Pediatric Residency First Year

 

 

Inpatient Rotations

There are 3 inpatient teams:

• In general, inpatient teams consist of 2 upper level residents and 2-3 interns
• Schedule
  • Residents alternate long and short days
    • Arrive at 6:30 a.m.
    • Short residents: leave mid-afternoon
    • Long residents: stay until sign-out to night float residents, who arrive at 6:30 p.m.
  • Weekends
    • Team members alternate weekends off
    • Each resident works a long weekend and short weekend, with cross-coverage for other teams starting in the afternoon
  • Days off
    • All residents have at least 4 days off per block
    • In order to promote physician wellness and time with family and friends, these days are always on weekends and are scheduled as a continuous Saturday and Sunday off twice per block

 

Purple and Gold Teams

These teams mainly care for patients on the general pediatric hospitalist medicine rotation, patients of one community pediatrician, and Allergy/Immunology patients or Rheumatology patients.

Interns do 1 week (4 nights) of night shift during the rotation.

*Teams primarily consist of LSU Peds, Med/Peds, or Peds EM residents - with an integration of family practice interns on some teams. 

 

Hematology-Oncology

This team cares for most of the patients admitted to the Hematology/Oncology unit.

 

Subspecialty (Endocrine/Neurology)

All interns rotate on the Endocrine service as a required subspecialty rotation. During this rotation, interns work directly with the attending/fellow to take care of patients both on the inpatient side (admissions and consults) as well as the outpatient clinic. They follow a schedule similar to the inpatient rotations.

During the Neurology rotation, residents rotate in the outpatient clinic only. Neurology patients are admitted to the Pediatric Hospital Medicine service, and residents gain experience in inpatient neurologic care while on Purple/Green/Gold, NICU, and PICU rotations. 

 

Development

All interns spend one block on a Developmental Pediatrics rotation. During this rotation, interns are exposed to Developmental-Behavioral clinic patients as well as pediatric subspecialties and ancillary service lines.

 

IEU

During these blocks, interns can choose their rotation based on their learning needs and IEU Track.  A variety of rotations are available.  Faculty advisors, program directors or chief residents are available to offer guidance in rotation selections. 

 

Emergency Medicine

Interns spend one block caring for patients in the Emergency Department at Children's Hospital.  This rotation consists of thirteen 10-hour shifts per block. Interns work one weekend of scheduled ER shifts and one weekend of night float while on their ER block. An educational bootcamp is held in the beginning of each block. Interns rotating on ER have 2 scheduled procedure days which are set aside for advancing procedural skills in either the OR with anesthesia or in the short stay unit. 

 

Newborn

The newborn rotation is completed at one of our partner hospitals, Touro Infirmary, which has over 3,000 deliveries per year. Interns care for newborns admitted to the LSU pediatrics service and also attend deliveries to gain resuscitation experience. Team members will alternate long and short days.  There are no call or weekend responsibilities for the well baby nursery; however, interns may be assigned to a night float weekend during their block. 

 

Night Float

The night float block is split into two 2-week blocks on Monday through Thursday nights from 6:30pm-6:30am. The team consists of at least 2 senior residents and 2 interns, who divide care of our inpatient teams. An additional third team is scheduled during the busy winter months. Interns are responsible for handling floor calls and helping with admissions to inpatient services. All rotators on night float are expected to complete the night float curriculum which consists of learning modules and an interactive session with one of our pediatric hospitalists.

 

Ambulatory
 

Advocacy

The advocacy rotation is 3 weeks in length. Interns participate in several community experiences. The rotation will increase each resident's advocacy skills through practicing interview skills, reviewing data, writing op-ed pieces and positive use of social media. 
 

CARE

The CARE rotation is completed at Children's Hospital Audrey Hepburn CARE center. Rotators learn about forensic (child abuse) medicine through observation of forensic histories, physical examinations, and the opportunity to observe criminal trials.