Pediatric Residency Second Year

 

 

Inpatient Rotation

• 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 has 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

 

Inpatient Hospitalist (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. 

 

Inpatient Subspecialty Teams

All residents rotate on the combined inpatient subspecialty service each year. During this rotation, residents work directly with the attendings and fellows from each subspecialty (Endocrine/Nephrology/Gastroenterology/Cardiology) to take care of patients on these inpatient services, getting a wide variety of experience to different pathophysiology. They follow a schedule similar to the inpatient rotations. Residents also get exposure to these subspecialties in clinic during outpatient elective time.

 

Hematology-Oncology

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

Mental Health

All residents will rotate on a mental health block, spending 2 weeks working with our consult liaison inpatient psychiatry service and 2 weeks working with different outpatient psychiatrists. This rotation enables residents to get a broader experience in pediatric psychiatry, strengthening their knowledge base to bring back into their pediatrics care practice.

 

NICU

Second year residents rotate in the NICU at Touro Infirmary, one of our partner hospitals.  Touro has over 3,000 deliveries per year and houses a Level 3 NICU.  There are 1-2 residents scheduled per block to rotate.  Residents alternate long and short days, which are divided evenly with one upper level checking out to the neonatal nurse practitioner on call at 6:30 pm.  Team members also alternate weekends off. All residents have at least 4 days off per block.  In order to promote physician wellness, these days are always on weekends.

 

PICU

The PICU team consists of 4 residents with the addition of an Emergency Medicine resident on selected blocks.  Residents care for all patients admitted to the PICU at Manning Family Children's.  Residents rotating in the PICU each work one week of night shifts and take one 28-hour call on a Saturday night over the course of one block.  Residents not working the night shift will be present on rounds for all weekdays and select weekend days.  All residents have at least 4 days off per block.  In order to promote physician wellness, these days are always on weekends with at least one weekend scheduled as a full “Golden” weekend - a continuous Saturday and Sunday off.

 

Emergency Medicine

Second year residents spend one block caring for patients in the Emergency Department at Manning Family Children's.  This rotation consists of nine 10-hour shifts per block.  Residents 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.

 

IEU

For 11 weeks during the second year, residents 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.

 

Adolescent

Second year residents spend one block learning about Adolescent Medicine.  Residents rotate through the LSU Adolescent Clinic, New Orleans Planned Parenthood clinic, school-based health clinics and the Calhoun Behavioral Health Unit.  In addition, residents work on 2-3 projects during the rotation.

 

Night Float

The night float block is split into one 2-week block and one 1-week block 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.  Second-year residents are responsible for admissions to the inpatient services and supervising/helping interns with floor call.  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.

 

*Night float teams contain a mixture of LSU Peds, Med/Peds, and Peds EM residents plus 1-3 Tulane residents. Purple/Green/Gold night shift interns also rotate on these teams. Up to one Tulane upper level resident per month is part of the PICU and Children's Hospital NICU team.