Use the Resident Checklist below when evaluating the Medical Students!

[ ] Pediatric History and Physical Exam (including general framework of growth, developmental milestones)

[ ] Inpatient focused FEN

[ ] Fever in an infant: General approach, intro to Procalcitonin use (cases developed by 

       Dipalma/ED/Shamim)

[ ] Signing out (students to stay until evening Sign-out 1 day during 1st week, and to sign-out their patients our to floor intern/resident when they leave the floor everyday

[ ] Newborn Exam (reflexes; signs of concern, such as dehydration, lethargy; etc.)\

[ ] Dermatological exam: How to describe on rounds/in notes (not diagnoses per se)

[ ] Pulmonary exam: general description; also Pediatrics focused signs of distress

Floor Intern Responsibilities:

• Interns arrive on the floor at 6:00 am for pre-rounding

• Should receive an overnight report from the overnight intern or senior

• Overnight intern (or senior on Wednesday and Thursday) should write the progress notes for the patients admitted overnight whose admission note was written prior to midnight

• Must have their notes completed by 1:00 pm

• Interns present their patients on rounds; Full H&P for new patients, SOAP style for preexisting patients

• Interns should propose a plan before the senior or attending

• Overnight intern will present the patients admitted overnight (with the assistance of the senior)

• Interns write all admission notes and discharge summaries on the floor. Seniors write all aforementioned notes in the absence of interns or in situations where patient care will be compromised by not assisting the interns.

Floor Senior Responsibilities

• Role is to oversee the management of all the patients on the inpatient team.

• Ensure interns are primary contact for all questions and concerns regarding their own patients

  • CORTEXT communication between attendings, senior, and intern

  • Intern's ASCOM written in room 

• Should ensure all orders are correct, medication doses are accurate, notes are completed

• Communicate with nurses, discharge planning, attendings and other staff to ensure efficient care and patient management

• Organization and flow of rounds is the responsibility of the senior resident

• Final plans for patients should be the responsibility of the senior resident, and should work closely with the attendings to become strong autonomous pediatricians.

• Must be available to interns and nurses throughout the day, and always carry senior pager and ASCOM.

• Overnight seniors are responsible for writing admission notes and pre-midnight progress notes on Wednesday and Thursday nights or any other time there are no interns overnight or if the interns have too many notes to write. 

Neurology Patients Resident Responsibilities

This applies to all patients who have a Neurologist as the attending

Peds Residents:

-H&P

-Admission orders

-Peds Interns expected to round with Neurology team on the patient

-Residents should be in regular communication with Neurology service & residents about the patient

-All other subsequent orders

-Depart

Neurology Residents:

-Initial consult note

-Will be in regular communication with the Pediatric residents

-Daily progress notes

-Discharge summary

-Will complete any prior authorizations

-Will send controlled substance scripts as needed for discharging patients

Private Subspecialty Services (do not admit to PHS)

Adolescent: No long has a private service as of Spring 2024.  Admit known eating disorders to PHS with Adolescent consult. 

A/I: 

• FPIES challenges

Endocrine:

• Diabetes, panhypopituitarism, hypocalcemia

 **when above problem is the primary reason for admission

GI:

• WNY GI (Gelfond/Hashmi/Nugent group) admits their patients for exacerbations of their known GI disorders

• UBMD GI patients go to PHS

Hem/Onc:

• New-onset or known leukemia/lymphoma, new solid mass, known cancer, working diagnosis of malignancy

• Sickle Cell, Hemophilia, Thalassemia Major, severe anemia, hemolytic anemia, severe pancytopenia

• DVT/PE

ID:

• Known HIV positive -- discuss with attending 

• Tropical Infectious diseases on case-by-case basis

Nephro:

• Nephrotic syndrome

• Dialysis patients

Neuro:  No longer has a private service as of Spring 2024.  All neuro are admitted to PHS with neuro consult. 

Previously: Exacerbation of known seizure disorder, age > 12 months

• No comorbid infectious disease or other significant underlying medical problem (eg: trach)

• DENT patients will typically go to PHS

Pulm: 

• CF

Rheum:

• Exacerbation of known Rheum disorder

Private Subspecialists Contact Numbers:

GI:

Dr. Hashmi cell: 716-803-5576

Dr. Gelfond cell: 917-783-1709

GI @ Rochester: 1-800-499-9298

Fax face sheet: 585-256-3156

Med Peds:

Dr. Gosine cell: 443-615-3553

Dr Abeles cell: 716-908-1106 

Jericho Road:

Dr Glick: 716- 435-1440

Dr Harding: 917-664-9174

Dr Milazzo: 716-480-2438

Dr Raleigh: 716-364-1626

Dr Stoltzfus: 484-667-7678

Holiday Pediatrics

Dr. Dejneka: (716) 698-6978

Psychiatry:

On-call answering service: 716-608-1065