Resident Handbook - UC Davis Health System

Call Expectations and Supervision ResponsibilitiesPGY1s on weekend call or night float:• There is always a PGY2 or PGY3 in house to serve as back-up.• PGY1s must notify the senior resident in-house of all admissions, discharges, or changein patient status (use the same guidelines we have developed for notifying yourattending).• PGY1s must assist with rounding on weekend mornings under the direction of the seniorresidents (please work with your senior resident to assure that you do not exceed workhour restrictions).PGY2/PGY3 on weekend call or night float – supervision responsibilities:• Monitor all resident admits, discharges, or changes in patient status – this allows you toprovide education, back-up, and close the service when necessary.• Obtain a brief check out from the senior resident checking out on the opposite serviceregarding service status (i.e., green – open and not busy, yellow – open and busy, red –closed) and information on unstable patients and patients that the PGY1 may needassistance with managing.• Assist PGY1 with patient care if service becomes excessively busy.• Recommend closure of medicine admissions from the ED if it is anticipated that eitherthe medicine or Ob service has become too busy for both the PGY1 and PGY2/3 tomanage together.Short Call PGY2/PGY3• Round and supervise/manage PGY1s who are rounding• Do not leave the hospital until PGY1 coming off call has completed rounding and leftSupervision criteria for senior residents supervising junior residents during low risk labor:Attending notification guidelines apply to all levels of residency training, PGY1-PGY3.Senior residents will be required to meet specific criteria prior to supervising junior residentsduring low risk labor. They will have to successfully complete their intern year obtaining theintern certificate and advancement to second year status. They will also need to completespecific OB requirement. They will need to have completion of and continued ALSO (AdvancedLife Support in Obstetrics) certification. They must have a minimum of 30 vaginal deliveriesdocumented. OB rotation evaluations must be overall satisfactory and include the “By the end ofPGY1- competent to supervise first year residents” performance portion to be satisfactory orabove.When first year residents begin participating in the Night Float Obstetrics / Pediatrics rotation,they must work closely with the senior resident on the Night Float Medicine Rotation. For thepurposes of resident education, supervision requirements, and patient safety, the followingprocedures must be followed:Page 119 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc