0630 - 0700: Sign out
You arrive and receive sign out from the overnight team. It's a busy discussion of overnight events and new admissions - we try to have our night team leave by 0700.
0700 - 0800: Pre-rounding
Now's your chance to examine your patients and check in with the senior resident.
0800 - 0900: Morning conference
The residents, medical students, and faculty come together for morning conference. Conferences include senior morning reports, Grand Rounds, and faculty presentations. Most commonly, conference is led by our second-year residents in consultation with a chief resident. These talks begin with a case presentation, then move into small-group discussions centered on diagnosis and management, and conclude with an evidence-based discussion around answering a clinical question that the case raised.
0900 - 1100: Rounds
Time to join the rest of your team, which includes a senior resident (R3), two fellow interns, an attending pediatric hospitalist, medical students, and a pediatric clinical pharmacist. The bedside nurse joins you at each patient's room. You present your patients to the senior resident, who, in concert with your attending, provides patient-centered teaching as you move through the service.
1100 - 1200: Morning work
This time is reserved for the most pressing patient care tasks, such as calling consults, following up on laboratory studies, and ordering urgent tests.
1215 - 1300: Noon conference and Lunch!
Rejoin your fellow residents and grab some lunch in the cafeteria (with your lunch stipend provided by the residency) before coming over to noon conference. These talks come in a variety of formats, and are given by a wide array of individuals. Conferences include faculty lectures (from both within and outside the Department), Grand Rounds with the entire department, Chief-led teaching, and a monthly intern-only check-in session ("Intern Time Out").
1300 - 1500: Afternoon work
Time to buckle down to remaining patient care tasks. You may be admitting new patients, following up on laboratory tests, discussing cases with consultants, writing progress notes, and re-examining patients as necessary.
1500-1530: Subspecialty teaching
The hospitalist teams join together for a teaching conference from our subspecialist physicians. There are a pre-defined set of topics, but these are very flexible to allow discussions relevant to care of current inpatients.
15:30- 1700: The rest of the work!
Now is the time to finish up any final tasks you have left on your to-do list for the day. You'll be working closely with your senior resident regarding ongoing patient management issues; your attending physician is also very present and may schedule in some time for additional teaching, depending on the demands of the service on any particular day.
1700 - 1730: Sign out
Your nighttime relief comes in and you sign the service out. The day is done â€“ head home and get some rest!