Pediatric Residency Third Year

 

 

Inpatient Rotations

• In general, inpatient teams consist of 2 upper level residents and 2 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, a few Community Pediatric patients, and Allergy/Immunology patients or Rheumatology patients. 

*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.

 

NICU

Third year residents rotate in the NICU at Manning Family Children's, a Level 4 NICU and tertiary referral center.  There are 1-2 residents scheduled per block.  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.

 

Emergency Medicine

Third year residents spend one block caring for patients in the Emergency Department at Manning Family Children's.  This rotation consists of thirteen 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 22 weeks during the third 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.    

 

Night Float

Third year residents complete two weeks of night float 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.  Senior residents are responsible for admissions to the inpatient services and supervising/helping interns with floor call.  All rotators are expected to complete the night float curriculum which consists of learning modules and an interactive session with one of our pediatric hospitalists.

 

Ambulatory

1 block during the third year is reserved for additional ambulatory experience.   This ambulatory experience consists of additional time spent in general pediatrics continuity clinics as well as subspecialty clinics, such as dermatology and craniofacial multidisciplinary clinic, to further enhance general pediatrics knowledge and experience. 

 

*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 Manning Family Children's NICU team.