Goals and Objectives PGY 2/3: SHC Headmirror Service
Rotation Contacts and Scheduling Details Please coordinate schedules and care with Attending Surgeons from Head and Neck Surgery (Capasso, Damrose, Dewan, Lee, Liu, Megwalu, Sung) Rotation Specifics 1.
2.
3.
4. 5.
6. 7. 8.
Rounding expectations: team is to round together in the morning with the chief resident leading. All members of the team are expected to know what is going on with each patient. On discharge, patients should have a date and time for follow-up. The team should establish this prior to discharge by calling the clinic or communicating with the P.A. The chief resident is expected to be teaching the juniors on rounds. Communication with faculty regarding patients after rounds/weekends: • Communication of some sort is expected each day with each attending. For some, a text message is fine; for others, a phone call. At the start of the service, the chief should establish the best mode of communication with each attending. • When talking with patients, residents should avoid relaying care plans if there is uncertainty. They should tell the patient that they will check with the attending. Communication with faculty regarding night-time contact with patients For serious issues (e.g. should a patient go back to the OR), it is ideal if calls go up the chain of command. R2s and R3s on call should call their chief resident to evaluate, who should notify the fellow, and then the attending. The R2 or R3 should NOT bypass senior residents and go directly to the attending. This is for teaching purposes. Residents are expected to make entries into medical records for night-time patient contacts. A note should be entered into Epic for each contact with patients. Residents should strike a balance between learning in the clinic and operating room. However, the chief resident should anticipate and plan in advance so that clinics can be covered as much as possible. This may require asking residents from other services to help. It may be advisable to limit vacation during the months of heavy R4 interviews. A brief operative note should be entered within an hour of completion of the surgery by the resident. Dictation of operative reports: within 24 hours. Preparation for OR: Discuss case with attending the day before. Read about the case. Know the patient and why the operation is being performed, the labs, etc. When faculty is out of town, continue to communicate with attending daily if available by cell phone. If not, then, communicate with the covering attending or instructor (designated by the attending prior to leaving). 32
