|
Location |
Rush |
|
# Weeks |
2, 4 |
|
Hours/week on site |
31-40, 41-50 |
|
Open to M3s? |
yes |
|
Scheduled through OASIS? |
yes |
|
On Rush schedule? |
yes |
|
# other students |
0 |
|
Prerequisites |
pediatrics, but it helps to have also had ob/gyn and surgery |
|
Interviewing/Step 2 flexibility |
? |
|
Overnight call? |
not required, but possible |
|
Work weekends? |
no |
|
Weekend call? |
no |
|
Is there an exam at the end of the rotation |
no |
|
Students required to give a presentation |
yes |
|
Teaching hours/day |
1-3 |
|
Teaching style |
Patient rounds, Morning report/Case conference, Student presentations |
|
Suggested reading/pocket contents |
The Lange neonatology handbook is really good. One of my mentors suggests just reading UTD though and not spending the money on Lange Read the SCN guidebook that the residents have (I think it is online somewhere or you can copy theirs) Also read any handouts the dieticians give you, they are your best friends! |
|
Structure of rotation |
One-on-one with attendings/residents, Team-based |
|
Amt/quality of time residents/attendings |
Each morning I would pre-round, then round with the senior resident, and we would talk, then we would round with the intensive care attending and then the intermediate care attending. During rounds we would talk about disease pathophysiology and diagnostic/treatment options and the literature behind the decisions we made. Spend most of day with residents |
|
Proportion of time evaluating pts alone |
75-100% |
|
# pts evaluated/day |
2-4 |
|
Procedures |
Once a week, A few times/week |
|
Typical day |
Pre-round on my babies, then meet up with the resident and talk about them at about 7, then the team would round with intensive care attending, and then round with intermediate care attending. After rounds, I would meet with nutritionist to discuss HAL and put in orders for the day and write my notes. Interspersed throughout the day, we would go to deliveries, and work on the coding babies. I would help work up the new babies - putting in umbilical lines and drawing blood. The afternoon has more down time, sign-out is at 4pm, at which time you go home. I took call once a week with a PGY2. Arrive at 7, print out sign out sheets, fill out info from neonates and labs, see patients and formulate plan with resident, morning report 8-9, rounds with 2 different attendings 9-11or 12, then finish notes and write orders until noon conference from 12-1. In the afternoon you deal with any of your babies’ issues or new babies and then sign out is at 4. (At any time during the day you can get called to a delivery or c-section, sometimes several a day!) I did not take call, but you can, depending on your team. |
|
Usefulness for any residency |
3 of 5 stars |
|
Usefulness for this residency |
5 of 5 stars |
|
Useful for other specialties |
I think it is especially helpful for those interested in critical care - this is a really special population, and also for anyone going into peds and ob/gyn. You will have to do the NICU during your residency and it is a whole separate world, so it is good to be exposed to it. Also you learn a lot about normal development and nutrition of premies and full term infants. |
|
Overall rating |
4-5 of 5 stars |
|
Recommended to other students |
4 of 5 stars |
|
Other comments |
It is important to appreciate that the SCN is its own little world, and the parents are extremely stressed. Dr. Meier gave me excellent advice: for each patient, you have two, the baby and the parent(s). The neonatal nurse practitioners have a lot of knowledge and are very nice. This can be an intense rotation, and most of the residents hate it, but you do learn a lot and it is very valuable regardless of whether or not you want to go into neonatology. (I don't and I liked it) Also be nice to the nurse practitioners - they can be a lot of help! |