ten years as an M.D.

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outfit details~
Crochet top, Dottie Couture boutique
pencil skirt, nordstrom rack, exact one
halogen flats, thrifted via eBay, similar
le Specs sunnies

moms do not need sleep

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affiliate links are used. 
Top, BR
Skirt, Nordstrom Rack
Flats, zulily

Do you sleep? When do you sleep? Those are questions I get often.Since I am a mom of 4 and also a physician -- people wonder if i sleep at all.

Yes, I do.
I do sleep. 

I love sleep. I love naps. I want to sleep more than what I usually get.

Sadly, I am sleep-deprived. Sleep debt accumulates when:
{1} I am on call
{2} then I am taking care of a sick child at home
{3} I don't take care of myself and I stay on my phone instead of sleeping.

interns no more {travel diary}

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 My friends A and S and I had a much-needed reunion in ATL.  These are my very good friends from Pediatric residency. We were all  interns at the county hospital newborn nursery and pediatric ward. We spent every 4th night call nights at the hospital. We have shared ER shifts. We have shared rooms in the peds retreat. 

what happens after morning rounds?

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The day in the life series continues....
for the first half of my day as pediatric resident intern -- head here.

We left off around noonish.

Rounds are supposed to be over at this point. sometimes, we do have to have afternoon rounds.... oh painful... but when the list explodes to 20 or so patients, we do not have a choice.

let's start the day as a peds resident

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The series continues...
So far I have talked about the workhour limit for residents
Then I explained the call structure in the peds residency program where I trained {most peds residents are similarly structured with a few varieties}

on this post {along with an outfit post... i know!}, I will be talking about a day in the life in the hospital wards. 

day in the life as an intern at the Developmental Pediatrics team

on call again?

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i am back... continuing the day in the life of a resident with photos of my outfit splattered throughout this post used as a "page break".

for part I, head here... I talked about my big program and what short and long calls mean and changes in the work-hour/week limit that occurred while I was in the middle of my training.



Next, I will outline the different resident roles when "on-call"where I trained.

boyfriend cardigan, old

high rise jeans, exact one limited sizes left

this is the new one Old Navy released

booties, similar

LV neverfull MM

Here's the call structure.

There is a SENIOR-IN-HOUSE. This is an upper level resident who are post-graduate 2 all the way to 5. There are peds residents who signed up for the 5 year plan like the Triple board residents and Pediatrics/Emergency residents. {I signed up for the 5 year plan too as a Child Neuro resident.}



Next is SENIOR ASSIST. Like the term implies, this is an upper level resident who backs up the senior-in-house. "When I was a resident," the senior assist was the back-up for Heme/Onc. Heme-onc patients are on the sickest in the hospitals (besides those at the Peds ICU). I have had to call my senior assist twice when i was taking call for Heme Onc as an intern.


The other peds upper level who were on-call were at the ICU. We have two ICUs in our hospital. we called them PICUNorth and PICU South (they have changed their names now). PICUNorth admits were of general PICU cases. PICUSouth patients are the CV Surgery pts and  some general Peds ICU patients.



Besides Peds upper levels taking call at the Peds ICU, we also had Emergency medicine residents and Med/Peds residents who were part of the call pool. Peds ICU training is part of their training curriculum.

                              

For the intern call structure, we used a color system to designate roles.
"when I was a resident," we had a GOLD intern, SILVER intern and PLATINUM intern.

You'd want to BE the platinum intern because cross coverage was not too bad for those interns... plus they are "back-up" interns doing admissions.

Gold interns covered: Developmental Pediatrics,  Cardiology, Metabolism and Genetics
Silver interns covered: Hospitalist, Infectious Disease, Pulmonary
Platinum interns covered:  Renal, Endocrinology

{I don't remember who covered Gastroenterology}


If a resident is on-service for a specific specialty,she will cross cover her own team and also the rest of the patients in that color grouping.

Heme onc interns covered just Heme-onc patients.
NICU residents just covered NICU patients.


{but as I have heard, the roles have been changed for the color groupings}


Neurology and surgical subspecialties were not included in the Peds call pool. Those specialties had their own coverage and resident call pool.


There's also residents in the "jeopardy call list". That's where the back-up residents are chosen from when a resident is sick, etc and a need /call night/ day-time coverage has to be filled. These residents in the "jeopardy call list" are usually on their electives or outpatient months or research months.

We had a sort of "graded" call system.
I was "q4" meaning every 4th night I was on call as an intern. My friend SP and I were the "lucky ones" (I'd remember this FOREVER!) but we would be the "lucky" ones to get 9 calls in one month! That was when the rotations were based on calendar months rather than 4 week blocks. My training program has now adopted the 4-week block. Therefore length of experience is similar with different rotations or subspecialties.



As I became a second year in peds, my calls went to "q5" meaning every 5th day I was on call for busy services -- which means peds Hospitalist, Peds ICU. The rest of the services were as great as q6 (every 6th night!).

ok.. I am stopping there for now. It's getting boring. You might find this interesting if you are thinking of going into medicine or looking into different pediatric residency programs.


For my other readers, this might be a total snoozefest! sorry!



stay tuned for more....
thanks for reading!



Linking up with Sarah, Doranda, Morgan, Leanne, Elizabeth, Elena,  Madeline,  Jaymie,  Sydney, Danielle, Grace, Brooke.

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when i was a resident

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Yes, yes. It's another outfit post with a dozen or more photos!

But bear with me.

I want to remember stories from residency that I think it's time to share them here.

I did not blog much during intern year because:
a) I did not have time. I worked a lot (80 hour workweeks). When I was not working, I slept.
b) I was afraid that I'd blog about something at work and break patient confidentiality. So I just avoided it completely. {side note: that's also why I don't really talk much about my job or day-to-day work stuff here...}


It has been close to 10 years (gasp!) since I was an intern. I want to remember what it was like "when I was a resident."






            

Let's start with my "day in the life" of an intern.

I trained in a big program. There were 24 categorical peds resident spots and 12 (maybe more?) medicineand pediatric spots.  THAT IS A BIG PROGRAM.


Good thing about big programs ~ if one or two or more residents go on maternity leave, the call sched is not hurt that much. There are tons of sub specialties covered in the hospital that there are about 12 residents on call each night. Our program also covered 3 hospitals (the children's hospital, the county hospital and the mother baby unit at a nearby hospital).


When I trained, the call structure was different.
The 80-hour work week limit has been in placed for a couple of years before I started intern year. I am so thankful for that.


The cut off was also 30 consecutive work hour limit for ALL residents (not just upper levels, but also interns). This meant: changeover started at 7a, and when a resident is on call, he/she will work until 1p the next day (or sooner if the work gets done... but that infrequently happens).

love this necklace, scored it from jcrew factory sale!

you wouldn't guess it... but it was less than $20!

Celine mini luggage, preloved.

Grainy leather

aka face bag per lilD

               



In 2011, the cut off for interns changed to 16 consecutive workhour limit.
Then programs started the terms "short call" and "long call".

I have never had to do "short calls" or "long calls."

I just had long calls. PERIOD.


But basically, short calls mean: an intern comes in at 7a and then out by 10p. i thought that scenario was actually tiring. Because the next day is not a day-off. In fact, interns after a night of short call, have to come in the next day at 7a again. {there must be a 8-10 hour off-the hospital break before going back in}


Long calls - I explained that above. Long calls can mean 7a of day 1 up to 28 hours later which makes it to 11a. the 30 hour work limit has been decreased to 28 hours just in the past years "since I was a resident."

sweater via gap

jBrand jeans

Celine mini luggage

Aerosoles booties

This is getting too long. I will officially start my "day in the life of an intern" on part ii.
stay tuned.




Linking up with Sarah, Doranda, Morgan, Leanne, Elizabeth, Elena,  Madeline,  Jaymie,  Sydney, Danielle, Grace, Brooke.

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Thank you for reading! I can be found on: