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A Day in the Life of a Children's National Resident

6am - 8am: Pre-rounding
Resident viewing electronic medical records

After getting sign-out from the overnight team, a resident starts pre-rounding on his or her patients. Residents complete their daily notes using our Electronic Medical Record, which allows you to automatically insert key data including vital signs and labs. Morning Report occurs every Tuesday and Thursday from 7:30 am – 8 am.

8am - 8:30am: Attending Teaching Rounds (3 - 4 times a week)
Morning teaching session with the Heme-Onc team
The Hematology/Oncology team learns about bone marrow transplantation from an attending. Almost all inpatient teams have implemented morning teaching sessions.
8:30am - 10:30am: Work Rounds
Academic (Hospitalists) team rounding on patients
Academic Team 3 rounding with the Pulmonology attending and fellow. We follow the model of patient-centered care, in which the family actively participates in rounds. The patient’s nurse, along with a social worker, case manager, and dietician also are an integral part of rounds.
10:30am - 12pm: Patient Care

The remainder of the morning is spent calling consults, placing orders, reassessing patients, and acting on the plan for the day.

12pm - 1pm: Noon Conference (daily)
Noon conference session
One of our attendings from Infectious Disease teaches the residents and medical students how to tell the difference between the infectious exanthems. Noon conference speakers emphasize group participation and self-directed learning.
1pm - 5pm: Patient Care or Continuity Clinic
Resident and attending physician discuss a patient
Residents and continuity clinic attendings work in the team room at the Children’s Health Center outpatient clinic. Residents have a wide range of continuity clinic options from which to choose, depending upon their track.
5pm: Sign-out to Night Team
Daytime intern signs out to nightfloat intern

A daytime intern signs out his patients to the night float intern. Our night float system has been in place for years, and is one of the reasons why our average number of hours worked per week is less than 60!


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