Resident Handbook - UC Davis Health System

o Contact the on call neonatologist as discussed with the obstetrician.• Residents are expected to attend Noon Conferences unless an urgent patientresponsibility takes precedence (e.g. a delivery. Seeing routine prenatalpatients at Mercy Maternity Center is not a reason to miss noon conference).• Compliance with these guidelines is essential to a determination of"successful completion" of this rotation.E. Service Guidelines: PEDIATRICS IN-PATIENT SERVICE1. Inpatient Servicea. Complete history and physical examination, appropriate orders and proceduresb. Learn appropriate diagnosis, treatment and management of common pediatrichospital problems.c. Write appropriate progress notes, communicate with parents, referring doctorsand involved agenciesd. Dictate discharge summariese. Arrange appropriate follow up plan for outpatient visit(s)f. Maintain appropriate partnership relationships with fellow residents2. Newborn Nurserya. Follow sick or high-risk neonates > 36 weeks with attending neonatologistb. Attend high risk deliveries with neonatal nurse/ neonatologistc. Attend C-sections on requestd. Make appropriate follow-up referral to pediatric clinice. Collaborate on Family Practice newborns with resident if needed.f. Gain experience at neonatal circumcision if done as in-patient.F. Monthly Perinatal Morbidity and Mortality Conference:M&M Guidelines:• M&M’s will be scheduled each year on the fourth Monday of the month (seebelow).• Cases will be coordinated and scheduled by Dr. Nix. The obstetrical andneonatal attendings will assist in identifying appropriate cases for review.• The PGY1 who was on OB service the month prior will be assigned to presentthe case.• PowerPoint presentations and overheads should be used that clarify thepatient’s course, including key events, rhythm strips, x-rays, etc. These willsubstantially improve the effectiveness and professionalism of the presentationand are expected.• There may be “last minute” cases worth presenting where thorough preparationis not possible but where the value of the discussion makes it worth theexception. This could also include an OB case at a Neonatology M&M, or viceversa.• Patient confidentiality should be maintained.Page 62 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc