as assigned 11. Sign-out to night float team prior to leaving for the day 12. May be required to attend HROB clinic and assist MFM resident 13. Prepare Journal Club presentations as assigned ONCOLOGY Arrive in-house as determined by Oncology chief. 1. Round with Abbas Oncology team 2. Round on all personal surgical patients (c/sections) 3. Attend Abbas Oncology surgical cases as scheduled 4. Attend Abbas Wed clinic if not in OR/rounding on patients 5. Attend weekly continuity clinics as scheduled 6. Assist the PGY-II with the management B6 floor calls on Abbas oncology patients 7. Assist the PGY-II with the management of Abbas Oncology pager calls 8. Assist the PGY-II with the management of Abbas office nursing calls, outpatient infusion center calls regarding Abbas chemotherapy patients 9. Assist the PGY-II with Pre-Ops of surgical patients 10. Attend Chairman s rounds, Grand Rounds, Journal Club 11. Attend Morning Report if available 12. Not required to attend OR cases on weekends; may be excused from night cases at the discretion of the Oncology chief 13. Assist PGY-II with the preparation of Tumor Board 14. Attend all scheduled lectures, Tumor Board 15. Prepare Onc or other lectures as assigned 16. Collect Onc pager from night float team no later than 6:30 a.m. 17. Sign-out to night float team prior to leaving for the day 18. Prepare Journal Club presentations as assigned S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 1
OB/GYN ULTRASOUND Arrive in-house no later than 6:00 a.m. 1. Assist with private postpartum rounds and report all complicated patients to the senior OB resident 2. Round on all personal surgical patients (c/sections) 3. Attend Morning Report, Chairman s Rounds, Grand Rounds, Journal Club 4. Participate in OB ultrasound in antenatal testing unit 5. Attend weekly continuity clinics 6. May be required to attend HROB clinic and assist MFM resident 7. Attend perinatal rounds 8. Attend all scheduled lectures, Tumor Board 9. Learn basics of antenatal testing (ie. NST, BPP) 10. Prepare Journal Club presentations as assigned 11. Vacations may not be taken INTERNAL MEDICINE ICU 1. As outlined by the combined Johns Hopkins /Sinai Hospital Internal Medical Program 2. May not be pulled to cover weekend calls/clinic/or cases/l&d CALL/NIGHT FLOAT RESPONSIBILITIES Night Float begins at 6:00 p.m. (Mon Thurs). Sign-out is at 12:30 p.m. (Fri), if no lectures. If there are Friday lectures, then call begins immediately after. On holidays that fall on a weekday, sign-out is at 7:00 a.m. All non-surgical and surgical patients are to be seen prior to the start of call responsibilities. On holidays, weekend call starts Saturday at 6:30 a.m. with sign-out, and Sunday at 7:00 a.m. with sign-out. The on-call team rounds on all patients prior to sign-out, however, if for some reason they would not finish rounding, the oncoming call team will finish rounding. Night Float: 1. Round on personal surgical (c/section) patients 2. Manage B1 floor calls on postpartum/post-op patients with the senior resident 3. Manage B6 floor calls on benign gyn patients with the senior resident 4. Primary cesarean section experience/uncomplicated service vaginal deliveries and assistance with private deliveries 5. Learn basics of L&D triage with the assistance of senior resident, carry the OB Triage Resident Vocera 6. Post-call intern should be presenting Triage/Labor patients in morning report with the assistance of the rest of the night float team 7. Present service post-op patients with the assistance of senior resident 8. Duty ends after Morning Report 9. Attend Chairman s Rounds, Journal Club 10. Prepare Journal Club presentations as assigned 11. Vacations may not be taken Weekend Call: 1. Rounds as determined by outgoing and incoming call teams 2. Manage B1 floor calls on postpartum/post-op patients with the senior resident 3. Manage B6 floor calls on benign gyn patients with the senior resident 4. First call for Triage, carry the OB Triage Resident Vocera 5. Primary cesarean section experience/uncomplicated service vaginal deliveries and assistance with private deliveries 6. Manage L&D patients with the assistance of senior residents 7. Circumcision of service patients if not done during the day S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 2
OBSTETRICS RESIDENT RESPONSIBILITIES PGY-I Arrive in-house no later than 6:00a.m. 1. Postpartum rounds on private vaginal deliveries and personal surgical (Cesarean section) patients. 2. Must report All complicated private postpartum patients to OB senior resident. 3. Present service post-op patients in morning report with the assistance of senior resident. 4. Attend morning report, Chairman s rounds, Grand Rounds, Journal Club. 5. Attend weekly continuity clinic as scheduled. 6. Primary cesarean section experience. 7. Performance of circumcisions of service patients with attending staff supervision On PPD#1, performance of circumcisions of service post-op patients on POD #1/2/3. 8. Manage B-1 floor rounds and calls, carry the OB Triage Resident Vocera. 9. Learn triage of OB patients/board management with senior resident 10. Prepare OB lectures as assigned (ACOG guidelines) 11. Attend all scheduled lectures, Tumor Board 12. Follow up labs in the culture book 13. Sign-out to night float team prior to leaving for the day. Board sign out is at 6:00pm 14. Dictate own Cesarean sections op note and discharge summaries for Cesarean sections and private postpartum stays greater than 48 hours. 15. May be required to attend HROB clinic and assist MFM resident. 16. Prepare Journal Club presentations as assigned. S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 3
RESIDENT RESPONSIBILITIES PGY-II/PGY-III OBSTETRICS Arrive in-house no later than 6:00 a.m. 1. Postpartum rounds on service vaginal deliveries and personal surgical (Cesarean section) patients 2. Present service vaginal deliveries and post-op patients during morning report, 3. Attend Morning Report, Chairman s Rounds, Grand Rounds, Journal Club 4. Attend all scheduled lectures, Tumor Board 5. Prepare OB lectures as assigned (ACOG guidelines) 6. Cover Labor and Delivery during the day starting after Morning Report 7. Cover the floor during Grand Rounds 8. Attend weekly continuity clinics as scheduled 9. Cesarean section experiences are to include: primary (if PGY-I not available), repeats, breech presentation, emergencies 10. Circumcision of service patients on PPD#1 if PGY-I not available, circumcision of service post-op patients on POD#1/2/3 11. Sign-out to night float team prior to leaving for the day. Sign out is at 6:00pm 12. Follow up service patients labs, assist PGY-I with culture (lab) book on labor and delivery 13. Dictate own Cesarean sections or operative deliveries, discharge summaries for Cesarean sections and service postpartum stays greater than 48 hours 14. Assist PGY-I in presenting patients during morning report 15. May be required to attend HROB clinic and assist MFM resident 16. Prepare Journal Club presentations as assigned GYNECOLOGY Arrive in-house no later than 6:30 a.m. 1. Round on service non-surgical (i.e. PID) and surgical patients 2. Round on personal surgical patients including c/sections 3. Cover the Emergency Room with the senior Gyn resident, follow ER consults (quants, labs, culture results, other tests), with appropriate follow-up (telephone calls, registered letters) 4. Collect the ER pager from the night float team no later than 6:30 a.m. 5. Responsible for admissions both private and service patients to benign GYN 6. Attend Ambulatory and Main OR cases as assigned 7. Attend weekly continuity clinics as scheduled, including Colposcopy clinic 8. Attend Morning Report if not in the OR or ER 9. Attend Chairman s Rounds, Grand Rounds, Journal Club 10. Assist PGY-I in managing B6 floor calls 11. Prepare GYN or other lectures as assigned 12. Sign-out to night float team prior to leaving for the day. Sign out is at 6:00pm 13. May be required to attend HROB clinic and assist MFM resident 14. Dictate operative reports, discharge summaries all ER consults 15. Prepare Journal Club presentations as assigned S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 4
ONCOLOGY Arrive in-house as determined by Oncology chief. 1. Round with Abbas Oncology team 2. Round on all personal surgical patients (c/sections) 3. Attend Abbas Oncology surgical cases as scheduled 4. Attend Abbas Wed clinic if not in OR/rounding on patients 5. Attend weekly continuity clinics as scheduled 6. Manage B6 floor calls on Abbas oncology patients 7. Manage Abbas Oncology pager calls 8. Manage Abbas office nursing calls, outpatient infusion center calls regarding Abbas chemotherapy patients 9. Responsible for Pre-Ops of surgical patients 10. Attend Chairman s Rounds, Grand Rounds, Journal Club 11. Attend Morning Report if Available 12. Attend all scheduled lectures, Tumor Board 13. Prepare Onc or other lectures as assigned 14. Collect Onc pager from night float team no later than 6:30 a.m. 15. Sign-out to night float team prior to leaving for the day 16. Not required to attend OR cases on weekends; may be excused from night cases at the discretion of the Oncology chief 17. Prepare Tumor Board 18. Prepare Journal Club presentations as assigned 19. Vacations may not be taken REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY (REI) Considered an off-service rotation. 1. Attend seminars and clinical responsibilities as outlined by the Johns Hopkins Reproductive Endocrinology rotation 2. Attend weekly continuity clinics as scheduled 3. Attend all scheduled lectures (Friday PM) 4. Vacations may not be taken 5. Expect to take weekend calls EMERGENCY ROOM (ER) Considered an off-service rotation 1. Attend ER calls as outlined by the Sinai Hospital Department of Emergency Medicine 2. Attend weekly continuity clinics as scheduled 3. Vacations may not be taken 4. May be asked to take weekend calls S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 5
CALL/NIGHT FLOAT RESPONSIBILITIES Night Float begins at 6:00 p.m. (Mon Thurs). Sign-out is at 12:30 p.m. (Fri), if no lectures. If there are Friday lectures, then call begins immediately after. On holidays that fall on a weekday, sign-out is at 7:00 a.m. Night Float: 1. Round on personal surgical (c/section) patients 2. Manage L&D 3. Covers the floor during Journal Club 4. Manage B6 floor calls for Oncology patients with the senior resident 5. Cesarean section experiences are to include: primary (if PGY-I not available), repeats, breech presentation, emergencies 6. Covers the ER with senior resident 7. Admits Oncology patients with senior resident 8. Dictate all ER/Floor consults 9. Circumcision of service postpartum patients if not done during the day and PGY-I not available, circumcision of post-op service patients 10. Attend continuity clinics as scheduled 11. Assist PGY-I in presenting the board during morning report 12. Duty ends after Morning Report 13. Attend Chairman s Rounds 14. Prepare Journal Club presentations as assigned 15. Prepare OB lectures as assigned (ACOG guidelines) 16. Vacations may not be taken Weekend Call: 1. Round as determined by outgoing and incoming call teams 2. Manage L&D 3. Manage B6 floor calls for Oncology patients with the senior resident 4. Cesarean section experiences are to include: primary (if PGY-I not available), repeats, breech presentation, emergencies 5. Covers the ER with the senior resident 6. Admits Oncology patients with the senior resident 7. Dictate all ER/Floor consults 8. Circumcision of service patients if not done during the week and PGY-I not available S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 6
RESIDENT RESPONSIBILITIES PGY-III/PGY-IV OBSTETRICS Arrive in-house no later than 6:30 a.m. 1. Rounds on personal surgical (i.e. Cesarean section/cerclage) patients, postpartum service patients 2. Review all service postpartum and post-op charts 3. Attend Morning Report, Chairman s rounds, Grand Rounds, Journal Club 4. Attend all scheduled lectures, Tumor Board 5. Responsible for senior level management on L&D, carry the OB Resident Vocera 6. OB consults when MFM resident unavailable 7. Attend all non-private deliveries 8. Prepare OB lectures as assigned (ACOG guidelines) 9. Attend weekly continuity clinics as scheduled 10. Cesarean section experiences include: emergent sections, preterm deliveries, classical sections, multiple gestations, and any other high risk delivery 11. Experience with operative vaginal deliveries, vaginal breech deliveries, etc. 12. Takes outside non-private patient calls during the day 13. May be required to attend HROB clinic and assist MFM resident 14. Cover the floor during Grand Rounds 15. Sign-out to night float team prior to leaving for the day 16. Assist PGY-I on L&D, triage and all complicated postpartum/post-op patients 17. Prepare Journal Club presentations as assigned GYNECOLOGY Arrive in-house no later than 6:30 a.m. 1. Round on personal surgical patients including c/sections 2. Oversee PGY-I management of B6 floor calls on Gyn patients 3. Responsible for in-house floor consults 4. Collect the ER pager from the night float team no later than 6:30 a.m. 5. Assist junior resident in covering the ER, covers the ER when the PGY-II is not available; follows ER consults in the absence (i.e. vacation) of the PGY-II 6. Attend Ambulatory and Main OR cases as assigned 7. Attend weekly continuity clinics as scheduled, including Colposcopy clinic and Adolescent clinic 8. Attend Chairman s Rounds if not in the OR or ER 9. Attend Grand Rounds, Journal Club 10. Attend all scheduled lectures, Tumor Board 11. Prepare GYN or other lectures as assigned 12. Sign-out to night float team prior to leaving for the day 13. Prepare Journal Club presentations as assigned S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 7
MATERNAL FETAL MEDICINE (MFM) Arrive in-house as needed to prepare for morning report 1. Round on all private and non-private antepartum patients 2. Resident level responsibilities with perinatal consults on Labor and Delivery or antepartum unit 3. Carry the MFM resident vocera 4. Attend High Risk OB clinic and weekly continuity clinics as scheduled 5. Preparation of Perinatal cases and other lectures as assigned 6. Supervision by MFM attending 7. Attend Chairman s Rounds, Grand Rounds, Journal Club 8. Attend all scheduled lectures, Tumor Board 9. Participation in antepartum care in antenatal testing unit as assigned by the MFM attending (i.e. genetic amniocentesis, antepartum testing, ultrasonography) 10. Participation in cerclage placement, external versions 11. Cover OB Chief in his/her absence (ie: clinic, vacation) 12. Sign-out to night float senior resident prior to leaving for the day 13. Prepare Journal Club presentations as assigned 14. No vacation to be taken ONCOLOGY Arrive in-house as needed to prepare for attending rounds. 1. Round with Abbas Oncology team 2. Attend Abbas Oncology cases as scheduled; scrubs night and weekend cases as scheduled if free from call responsibilities 3. Attend weekly continuity clinics as scheduled 4. Oversee PGY-I/II management of B6 floor calls, pager calls, office nursing calls, and outpatient infusion center calls, pre-ops 5. Attend Chairman s Rounds, Grand Rounds, Journal Club 6. Attend all scheduled lectures, Tumor Board 7. Cover Gyn Chief in his/her absence (ie: vacation) 8. Sign-out to night float team prior to leaving for the day 9. Collect Onc pager from night float team no later than 6:30 a.m. 10. Prepare Journal Club presentations as assigned UROGYNECOLOGY 1. Primary resident for urogyn cases 2. Attend weekly continuity clinics as scheduled 3. Attend all scheduled lectures, Tumor Board 4. Attend Chairman s Rounds if available 5. Attend Grand Rounds, Journal Club 6. Cover Gyn Chief (together with Onc Chief) in his/her absence (ie: vacation) 7. Sign-out to night float team prior to leaving for the day 8. Prepare Journal Club presentations as assigned AMBULATORY GYNECOLOGY 1. As determined by Gynecologists office 2. Attend weekly continuity clinics as scheduled S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 8
CALL/NIGHT FLOAT RESPONSIBILITIES Night Float begins at 6:00 p.m. (Mon Thurs). Sign-out is at 12:30 p.m. (Fri), if no lectures. If there are Friday lectures, then call begins immediately after. On holidays that fall on a weekday, sign-out is at 7:00 a.m. Night Float: 1. Round on personal surgical (c/section) patients 2. Oversee management of L&D by junior residents 3. Supervision of PGY-I in Triage 4. Manage antepartum patients 5. Attend all non-private deliveries 6. Oversee management of B6 floor calls for benign and Oncology patients 7. Cesarean section experience include: service patients with junior residents, additional experience with emergent and high risk Cesarean deliveries 8. Oversee ER consults by junior resident 9. Oversee Oncology admissions by junior resident 10. Dictate all Floor consults 11. Take all non-private outside calls 12. Attend continuity clinics as scheduled 13. Assist PGY-I/II in presenting the board during morning report 14. Duty ends after Morning Report/Lectures/Grand Rounds/Tumor Board/Clinic 15. Attend Chairman s Rounds, Grand Rounds, Journal Club 16. Attend all scheduled lectures, Tumor Board 17. Prepare Journal Club presentations as assigned 18. Prepare OB lectures as assigned (ACOG guidelines) 19. Vacations may not be taken 20. Attend private deliveries if the private physician is not immediately available Weekend Call: 1. Round as determined by outgoing and incoming call teams 2. Review all service postpartum and post-op charts 3. Oversee management of L&D by junior residents 4. Manage antepartum patients 5. Attend all non-private deliveries 6. Take all non-private outside calls 7. Oversee management of B6 floor calls for benign and Oncology patients 8. Cesarean section experiences are to include: service patients with junior residents, additional experience with emergent and high risk Cesarean deliveries 9. Oversee ER consults by junior resident 10. Oversee Oncology admissions by junior resident 11. Dictate all Floor consults 12. Attend private deliveries if the private physician is not immediately available S:/Dept/Womens/obgynrespgm/Winword/Resident/RESIDENT RESPONSIBILITIES 2011 2012.doc 9