Intern On Pediatrics (on wards)
Jim McCarthy, MD
PGY-1, Medical College of Wisconsin
6:00 am: I arrive at the hospital at 6am. I see 4 to 8 patients, depending on the season. Notes are written in the morning.
7:45 am: I head to Morning Report where cases are discussed with colleagues, chief resident and attendings.
8:30 am: The team reconvenes (senior resident, five interns, one SMS, 3-4 JMS's). I begin our rounding with the senior resident and attending. Rounding takes approximately 2 hours depending on the census. I will then call primary care physicians, when rounds are done, if our team has non-hospitalist patients. If I am on the Red or Green team, I round with the hospitalist attending. If I am on the Purple or Orange team, I round with the sub-specialty attending.
Noon: I attend noon conference where primary care and sub-specialists present various topics. Every Monday there is a case presentation to Dr. Kliegman, giving us the chance to interact with the Peds Chairman. Thursday is Professor's Rounds where senior residents present cases and grill the attendings! Board review and journal club sessions are wrapped monthly into the noon conference schedule.
1:00 pm: I finish staffing patients, write notes if needed, and follow-up on studies and consults. This is also the time I admit patients from the ER and clinics. If work is done, I will pick a teaching point to talk about with students and seniors. This is also the time I have my continuity clinic which I go to once per week.
4:00 pm: If I am the short-call intern (1 out of every 4 days), I stay until 8 PM admitting patients and taking care of our team's patients. If I am not the short-call intern, I go home at 4 PM.
Night float: The night float intern rotates weekly. For example, if I am on the Green Team, I will be that team's overnight intern for one, six-day stretch starting Monday evening and ending on Sunday morning. I will arrive at the hospital at 7 PM and get sign out from short-call intern. I will then admit patients overnight with the help of a senior resident. I finish up my work in the morning, hand-off the new admissions to the day-time intern, discuss patients at morning report and leave for home by 8:30 AM.